摘要
目的通过对脑血管病失语症患者半年随访,了解其语言能力恢复过程及相关影响因素。方法收集2011年1月至2012年7月在垂杨柳医院神经内科住院存在失语症的脑卒中患者34例,对其发病后1月、2月、4月、6月的失语恢复情况进行随访观察,采用西部失语症成套检查(WAB)进行语言评价,计算出失语商(aphasia quotient,AQ),根据AQ值的变化,判断失语恢复的程度,分析患者文化程度、年龄及发病时的失语严重程度与语言能力恢复程度的相关性。结果患者在2个月内恢复最明显,2～6个月仍存在恢复,但改善的幅度减慢。自发语、听理解、复述、命名1个月时已有显著恢复,阅读到2月时开始恢复,书写成绩在6个月观察期间无明显恢复。性别在失语恢复程度上的无差异,6个月时复述能力恢复脑出血患者优于脑梗死患者,发病时严重程度越重,恢复越差,而年龄、文化程度与言语能力的改善幅度无关。结论脑卒中失语患者在发病6个月内各单项言语功能恢复程度不同,发病时失语严重程度越重,语言恢复越差,年龄、文化程度与言语恢复无相关性。
Objeetive Through the follow-up visits of aphasic patients to know the recovery process of their language abilities and the effects from other related ingredients, so as to discuss the recovering mechanism of aphasia. Methods Collecting the data of the follow-up observing of 34 patients, learning their language ability recovering condition. Using SPSS 12.0 software to analyze the data and calculate AQ and determining the stage of recovery based on the AQ changes. Analyzing the relationship between patients＇ recovery stages and their educational level, age and aphasia severity level. Results We found out the recovering of aphasia were most obviously in the first two months. In the period between the second month and the sixth month, recovering was still happening, but slow. In the first month, the ability of spontaneous language, listening comprehension, repeat and naming was significantly recovered. Reading ability was started to recover in the second month. Writing ability was not significantly recovered in the six months. The differences of recovering stages are not depended on patient gender. The recovering conditions of cerebral hemorrhage patients are better than cerebral infarction patients. The worse the incidence of patients, the worse the recovering condition of them. The language ability recovering is not related with gender, age, educational level and. Conclusion The recovering conditions of aphasic patients＇ language ability are different within 6 months. Gender does not affect the recovering of aphasia. The worse the incidence of patients, the worse the recovering condition of them within 6 months. The condition of language ability recovering will not affected by gender, age, educational level.
出处
《中国医药指南》
2013年第19期22-24,共3页
Guide of China Medicine
关键词
失语症
康复
脑血管病
预后
Aphasia
Recovery
Cerebrovascular disease
Prognosis
