[1]李 倩.认知功能训练治疗缺血性脑卒中后失语症的临床康复效果及对交流能力的影响[J].医学信息,2023,36(13):111-114.[doi:10.3969/j.issn.1006-1959.2023.13.022]
　LI Qian.Clinical Rehabilitation Effect of Cognitive Function Training on Post-stroke Aphasia and its Influence on Communication Ability[J].Journal of Medical Information,2023,36(13):111-114.[doi:10.3969/j.issn.1006-1959.2023.13.022]
点击复制

认知功能训练治疗缺血性脑卒中后失语症的临床康复效果及对交流能力的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年13期
页码:
111-114
栏目:
论著
出版日期:
2023-07-01

文章信息/Info

Title:
Clinical Rehabilitation Effect of Cognitive Function Training on Post-stroke Aphasia and its Influence on Communication Ability
文章编号:
1006-1959（2023）13-0111-04
作者:
李 倩
（天津市北辰区中医医院康复科，天津 300400）
Author(s):
LI Qian
(Department of Rehabilitation,Beichen District Hospital of Traditional Chinese Medicine,Tianjin 300400,China)
关键词:
脑卒中后失语症; 认知功能训练; 交流能力; 康复效果
Keywords:
Post-stroke aphasis; Cognitive function training; Communication ability; Rehabilitation effect
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2023.13.022
文献标志码:
A
摘要:
目的 研究认知功能训练治疗缺血性脑卒中后失语症（PSA）临床康复效果及对交流能力的影响。方法 以2022年1月-2023年1月天津市北辰区中医院收治的50例PSA患者为研究对象，按照随机数字表法分为对照组和观察组，各25例。对照组给予常规康复治疗，观察组在其基础上开展认知功能训练，比较两组康复效果、认知功能[洛文斯顿作业疗法认知成套测验（LOTCA）、蒙特利尔认知评估量表（MoCA）]、交流能力[中国康复研究中心汉语标准失语症检查表（CRRCAE）、波士顿失语诊断测验（BDAE）评分]及家属满意度。结果 观察组康复优良率高于对照组（P＜0.05）；两组治疗后LOTCA评分低于治疗前，MoCA评分高于治疗前，且观察组LOTCA评分低于对照组，MoCA评分高于对照组（P＜0.05）；两组治疗后CRRCAE、BDAE评分高于治疗前，且观察组CRRCAE、BDAE评分高于对照组（P＜0.05）；观察组家属满意度高于对照组（P＜0.05）。结论 认知功能训练可提高PSA患者的康复效果，改善其认知功能与交流能力，家属满意度高。
Abstract:
Objective To study the clinical rehabilitation effect of cognitive function training on post-stroke aphasia (PSA) and its influence on communication ability.Methods A total of 50 PSA patients admitted to Tianjin Beichen Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were divided into control group and observation group according to random number table method, with 25 patients in each group. The control group was given routine rehabilitation treatment, and the observation group was given cognitive function training on the basis of the control group. The rehabilitation effect, cognitive function [Loewenstein Occupational Therapy Cognitive Assessment (LOTCA), Montreal Cognitive Assessment (MoCA)], communication ability [China Rehabilitation Research Center Chinese Standard Aphasia Examination (CRRCAE), Boston Diagnostic Aphasia Examination (BDAE) score ] and family satisfaction were compared between the two groups.Results The excellent and good rate of rehabilitation in the observation group was higher than that in the control group (P<0.05). The LOTCA score of the two groups after treatment was lower than that before treatment, and the MoCA score was higher than that before treatment, while the LOTCA score of the observation group was lower than that of the control group, and the MoCA score was higher than that of the control group (P<0.05). The CRRCAE and BDAE scores of the two groups after treatment were higher than those before treatment, and the CRRCAE and BDAE scores of the observation group were higher than those of the control group (P<0.05). The satisfaction of family members in the observation group was higher than that in the control group (P<0.05).Conclusion Cognitive function training can improve the rehabilitation effect of PSA patients, improve their cognitive function and communication ability, and have high family satisfaction.

参考文献/References:

[1]赵德福,赵瑜,杨孝芳.督脉取穴针刺联合Schuell语言康复训练对脑卒中后失语症患者言语功能、MoCA评分及语言中枢活动功能的影响[J].临床和实验医学杂志,2021,20(8):886-890.[2]沈雷鸣,于江丽,吕晓静,等.认知康复训练联合高频重复经颅磁刺激对脑卒中后认知障碍患者认知功能和血清BDNF、VEGF的影响[J].现代生物医学进展,2022,22(3):482-485,446.[3]陈颖,曹悦,庄敏,等.卒中失语患者命名功能与非语言认知功能的相关性分析[J].中国脑血管病杂志,2021,18(7):453-457,471.[4]邓北珍,张波,杨柳.脑卒中后失语症患者认知障碍的影响因素分析[J].中国听力语言康复科学杂志,2019,17(2):96-98.[5]马将,李红,张俊,等.低频重复经颅磁刺激联合认知训练对脑卒中后认知障碍患者甲状腺激素水平及认知功能的影响[J].河北医药,2021,43(16):2436-2441.[6]韩奇,施聚峰,马俊,等.认知行为疗法联合重复经颅磁刺激改善脑卒中患者睡眠及焦虑抑郁情绪[J].神经损伤与功能重建,2021,16(11):669-671.[7]常静玲,高颖.英国2014年《失语的认知神经心理学评估与治疗:临床指南》解读[J].中国康复医学杂志,2018,33(8):966-969.[8]侯宝国,张志兰,孙金华,等.针刺配合言语康复对脑卒中后失语症患者语言功能评分及临床疗效的影响[J].河北中医药学报,2018,33(3):50-51,58.[9]杨晓玲,魏珍玉,沈佐廷,等.高压氧联合认知训练对卒中后认知障碍患者神经功能的影响[J].山西医药杂志,2022,51(17):1973-1976.[10]陈小云,陈书园,李娟.认知训练对脑卒中患者肢体功能和日常独立功能恢复的影响[J].中国心理卫生杂志,2020,34(4):299-304.[11]雷幸幸,宋鲁平.基于PASS理论的认知训练对卒中后认知障碍的效果[J].中国康复理论与实践,2020,26(1):70-76.[12]李学敏,陈文文,金维,等.经颅直流电刺激联合认知功能训练治疗缺血性脑卒中后失语症临床效果观察[J].临床误诊误治,2019,32(8):80-85.[13]王丽英,张琰,王静,等.早期强化认知功能训练对脑卒中患者神经功能及日常生活能力的影响[J].生物医学工程与临床,2019,23(4):433-437.[14]张琰,王莎,杨佳.基线认知功能对急性缺血性脑卒中后失语患者康复的影响[J].神经损伤与功能重建,2019,14(4):214-216.[15]Zhou Y,Du X,Xiao J,et al.A physician survey of poststroke aphasia diagnosis and treatment in China: SPEECH study[J].Medicine,2021,100(22):e25833.[16]刘鑫鑫,马艳玲,刘艳君,等.卒中后失语患者非语言认知功能损害特点的临床研究[J].中国卒中杂志,2019,14(2):116-120.[17]过秀秀,叶祥明.语言康复训练结合心理干预对脑卒中后Broca失语症患者语言功能的影响[J].中国听力语言康复科学杂志,2019,17(1):62-66.[18]张莉,佘文莉,任婷,等.言语训练型认知干预联合心理暗示对老年脑卒中失语症患者MMSE,SAS评分的影响[J].国际精神病学杂志,2018,45(6):1084-1087,1102.[19]刘小蓝,李舜,习丽明,等.早期强化认知功能训练对脑卒中患者神经功能及日常生活能力的影响[J].中国临床医学,2018,25(5):753-756.[20]褚晓娜.早期强化认知对卒中患者生活质量和认知功能的影响[J].中国慢性病预防与控制,2018,26(10):779-782.[21]林茜,林秀瑶.脑卒中后运动性失语患者语言康复平台的成本-效果分析[J].中国康复,2018,33(3):199-202.[22]曹克勇,王颍,黄昭鸣,等.语言认知评估训练与沟通仪治疗脑卒中患者复述障碍[J].听力学及言语疾病杂志,2021,29(4):411-414.

相似文献/References:

[1]韩华翌,王中华.头皮针联合认知功能训练对卒中后认知功能障碍的疗效[J].医学信息,2021,34(15):178.[doi:10.3969/j.issn.1006-1959.2021.15.050]
　HAN Hua-yi,WANG Zhong-hua.The Effect of Scalp Acupuncture Combined with Cognitive Training on Cognitive Dysfunction After Stroke[J].Journal of Medical Information,2021,34(13):178.[doi:10.3969/j.issn.1006-1959.2021.15.050]

更新日期/Last Update: 1900-01-01