摘要
目的评价舌针联合言语训练在奥瑞自理模式下对脑梗死后运动性失语患者治疗中的临床疗效。方法收集2011年2月至2017年2月中国医科大学附属盛京医院神经外科收治的符合临床研究标准的脑梗死后运动性失语患者125例,采用随机数表法分为对照组(n=60)与观察组(n=65)。对照组给予舌针刺激+神经科常用药物治疗+奥瑞姆自理模式,观察组在此基础上给予语言康复训练。两组患者连续接受治疗3个月。治疗后采用北京医院汉语语言检查法、失语商指数、功能性语言沟通能力检查法、失语症严重程度分级标准评价两组患者的语言能力。结果治疗后观察组患者的治疗总有效率高于对照组(93.85%vs 73.33%),差异有统计学意义(P<0.05)。治疗前两组患者在语言功能评分、失语商指数、功能性语言沟通能力评分、失语严重程度分级上比较差异均无统计学意义(P>0.05);治疗后观察组失语商指数(62.32±12.32)、功能性语言沟通能力评分(214.32±23.23)、失语严重程度分级(43.07%)均优于对照组,且差异有统计学意义(P<0.05)。结论在奥瑞姆自理模式的基础上给予舌针联合语言康复训练是一种很好的治疗脑梗死后运动性失语的临床治疗方案。
Objective To research the clinical efficacy of tongue acupuncture combined with speech rehabili-tation training on patients with broca aphasia from ischemic apoplexy under Orem＇s self-care model. Methods A to-tal of 125 patients with broca aphasia from ischemic apoplexy, who admitted to Department of Neurosurgery ofShengjing Hospital of China Medical University, were selected and divided into the control group （n=60） and the ob-servation group （n=65） according to random number table method. The patients in the control group were giventongue acupuncture plus conventional therapy under Orem＇s self-care model, and the patients in the observation groupadditionally received speech rehabilitation training. The two groups were treated for continuous 3 months. After thetreatment, the verbal skill was evaluated： Aphasia Battery of Chinese was used to assess the speech ability; the Chi-nese functional communication test was used to evaluate the ability of communication; and Boston Dignostic AphasiaExamination was also conducted to assess the severity of aphasia. Results After the treatment, the total effectiverate was 93.85% in the observation group versus 73.33% in the control group （P〈0.05）. Before the treatment, therewas no significant difference between the two groups in the scores of speech ability, communication ability, and theseverity of aphasia （P〉0.05）. After the treatment, the index of aphasia, communication ability, and the severity ofaphasia in the observation group were （62.32±12.32）, （214.32±23.23）, 43.07%, respectively, which were significantlybetter than those in the control group （P〈0.05）. Conclusion The clinical method of tongue acupuncture combinedwith speech rehabilitation training under Orem’s self-care model is very effective on the patients with broca aphasiafrom ischemic apoplexy.
出处
《海南医学》
CAS
2018年第3期316-319,共4页
Hainan Medical Journal
基金
辽宁省自然科学基金(编号:20082080)
关键词
舌针
言语康复训练
奥瑞姆自理模式
脑梗死
运动性失语
临床疗效
Tongue acupuncture
Speech rehabilitation training
Orem＇s self-care model
Ischemic apoplexy
Br-oca aphasia
Clinical efficacy
