摘要
目的探讨构音障碍强化训练对脑梗死患者构音障碍的影响。方法选取2013年1月—2014年6月在该院接受治疗的脑梗死伴构音障碍患者68例,采用随机数表法将68例患者分为观察组和对照组,每组34例。对照组患者只进行常规治疗,观察组患者在常规治疗的基础上采用强化构音障碍训练。对比两组患者构音障碍训练前后的言语清晰度和Frenchay评定分数,训练后的临床治疗疗效。结果察组患者的言语清晰度为(57.15±15.95)%,对照组患者的言语清晰度为(51.31±22.95)%。构音障碍训练前观察组患者言语清晰度与对照组患者无差别,差异无统计学意义(P>0.05)。构音障碍训练后,观察组患者的言语清晰度为(82.54±19.89)%,对照组患者的言语清晰度为(73.00±14.66)%。构音训练后两组患者的言语清晰度均优于训练前,比较差异具有统计学意义(P<0.05)。观察组患者在构音障碍强化训练后言语清晰度显著优于对照组患者,比较两组间差异具有统计学意义(P<0.05)。构音障碍训练前,两组患者Frenchay各项指标评定分数比较两组间差异不具有统计学意义(P>0.05)。构音障碍训练后,观察组患者的Frenchay评定总分数为(88.69±13.14)分,对照组患者的Frenchay评定总分数为(77.38±13.97)分。构音训练后两组患者的Frenchay评定总分数均优于训练前,比较差异具有统计学意义(P<0.05)。观察组患者构音障碍训练后的Frenchay各项评定分数显著高于对照组患者,比较两组间差异具有统计学意义(P<0.05)。构音障碍训练后,比较两组患者临床疗效,观察组患者总有效率为85.3%,对照组患者总有效率为64.7%,比较两组间差异具有统计学意义(P<0.05)。观察组患者构音强化训练后临床疗效显著优于对照组患者。结论对于脑梗死患者构音障碍采用构音障碍强化训练能够有效改善构音障碍患者的临床病症,可以在临床上进一步推广使用。
Objective To explore dysarthria strengthening training on cerebral infarction in patients with dysarthria.Methods 68 pa-tients with dysarthria and infarction treated in our department from January 2013 to June 2014 were selected ,and then divided into the observation group and the control group with 34 cases in each.Patients in the control group only received conventional treatment,while the observation group was treated with enhanced dysarthria training on the basis of conventional therapy.Speech intelligibility and Fren-chay assessment scores were compared between these two groups before and after dysarthria training to see the clinical efficacy after training.Results Observation group of patients with speech articulation was （57.15 ±15.95）%,the control group of patients with speech articulation was （51.31 ±22.95）%.Dysarthria patients observed before training speech clarity and control patients no differ-ence.The difference was not statistically significant （P 〉0.05）.After the obstacle course articulation,speech intelligibility of patients in the observation group was （82.54 ±19.89）%,the control group of patients with speech articulation was （73.00 ±14.66）%.After the speech training before the two groups were superior speech intelligibility training,and the difference was statistically significant （P〈0.05）.The observation group were strengthened in dysarthria training speech intelligibility was significantly better than the control group of patients,compare the difference between the two groups was statistically significant （P 〈0.05）.Dysarthria before training,the two groups were assessed at Frenchay score difference between the two groups was not statistically significant （P 〉0.05）.After the ob-stacle course articulation,Frenchay observation group were assessed a total score of （88.69 ±13.14）points,the control group of pa-tients with a total score of Frenchay assessment （77.38 ±13.97）points.After the speech training before the two groups were Frenchay asses
出处
《安徽医药》
CAS
2015年第8期1511-1514,共4页
Anhui Medical and Pharmaceutical Journal
基金
陕西省教育厅2014年科学研究项目(No 14JK1833)
关键词
脑梗死
构音障碍
强化训练
infarction
dysarthria
strengthening training
