《中国康复理论与实践》

《中国康复理论与实践》 ›› 2002, Vol. 8 ›› Issue (01): 28-28.

• 脑卒中康复 • 上一篇    下一篇

语言疗法和作业疗法对脑卒中后运动性失语伴口颜面失用的作用

谭红; 张智博   

  1. 长沙市第一医院神经内科 湖南长沙市 410005
  • 收稿日期:2001-07-05 出版日期:2002-01-25 发布日期:2002-01-25

Speech therapy and occupational therapy on Broca aphasia with bucco-facial-apraxia following hemiplegia after stroke

TAN Hong,ZHANG Zhi-bo   

  1. Department of Neurology.The First hospital of Changsha, Changsha 410005,Hunan,China
  • Received:2001-07-05 Published:2002-01-25 Online:2002-01-25

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摘要： 目的探讨语言疗法结合作业疗法对脑卒中致运动性失语伴口颜面失用的语言康复方法。方法 55名脑卒中致运动性失语伴口颜面失用患者随机分为训练组和对照组。用前瞻法对两组进行比较分析,训练组患者进行语言康复训练的同时,用作业疗法对其进行失用症康复训练;对照组只进行语言康复训练。分别于训练前后进行测评。结果训练组口颜面失用现象改善效果优于对照组(P<0.05);语言表达能力(复述、说、出声读)训练组优于对照组(P<0.05)。结论脑卒中致运动性失语伴口颜面失用患者在语言康复训练同时,运用作业疗法进行口颜面失用的康复训练,可明显改善口颜面失用,并提高语言表达能力。

关键词: 运动性失语, 口颜面失用, 语言康复, 作业疗法

Abstract: ObjectiveTo study the method about language rehabilitation for Broca aphasis with bucco-facial apraxia in hemiplebies after stroke.Methods55 patients in hemiplegies after stroke who were diagnoised Broca aphasia with bucco-facial-apraxia by Chinese standard language test of aphasia and apraxia test,were randomly divided into two groups:treatment group(30 cases) and control group(25 cases). The trainning about language rehabilitation and occupational therapy(OT)to bucco-facial-apraxia were given in the treatment group, while in the control group the language rehabilitation training were given only. Evaluation was done in pre-treatment and post-treatment respectively.ResultsThe improvement of bucco-facial-apraxia and language expression function(repetition,speech and speech-reading) of treatment group were significant than that of control group (P<0.05).Conclusions The OT for bucco-facial-apraxia may obviously improved bucco-facial-apraxia and language expression function on training of language rehabilitation for Broca aphasia with bucco-facial-apraxia.

Key words: Broca aphasia, bucco-facial-apraxia, rehabilitation of language, occupational therapy