| 钱秋晨,项洁,韩允,左菲菲,刘畅.执行功能训练在脑卒中后失语症康复中的应用研究[J].中国康复,2023,38(10):579-584 |
| 执行功能训练在脑卒中后失语症康复中的应用研究 |
| Application of executive function training in rehabilitation of aphasia after stroke |
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| DOI： |
| 中文关键词: 脑卒中 失语症 执行功能训练 语言功能 |
| 英文关键词: stroke aphasia executive function training language function |
| 基金项目:国家重点研发计划课题（2020YFC2006604） |
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| 中文摘要: |
| 目的：探讨执行功能训练对脑卒中后失语症患者语言功能的影响。方法：选取60 例脑卒中后失语症患者，随机分为对照组和干预组，对照组实施常规言语训练，干预组在对照组训练的基础上给予执行功能训练。采用西方失语症成套测验（WAB）、简易智力状况检查（MMSE）及执行功能测试对2组患者进行干预前后的评定。结果：训练4周后，对照组患者训练后WAB中的谈话、复述评分较训练前有明显提高（P＜0.05），理解、命名及失语商（AQ）评分差异无统计学意义；干预组患者训练后WAB中的谈话、理解、复述评分较训练前提高显著（P＜0.01），命名评分及AQ值较训练前明显提高（P＜0.05）。训练后干预组患者理解、复述、命名、谈话评分及AQ值明显高于对照组（P＜0.05，0.01）。训练后，对照组患者 MMSE 评分较训练前差异无统计学意义，干预组患者 MMSE 评分较训练前及对照组有明显提高（P＜0.05）。训练后，对照组患者执行功能评定中的Stroop测试分值、词语流畅性测试（动物）（VFTa）较训练前有明显提高（P＜0.05）；而伦敦塔测试分值、谚语测试分值、连线测验A（TMT-A）分值、连线测验B（TMT-B）分值、词语流畅性测试(果蔬)（VFTv）分值，较训练前相比，差异无统计学意义；而干预组患者执行功能各项评定较训练前均有显著提高（P＜0.05）。干预组患者语言康复治疗的总有效率显著高于对照组（P＜0.05）。结论：执行功能训练可以改善脑卒中失语症患者的执行功能和语言功能。 |
| 英文摘要: |
| Objective: To investigate the effect of executive function training on language function of aphasia after cerebral apoplexy. Methods: A total of 60 patients with aphasia after stroke were randomly divided into control group and experimental group. The control group was given routine speech training, and the intervention group was given executive function training on the basis of the control group. The patients in the two groups were assessed before and after intervention with Western aphasia battery (WAB), Mini-mental state examination (MMSE) and executive function test. Results: The speaking and retelling scores of patients in the control group after training were significantly improved (P<0.05), the understanding and naming scores and Aphasia Quotient were not significantly improved, and the difference was not statistically significant. The scores of conversation, understanding and retelling of patients in the experimental group after training were significantly increased as compared with those before training (P<0.01), the naming score and AQ were significantly increased as compared with those before training (P<0.05). The differences were statistically significant. After training, the differences in understanding, retelling, naming and conversation scores, and AQ between the two groups were statistically significant (P<0.05). The MMSE score in the control group was not significantly improved as compared with that before training, and the difference was not statistically significant. The MMSE score of patients in the experimental group was significantly improved as compared with that before training, and the difference was statistically significant (P<0.05). After training, the improvement of MMSE score in the experimental group was significantly superior to that in the control group, and the difference was statistically significant (P<0.05). After treatment, the score of Stroop test, and Verbal fluency test animal (VFTa) score in the evaluation of executive function of patients in the control group were significantly higher than those before treatment, shown in statistics as well. The tower of London Test score, the proverb Test score, Trail Making Test A (TMT-A) score, Trail Making Test B, (TMT-B) score, and Verbal fluency test vegetable (VFTv) score showed no significant difference before and after treatment. The evaluation of executive function in the intervention group was significantly improved after therapy. The total effective rate of speech rehabilitation treatment in the intervention group was significantly higher than that in the control group (P<0.05). Conclusion: Executive function training can help resume the executive and language function of aphasia after cerebral apoplexy. |
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