便攜式輔助溝通訓(xùn)練系統(tǒng)聯(lián)合言語康復(fù)治療對腦卒中運動性失語的影響

趙光標　植梧倍　張?zhí)m娟

【摘要】 目的：觀察便攜式輔助溝通訓(xùn)練系統(tǒng)聯(lián)合言語康復(fù)治療對腦卒中運動性失語的影響。方法：選取2018年1-10月本院收治的腦卒中運動性失語患者60例，將其隨機分為觀察組和對照組，各30例。對照組給予常規(guī)言語訓(xùn)練，觀察組在對照組基礎(chǔ)上使用便攜式輔助言語溝通訓(xùn)練系統(tǒng)訓(xùn)練，兩組均訓(xùn)練4周。比較兩組治療前后的語言功能（ABC評分）和治療后的患者滿意度。結(jié)果：治療前，兩組ABC量表的9個方面評分比較，差異均無統(tǒng)計學(xué)意義（P>0.05）;治療后，ABC量表的9個方面評分均高于治療前，且觀察組均高于對照組，差異均有統(tǒng)計學(xué)意義（P<0.05）;觀察組總滿意率為96.67%，高于對照組的73.33%（P<0.05）。結(jié)論：便攜式輔助溝通訓(xùn)練系統(tǒng)聯(lián)合言語康復(fù)治療對腦卒中運動性失語有很好的臨床療效，能明顯改善患者的言語功能，值得臨床推廣應(yīng)用。

【關(guān)鍵詞】 便攜式輔助溝通訓(xùn)練系統(tǒng); 言語康復(fù)治療; 腦卒中; 運動性失語

【Abstract】 Objective：To observe the effect of portable assistant communication training system combined with speech rehabilitation therapy on motor aphasia after stroke.Method：A total of 60 patients with motor aphasia after stroke admitted to our hospital from January to October 2018 were selected，they were randomly divided into observation group and control group，30 cases in each group.The control group was given routine speech training，while observation group was given portable auxiliary speech communication training system on the basis of control group，they were trained for 4 weeks.The language function（ABC score）before and after treatment and patient satisfaction between two groups were compared.Result：Before treatment，the scores of 9 aspects of ABC scale in two groups were compared，the differences were not statistically significant（P>0.05）.After treatment，the scores of 9 aspects of ABC scale were higher than those of before treatment，and those in observation group were higher than those in control group，the differences were statistically significant（P<0.05）.The total satisfaction rate of observation group was 96.67%，which was higher than 73.33% of control group（P<0.05）.Conclusion：Portable assistant communication training system combined with speech rehabilitation therapy has a good clinical effect on motor aphasia after stroke，and can significantly improve the speech function of patients，which is worthy of clinical application.

【Key words】 Portable auxiliary communication training system; Speech rehabilitation therapy; Stroke; Motor aphasia

First-authors address：Peoples Hospital of Xinyi City，Xinyi 525300，China

doi：10.3969/j.issn.1674-4985.2019.12.043

運動性失語癥是語言表達障礙中的一種，亦被稱為“表達性失語癥”[1]。其特點為，患者能夠理解他人的語言，但是無法流利用語言同別人對話[2]。臨床以說話費力，不流利，語量稀少為主，部分患者可表達基本意思[3]。腦卒中是導(dǎo)致運動性失語癥的主要原因之一[4]。腦梗死或者是腦出血損傷了大腦的語言中樞，從而出現(xiàn)運動性失語癥[5]。對于這部分患者，言語康復(fù)治療是臨床治療的主要手段[6]。但是部分患者癥狀較重，臨床效果不佳[7]。為了解決這一問題，本院近年來使用便攜式輔助溝通訓(xùn)練系統(tǒng)聯(lián)合言語康復(fù)治療，取得了較好的臨床效果。現(xiàn)報道如下。

1 資料與方法

1.1 一般資料 選取2018年1-10月本院收治的腦卒中運動性失語患者60例為研究對象。納入標準：經(jīng)頭CT、MRI等檢查確診為出血性或缺血性腦卒中患者;經(jīng)漢語失語檢查法（ABC）量表確診為運動性失語患者;疾病處于恢復(fù)期的患者[8-9]。排除標準：其他原因所導(dǎo)致的運動性失語患者;非運動性失語的語言障礙患者;腦卒中急性發(fā)作期或進展期患者;有意識障礙的患者;在發(fā)病前有語言功能和聽力障礙的患者;有精神系統(tǒng)疾病病史的患者;合并小腦萎縮、老年癡呆等意識障礙無法配合訓(xùn)練的患者[10]。將其隨機分為觀察組和對照組，各30例。本次研究經(jīng)醫(yī)院倫理委員會研究并予以通過，患者同意參與本次研究。