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1、i犒AS训帥吾患鮒轴作用2018-03-2910:29:48中国现代医生2018年5期黄岩金灵青［摘要］戸的探讨语言康复训练对脑卒屮后偏瘫失语患者语言功能的改善作用。方法选取2016年1月〜20仃年5月脑卒中后偏瘫失语患者80例，应用抛硕币法将其分为两组。两组予控制血糖、血压和颅丿玉、营养脑神经和增加脑部血供等治疗。对照组予常规健康干预，干预组在对照组基础上予Schuell言语康复训练干预，45m泊/次，2次/周,干预8周。观察两组干预前后语言功能改善情况，并比较其临床效果。结果干预8周后，两组言语表达、听理解力、阅读能力和书写能力等各项语言功能明显改善(P<0
2、.05或PvO.01),且干预组改善情况优于对照组(PvO.05)：同时干预组临床总有效率高于对照组(x2=4.07,P<0.05)。结论语言康复训练治疗脑卒中后偏瘫失语患者的临床效果较确切，能减轻神经功能缺损，改善语言功能。［关键词］脑卒中；偏瘫；失语；语言康复训练；语言功能［中图分类号］R743.3［文献标识码］B［文章编号］1673・9701(2018)05-0075-04［Abstract］ObjectiveTodiscusstheimprovementeffectoflanguagerehabilitationtrainingonIanguagefun
3、ctionofpatientswithhemiplegiaanddysphasiaafterstroke・MethodsAtotalof80casesofpatientswithhemiplegiaanddysphasiaafterstrokeduringtheperiodfromJanuary2016toMay2017weredividedintotwogroupsbytossingthecoin.Thepatientsintwogroupsweregivencontrolofbloodsugar,bloodpressureandintracranialpre
4、ssure,nutritionofbrainnervesandincreasingbloodsupplementofbrain,andthepatientsincontrolgroupwereroutinehealthintervention,whilethepatientsininterventiongroupwereadditionallygivenSchuelllanguagerehabilitationtraining,45minutespertime,twiceaweek,onthebasisofthoseincontrolgroupfor8weeks
5、.TheIanguagefunctionimprovementintwogroupswereobservedandcomparedbeforeandafterintervention,andtheclinicalcurativeeffectwascomparedaswell.ResultsAfter8weeksintervention,verbalexpression,listeningcomprehension,readingabilityandwritingabilityoflanguagefunctionintwogroupswereobviouslyim
6、proved(P<0.05orP<0.01),andtheimprovementininterventiongroupwasmuchhigherthanthatincontrolgroup(P<0.05)・Meanwhile,totalclinicalefficiencyininterventiongroupwashigherthanthatincontrolgroup(/2=4.07P<0.05)•ConclusionThelanguagerehabilitationtraininghasreliableclinicalcurativeeffectonpat
7、ientswithhemiplegiaanddysphasiaafterstroke,whichcanreleasedefectofnervefunctionandimproveIanguagefunction.［Keywords］Stroke：Hemiplegia：Dysphasia；Languagerehabilitationtraining：Languagefunction脑卒中是神经系统常见疾病，好发于中老年，其病死率和致残率较高，是中老年患者致残的重要原因［1,2］。语言障碍是脑卒中较常见的后遗症，对日常生活及社会交往能力影响较明显，严重影响其生活质量
8、。近年來随着医学发展，脑
