《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (12): 1186-1187.

• 论文 • 上一篇    下一篇

9例完全性失语的言语康复

张小丽，杨新苗，王晓荣   

  1. 山西省阳泉煤业集团总医院老年病科，山西阳泉市 045000。
  • 收稿日期:2010-07-27 修回日期:1900-01-01 出版日期:2010-12-25 发布日期:2010-12-25

Speech Training for Globle Aphasia: 9 Case Report

ZHANG Xiao-li, YANG Xin-miao, WANG Xiao-rong   

  1. Department of Geriatrics, General Hospital of Shanxi Yangquan Coal Industry Group, Yangquan 045000, Shanxi, China
  • Received:2010-07-27 Revised:1900-01-01 Published:2010-12-25 Online:2010-12-25

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被引次数

6

摘要： 目的探讨完全性失语的语言康复转归。方法对2008年12月～2010年6月本科住院的9例完全性失语患者用汉语标准失语症检查法(CRRCAE)进行评定，利用Schuell刺激法、交流效果促进法(PACE)和功能性交际治疗(FCP)进行语言训练，比较训练前后评价结果。结果9例患者均伴有口颜面失用，8例并发言语失用。9例患者训练后在理解、复述、命名、抄写方面有显著性差异(P<0.05)，但在朗读、描写、听写、计算方面无显著性差异。波士顿诊断性失语症检查法(BDAE)分级2例有明显改善，2例有轻度改善。结论完全性失语语言康复难度大，经过语言训练，其语言功能可在一定范围内得到恢复，其失语症类型也可有转变，结合非语言手段可以提高其日常交流能力。

关键词: 完全性失语, 语言训练, 转归

Abstract: ObjectiveTo observe the speech outcome of globle aphasia after rehabilitation.Methods9 patients with globle aphasia from Dec. 2008 to June. 2010 in our hospital were assessed with the Standard Aphasia Examination of Chinese(CRRCAE) and trained using the Schuell aphasic stimulation approach, promoting aphasics communication effectiveness (PACE) and functional communication therapy (FCP).Results9 patients were disabled with their faces, 8 cases were disabled with speech. 9 cases improved in understanding, retelling, naming, and copying after speech training(P<0.05). Boston Diagnostic Aphasia Examination (BDAE) showed 2 cases had obvious improvement, and 2 patients had mild improvement.ConclusionThe speech rehabilitation on globle aphasia is very difficult, but speech function can recover to a certain extent and the type of aphasia can tranffer after speech training, and it can raise the ability of daily exchange by combining nonspeech means.

Key words: globle aphasia, speech training, outcome