便携式辅助沟通训练系统联合言语康复治疗对脑卒中运动性失语的影响

赵光标　植梧倍　张兰娟

【摘要】 目的：观察便携式辅助沟通训练系统联合言语康复治疗对脑卒中运动性失语的影响。方法：选取2018年1-10月本院收治的脑卒中运动性失语患者60例，将其随机分为观察组和对照组，各30例。对照组给予常规言语训练，观察组在对照组基础上使用便携式辅助言语沟通训练系统训练，两组均训练4周。比较两组治疗前后的语言功能（ABC评分）和治疗后的患者满意度。结果：治疗前，两组ABC量表的9个方面评分比较，差异均无统计学意义（P>0.05）;治疗后，ABC量表的9个方面评分均高于治疗前，且观察组均高于对照组，差异均有统计学意义（P<0.05）;观察组总满意率为96.67%，高于对照组的73.33%（P<0.05）。结论：便携式辅助沟通训练系统联合言语康复治疗对脑卒中运动性失语有很好的临床疗效，能明显改善患者的言语功能，值得临床推广应用。

【关键词】 便携式辅助沟通训练系统; 言语康复治疗; 脑卒中; 运动性失语

【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

运动性失语症是语言表达障碍中的一种，亦被称为“表达性失语症”[1]。其特点为，患者能够理解他人的语言，但是无法流利用语言同别人对话[2]。临床以说话费力，不流利，语量稀少为主，部分患者可表达基本意思[3]。脑卒中是导致运动性失语症的主要原因之一[4]。脑梗死或者是脑出血损伤了大脑的语言中枢，从而出现运动性失语症[5]。对于这部分患者，言语康复治疗是临床治疗的主要手段[6]。但是部分患者症状较重，临床效果不佳[7]。为了解决这一问题，本院近年来使用便携式辅助沟通训练系统联合言语康复治疗，取得了较好的临床效果。现报道如下。

1 资料与方法

1.1 一般资料 选取2018年1-10月本院收治的脑卒中运动性失语患者60例为研究对象。纳入标准：经头CT、MRI等检查确诊为出血性或缺血性脑卒中患者;经汉语失语检查法（ABC）量表确诊为运动性失语患者;疾病处于恢复期的患者[8-9]。排除标准：其他原因所导致的运动性失语患者;非运动性失语的语言障碍患者;脑卒中急性发作期或进展期患者;有意识障碍的患者;在发病前有语言功能和听力障碍的患者;有精神系统疾病病史的患者;合并小脑萎缩、老年痴呆等意识障碍无法配合训练的患者[10]。将其随机分为观察組和对照组，各30例。本次研究经医院伦理委员会研究并予以通过，患者同意参与本次研究。