| 张丽,何小俊,李薇薇,雷蕾,张梦琴,胡含波,孙沛.成语在脑卒中后运动性及经皮质运动性失语症患者语言功能康复中的应用研究[J].中国康复,2025,40(7):407-411 |
| 成语在脑卒中后运动性及经皮质运动性失语症患者语言功能康复中的应用研究 |
| Application of Chinese idiomatic phrases in the rehabilitation of language function in patients with motor and transcortical motor aphasia in stroke |
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| DOI：10.3870/zgkf.2025.07.005 |
| 中文关键词: 脑卒中 失语症 言语康复 成语 |
| 英文关键词: stroke aphasia speech rehabilitation idioms |
| 基金项目:武汉市科技局课题（2013062301010820）；湖北省重点实验室开放项目（2022KFH005） |
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| 中文摘要: |
| 目的：本研究旨在系统评估成语训练对脑卒中后运动性及经皮质运动性失语症患者语言功能及日常交流能力的康复效果。方法：选取武汉大学人民医院神经内科收治的78例脑卒中后运动性及经皮质运动性失语症患者为研究对象，采用随机数字表法分为干预组（n=37）和对照组（n=41）。2组均接受常规药物治疗及康复训练（60min/次、2次/d），干预组在此基础上增加成语专项训练，50min/d，共2周。训练素材选自高频成语库，通过图文视频等方式展示，包含朗读、复述及语境应用多模态练习。采用汉语标准失语症检查量表（CRRCAE）和日常生活交流能力量表（CADL）评估患者的语言功能及日常交流能力。结果：干预后，２组CRRCAE量表中听理解、复述、说、出声读、阅读评分均高于干预前（P<0.01），且干预组高于对照组（P<0.01）；2组CADL评均高于干预前（P<0.01），且干预组高于对照组（P<0.01）。结论：基于成语的专项训练可有效促进脑卒中后运动性及经皮质运动性失语症患者的语言功能重建。 |
| 英文摘要: |
| Objective: To systematically evaluate the efficacy of a specialized training program using Chinese idiomatic phrases in improving language function and daily communicative abilities in patients with motor and transcortical motor aphasia. Methods: A total of 78 patients with post-stroke motor/transcortical motor aphasia admitted to the Department of Neurology, Renmin Hospital of Wuhan University were enrolled. Participants were randomized into an intervention group (n=37) and a control group (n=41) using a random number table. Both groups received standard pharmacotherapy and rehabilitation (60 min/session, twice daily), while the intervention group underwent additional 50-min daily idiomatic expression training for 2 weeks. Training materials (high-frequency idioms) were delivered via multimodal stimuli (text/images/videos), including reading aloud, repetition, and contextual application exercises. Outcomes were assessed using the Chinese Rehabilitation Research Center for Aphasia Examination (CRRCAE) and Communicative Abilities in Daily Living (CADL) scales. Results: After intervention, the listening comprehension, paraphrasing, speaking, speaking and reading scores in both groups of CRRCAE scales were higher than before intervention (P<0.01), and those in the study group were higher than the control group (P<0.01). The CADL scores of both groups were higher than before intervention (P<0.01), and those in the study group were higher than the control group (P<0.01). Conclusion: Specialized training based on idioms can effectively promote language function reconstruction in patients with post-stroke motor and transcortical motor aphasia. |
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