进阶式言语训练对基底节性失语的康复效果

目的：探讨进阶式言语训练法对脑卒中后基底节性失语症患者的康复效果。方法：选取基底节性失语症 患者18例，随机分为对照组和治疗组，各9例。对照组给予传统语言康复，治疗组给予进阶式言语训练法，均 治疗3周。于治疗前、后，采用波士顿诊断性失语检查法（BDAE）及西方失语测验量表（WAB）评价2组患者的 失语程度及言语功能。出院后随访3个月，采用BDAE量表评估失语程度并判定康复疗效。结果：治疗后，2 组的BDAE分级均较治疗前升高，且治疗组的BDAE分级高于对照组（P＜0.05）；2组的WAB量表各项评分均 高于同组治疗前（P＜0.05），且治疗组自发言语（信息量及流畅度）得分高于对照组（P＜0.05）。随访3个月后， 2组的BDAE分级继续提高，治疗组的总有效率（88.89%）高于对照组的总有效率（77.78%），但2组间差异均无 统计学意义（均P＞0.05）。结论：进阶式言语训练有助于改善卒中后基底节性失语症患者的言语功能。

Application of Advanced Speech Training in Patients with Basal Ganglia Aphasia after Stroke

To explore the rehabilitative effect of advanced speech training on patients with basal ganglia aphasia after stroke. Methods: Eighteen patients with basal ganglia aphasia were randomly assigned to the treatment group or control group, with 9 patients in each. The control group was given conventional language therapy, and the treatment group received advanced speech training, both for 3 months. Patients were assessed with the Boston Diagnostic Aphasia Examination (BDAE) and Western Aphasia Battery (WAB) before and after therapy. Patients were followed up 3 months after discharge and evaluated with the BDAE to investigate the degree of aphasia and rehabilitative effect. Results: After therapy, the BDAE score in both groups increased compared to before therapy, and the treatment group showed a greater score than the control group (P<0.05). Within each group, all WAB subscores were higher after therapy than before (P<0.05); furthermore, the treatment group showed a higher score in spontaneous speech (greater information and fluency) than the control group (P<0.05). Three months after discharge, the BDAE score in both groups continued to increase, but there was no significant difference between the groups (P>0.05). The total effectiveness rate of the treatment group (88.89% ) was greater than that of the control group (77.78% ), but not significantly (P>0.05). Conclusion: Advanced speech training is useful in improving speech function in patients with basal ganglia aphasia after stroke.