《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (1): 66-67.

• 论文 • 上一篇    下一篇

认知功能训练对脑卒中后失语症康复疗效的影响

代欣，李继来，杜继臣   

  1. 航天中心医院，北京市 100049。
  • 收稿日期:2010-10-13 修回日期:1900-01-01 出版日期:2011-01-25 发布日期:2011-01-25

Effect of Cognition Training on Aphasia after Stroke

DAI Xin, LI Ji-lai, DU Ji-chen.   

  1. The Central Hospital of the Aerospace Bureau, Beijing 100049, China
  • Received:2010-10-13 Revised:1900-01-01 Published:2011-01-25 Online:2011-01-25

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摘要： 目的探讨认知功能障碍训练对脑卒中失语症康复疗效的影响。方法60例伴有认知功能障碍的失语症患者分为2组，对照组采用综合治疗方法并进行语言功能训练，实验组在对照组治疗的基础上进行认知功能障碍的训练。康复治疗前后采用洛文斯顿作业疗法用认知评定成套测验（LOTCA）和失语症检查。结果实验组训练后LOTCA评分(P<0.05)及失语症评分(P<0.0001)均高于对照组。结论对于脑卒中致失语症并发认知功能缺损的患者,在进行康复训练的同时,积极进行认知功能的训练更利于语言功能的恢复。

关键词: 脑卒中, 失语症, 认知康复

Abstract: ObjectiveTo study the effect of the cognition training on aphasia after stroke. Methods60 patients with aphasia and cognition functional impairment after stroke were divided into 2 groups. The control group received comprehensive treatment, including speech therapy, while the treatment group accepted cognitive functional training in addition. They were assessed with the Loewenstein Occupational Therapy Cognitive Assessment Battery (LOTCA) and China Rehabilitation Research Center Aphasia Examination (CRRCAE) before and after training. ResultsThe scores of LOTCA (P<0.05) and the CRRCAE (P<0.0001) improved in treatment group compared with the control group after training. ConclusionThe cognition functional training above the aphasia functional training facilitates the recovery of aphasia in patients with aphasia and cognition disorder after stroke.

Key words: stroke, aphasia, cognition rehabilitation