朗读训练对脑卒中失读症的疗效

doi:10.3969/j.issn.1006-9771.2020.07.016

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (7): 820-824.doi: 10.3969/j.issn.1006-9771.2020.07.016

朗读训练对脑卒中失读症的疗效

王博^1,^2a,张庆苏^1,^2a,张皓^1,^2b()

1.首都医科大学康复医学院,北京市 100068
2.中国康复研究中心北京博爱医院,a. 听力语言科;b. 神经康复科,北京市 100068

收稿日期:2019-09-20 修回日期:2019-12-23 出版日期:2020-07-25 发布日期:2020-07-24
通讯作者: 张皓 E-mail:zh1665@163.com
作者简介:王博(1985-),女,汉族,北京市人,硕士研究生,主管治疗师,主要研究方向：听力语言康复。|张皓(1965-),女,汉族,北京市人,博士,主任医师,硕士研究生导师,主要研究方向：脑损伤康复。
基金资助:
中国康复研究中心课题(2018ZX-31)

Effect of Oral Reading Training on Post-stroke Alexia

WANG Bo^1,^2a,ZHANG Qing-su^1,^2a,ZHANG Hao^1,^2b()

1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
2. a. Department of Speech and Hearing Therapy; b. Department of Neurology, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China

Received:2019-09-20 Revised:2019-12-23 Published:2020-07-25 Online:2020-07-24
Contact: ZHANG Hao E-mail:zh1665@163.com
Supported by:
China Rehabilitation Research Center Project(2018ZX-31)

摘要/Abstract

摘要：

目的探讨朗读训练对脑卒中后失读症的临床效果。方法 2018年9月至2019年8月,脑卒中失读症患者41例随机分成对照组(n = 20)和观察组(n = 21),两组均采用Schuell刺激疗法,观察组加朗读训练,共治疗4周。治疗前后采用西方失语症成套测验(WAB)进行评定。结果两组治疗后失语商、阅读分数、朗读正确率均明显改善(t > 3.641, P < 0.01),观察组治疗效应量Cohen d值分别为0.45、0.68和0.85,均高于对照组的0.29、0.39和0.51。治疗师主观评分与各指标治疗前后差值无显著相关性(P > 0.05)。结论基于认知神经心理学的朗读训练可更好改善患者的阅读和朗读障碍。治疗师主观评分与客观评分之间没有明确相关性。

关键词: 脑卒中, 获得性失读症, 失语症, 朗读训练

Abstract:

Objective To observe the effect of oral reading training on acquired alexia after stroke. Methods From September, 2018 to August, 2019, 41 stroke patients with alexia were randomly divided into control group (n = 20) and experimental group (n = 21). Both groups accepted Schuell stimulation approach, while the experimental group accepted oral reading training in addition, for four weeks. They were assessed with Western Aphasia Battery (WAB) before and after treatment. Results Aphasia quotient (AQ) increased in both groups after treatment, as well as reading score and oral reading accuracy. The Cohen's d coefficients of all the indexes were more in the experimental group (0.45, 0.68, 0.85) than in the control group (0.29, 0.39, 0.51). There was not significant correlation between the subjective scores of the therapists and the indexes improvement (P > 0.05). Conclusions Oral reading training may improve the reading ability in stroke patients with alexia. There is no clear correlation between the subjective and objective scores for alexia.

Key words: stroke, acquired alexia, aphasia, oral reading training

中图分类号:

R743.3

王博,张庆苏,张皓. 朗读训练对脑卒中失读症的疗效[J]. 《中国康复理论与实践》, 2020, 26(7): 820-824.

WANG Bo,ZHANG Qing-su,ZHANG Hao. Effect of Oral Reading Training on Post-stroke Alexia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(7): 820-824.

图/表 5

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组别	n	性别(n)		年龄(岁)	教育程度(年)	病程(d)
组别	n	男	女	年龄(岁)	教育程度(年)	病程(d)
对照组	20	16	4	48±11	12±4	67±36
观察组	21	15	6	47±13	13±3	76±40
χ²/t值		0.000		0.269	0.845	0.767
P值		0.719		0.789	0.403	0.448

组别	n	治疗前	治疗后	t值	P值	Cohen d
对照组	20	44.13±26.08	51.83±27.04	4.536	< 0.001	0.29
观察组	21	40.9±31.38	54.99±30.99	6.521	< 0.001	0.45
t值		0.357	0.347
P值		0.723	0.730

组别	n	治疗前	治疗后	t值	P值	Cohen d
对照组	20	4.42±2.61	5.5±2.83	3.641	0.002	0.39
观察组	21	4.54±2.81	6.4±2.62	6.253	< 0.001	0.68
t值		0.151	1.070
P值		0.881	0.291

组别	n	治疗前	治疗后	t值	P值	Cohen d
对照组	20	24.14±22.23	37.7±30.16	4.764	< 0.001	0.51
观察组	21	22.17±21.96	46.1±33.49	4.879	< 0.001	0.85
t值		0.273	0.842
P值		0.786	0.405

项目	组别	r值	P值
总体语言情况vs. AQ差值	全部被试	-0.158	0.324
	对照组	-0.148	0.533
	观察组	-0.191	0.408
阅读能力vs. 阅读评分差值	全部被试	-0.058	0.719
	对照组	-0.093	0.696
	观察组	-0.041	0.860
朗读能力vs. 朗读正确率差值	全部被试	0.092	0.568
	对照组	-0.136	0.566
	观察组	0.244	0.286

朗读训练对脑卒中失读症的疗效

Effect of Oral Reading Training on Post-stroke Alexia

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