摘要
目的 探讨计算机辅助执行功能训练联合言语训练的康复效果.方法 采用随机数字表法将纳入的150例脑卒中后构音障碍患者分为语言训练组、计算机组和联合组各50例.语言训练组行言语-语言疗法干预,计算机组接受计算机辅助执行功能训练,联合组进行言语-语言疗法和计算机辅助执行功能训练联合干预.比较3组疗效和治疗前后Frenchay构音障碍评价量表分级、言语功能、声学指标含最长发声时间(MPT)、音调、音量和平均发声气流量变化,采用卒中生存质量量表(stroke-specific qualley of life,SS-QOL)评价治疗前后患者生活质量变化.结果 联合组治疗总有效率显著高于语言训练组和计算机组(96.00％vs.74.00％/76.00％,P＜0.05).3组患者治疗后Frenchay构音障碍评价量表分级、言语功能分级显著改善,MPT显著延长,SS-QOL评分显著提高(P＜0.05).联合组患者治疗后言语功能分级、MPT、SS-QOL评分显著优于语言训练组和计算机组(P＜0.05).结论 计算机辅助执行功能训练联合言语-语言疗法能够显著提高脑卒中后构音障碍患者的康复效果,改善生活质量、延长发声时间.
Abstract
Objective Exploring the effectiveness of computer-assisted executive function training combined with traditional speech language therapy.Methods Using a random number table method,150 prospective patients with post-stroke articulation disorders were divided into a language training group,a computer group,and a combination group,with 50 cases in each group.The language training group received speech language therapy intervention,the computer group received computer-assisted executive function training,and the combined group received both speech language therapy intervention and computer-assisted executive function training.Compare the efficacy of three groups and evaluate the changes in Frenchay articulation disorder grading,speech function,and acoustic indicators(maximum phonation time,MPT),pitch,volume,and average photic airflow)before and after treatment.Use the Stroke Quality of Life Scale(SS-QOL)to assess the changes in patients'quality of life before and after treatment.Results The total effective rate of the combined treatment group was significantly higher than that of the language training group and the computer group(96.00％vs.74.00％/76.00％,P＜0.05).After treatment,the Frenchay articulation disorder evaluation scale grading and speech function grading of the three groups of patients were significantly improved,MPT was significantly prolonged,and SS-QOL score was significantly improved(P＜0.05).After treatment,the speech function grading of the combined group patients was significantly better than that of the language training group and the computer group,and the MPT was significantly longer than that of the language training group and the computer group.The SS-QOL score was significantly higher than that of the language training group and the computer group(P＜0.05).Conclusion The combination of computer-assisted executive function training and traditional speech language therapy can significantly improve the rehabilitation effect of post-stroke patients with articulation disorders,improve their quality of life,and prolong their speaking time.The effect is superior to traditional speech language therapy and computer-assisted executive function training conducted separately.
维普
万方数据