刘宏艳, 朱冬梅, 覃壮玲, 吕美余, 刘阿云. 早期启动语言记忆痕迹管理对高血压脑出血术后失语症的影响[J]. 蚌埠医科大学学报, 2020, 45(7): 950-953. DOI: 10.13898/j.cnki.issn.1000-2020.07.029
    引用本文: 刘宏艳, 朱冬梅, 覃壮玲, 吕美余, 刘阿云. 早期启动语言记忆痕迹管理对高血压脑出血术后失语症的影响[J]. 蚌埠医科大学学报, 2020, 45(7): 950-953. DOI: 10.13898/j.cnki.issn.1000-2020.07.029
    LIU Hong-yan, ZHU Dong-mei, QIN Zhuang-ling, LÜ Mei-yu, LIU A-yun. Effect of early initiation of language memory trace management on aphasia after hypertensive cerebral hemorrhage[J]. Journal of Bengbu Medical University, 2020, 45(7): 950-953. DOI: 10.13898/j.cnki.issn.1000-2020.07.029
    Citation: LIU Hong-yan, ZHU Dong-mei, QIN Zhuang-ling, LÜ Mei-yu, LIU A-yun. Effect of early initiation of language memory trace management on aphasia after hypertensive cerebral hemorrhage[J]. Journal of Bengbu Medical University, 2020, 45(7): 950-953. DOI: 10.13898/j.cnki.issn.1000-2020.07.029

    早期启动语言记忆痕迹管理对高血压脑出血术后失语症的影响

    Effect of early initiation of language memory trace management on aphasia after hypertensive cerebral hemorrhage

    • 摘要:
      目的探讨早期启动语言记忆痕迹管理对高血压脑出血术后失语症的影响。
      方法选取高血压脑出血术后失语症病人82例,根据术后管理方法分为观察组和对照组,各41例。对照组采用传统的语言康复训练,观察组采用早期启动语言记忆痕迹管理。分别于干预前和干预后15、30 d采用采用汉语失语症检查法评价病人语言功能,采用功能性语言沟通能力检查法(the Chinese functional communication,CFCP)评价病人语言沟通能力,采用失语商(aphasia quotient,AQ)指数评价病人失语情况,根据北京大学汉语言失语症检查法评价临床疗效。
      结果2组病人干预前表达能力、理解能力、阅读能力、文字书写能力评分差异均无统计学意义(P>0.05);干预后15、30 d,观察组病人各项评分均明显高于对照组(P < 0.01)。2组病人干预前CFCP评分和AQ指数差异无统计学意义(P>0.05),随干预时间延长,2组病人CFCP评分和AQ指数均明显升高(P < 0.01),且干预后15、30 d,观察组病人CFCP评分、AQ指数均明显高于对照组(P < 0.01)。观察组治疗总有效率为97.56%,明显高于对照组的58.54%(P < 0.01)。
      结论通过早期的语言痕迹启动训练,可使高血压脑出血术后失语症病人得到规范有效的康复管理,促进语言功能恢复。

       

      Abstract:
      ObjectiveTo explore the effects of early initiation of language memory trace management on aphasia after hypertensive cerebral hemorrhage.
      MethodsEighty-two patients with aphasia after hypertensive cerebral hemorrhage were divided into the observation group and control group according to the postoperative management methods (41 cases in each group).The control group was intervened with traditional language rehabilitation training, and the observation group was intervened with early initiation of language memory trace management.Before and after 15 and 30 days of intervention, the language function, language communication ability, aphasia and clinical effects in two groups were evaluated using the aphasia battery of Chinese, Chinese functional communication (CFCP), aphasia quotient (AQ) index and examination of Chinese language aphasia in Peking University, respectively.
      ResultsThe differences of the ability scores of expression, understanding, reading and writing before intervention were not statistically significant between two groups (P>0.05), and the scores of all items in observation group were significantly higher than those in control group after 15 and 30 days of intervention (P < 0.01).There was no statistical significance in CFCP score and AQ index between two groups before intervention (P>0.05).With the prolongation of intervention time, the CFCP score and AQ index in two groups significantly increased (P < 0.01), and the CFCP score and AQ index in observation group were significantly higher than those in control group after 15 and 30 days of intervention (P < 0.01).The total effective rate of treatment in observation group (97.56%) was significantly higher than that in control group (58.54%) (P < 0.01).
      ConclusionsThe early initiation language memory trace can make the patients with aphasia after hypertensive cerebral hemorrhage get the standard and effective rehabilitation management, and promote the recovery of language function.

       

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