文章摘要
钱红,郝又国.音乐疗法结合言语训练在脑卒中失语症康复中的应用研究[J].中国康复,2016,31(5):349-351
音乐疗法结合言语训练在脑卒中失语症康复中的应用研究
Application of music therapy combined with speech training on speech function in patients with aphasia after stroke
  
DOI:
中文关键词: 音乐疗法  言语训练  失语症
英文关键词: music therapy  speech training  aphasia
基金项目:上海市松江区卫生系统青年科研项目(2012-III-60);上海市松江区科委攻关项目(14SJGGYY31);上海市科委重点项目子课题(15DZ1942706)
作者单位
钱红 上海市第五康复医院康复科上海 201600 
郝又国 上海交通大学附属第一人民医院松江分院、上海市松江区中心医院康复科上海 201600 
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中文摘要:
  目的:观察音乐疗法结合言语训练对脑卒中后失语症患者言语恢复的影响。方法:失语症患者40例,随机分为观察组与对照组各20例,2组均进行听、说、读、写常规言语训练,观察组同时予以听音乐、哼曲调、跟唱歌曲、旋律语调等音乐治疗。治疗前后采用汉语标准失语症检查法(CRRCAE)进行评估。结果:治疗2个月后,2组患者CRRCAE评分在听理解、复述、说、出声读、阅读及计算方面与治疗前比较有明显提高(P<0.05,0.01),但在句子层面的复述、出声读、阅读、主动说能力方面及书写能力方面与治疗前比较差异无统计学意义;观察组在听理解、说、出声读、阅读及计算方面较对照组提高更明显(P<0.01,0.05)。结论:音乐疗法结合言语训练,可以明显改善失语患者的听理解、说、阅读、计算能力,优于单纯的言语训练。
英文摘要:
  Objective: To investigate the effect of music therapy combined with speech training in patients with aphasia after cerebral infarction. Methods: Forty patients with aphasia after cerebral infarction were randomly divided into two groups: control group (n=20) treated with routine treatment and speech rehabilitation training, and treatment group (n=20) treated with music therapy, routine treatment and speech rehabilitation training. The aphasia score was assessed by China rehabilitation research center aphasia examination (CRRCAE) pre- and post-treatment. Results: After treatment, aphasia total scores in two groups were increased (P<0.01). The scores of repeating, computing, speaking and reading were higher in treatment group than those in control group (P<0.05). Conclusion: The music therapy combined with speech function rehabilitation training could improve speech function in patients with aphasia after cerebral infarction and the effect was superior to speech function rehabilitation training only.
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