脑卒中所致痉挛型构音障碍的康复训练方法的研究
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摘要
目的:研究与分析脑卒中所致痉挛型构音障碍的康复训练方法。方法:选取收治的脑卒中所致痉挛型构音障碍患者100例为研究对象,将其随机分为对照组和观察组,各50例。对照组采取常规治疗和护理,在此基础上观察组采取语言康复训练。观察对比两组治疗前后Frenchay评分变化以及构音障碍恢复效果。结果:两组护理前Frenchay评分比较差异无统计学意义(P>0.05);而护理后观察组Frenchay评分高于对照组(P<0.05)。观察组构音障碍恢复总有效率为96.0%高于对照组80.0%(P<0.05)。结论:针对脑卒中所致痉挛型构音障碍患者实施语言康复训练的效果非常显著,即可有效恢复患者的语言功能,因此值得临床应用推广。
Objective:To study and analyze the rehabilitation training methods of spastic dysarthria caused by stroke. Methods: 100 patients with spastic dysarthria caused by stroke in our hospital were enrolled in the study. They were randomly divided into control group and observation group, each with 50 cases. The control group received routine treatment and care, on the basis of which the observation group received language rehabilitation training. The changes of Frenchay score before and after treatment and the recovery effect of dysarthria were observed and compared. Results: There were no significant differences in the Frenchay scores between the two groups before treatment(P>0.05); The Frenchay score of the observation group after treatment was significantly higher than that of the control group(P<0.05). The total effective rate of recovery of dysarthria in the observation group was 96.0 %(48/50), which was significantly higher than that of the control group(80.0 %, 40/50)(P<0.05). Conclusion: The effect of language rehabilitation training on patients with spastic dysarthria caused by stroke is very significant, which can effectively restore the language function of patients, so it is worthy of clinical application.
Objective:To study and analyze the rehabilitation training methods of spastic dysarthria caused by stroke. Methods: 100 patients with spastic dysarthria caused by stroke in our hospital were enrolled in the study. They were randomly divided into control group and observation group, each with 50 cases. The control group received routine treatment and care, on the basis of which the observation group received language rehabilitation training. The changes of Frenchay score before and after treatment and the recovery effect of dysarthria were observed and compared. Results: There were no significant differences in the Frenchay scores between the two groups before treatment(P>0.05); The Frenchay score of the observation group after treatment was significantly higher than that of the control group(P<0.05). The total effective rate of recovery of dysarthria in the observation group was 96.0 %(48/50), which was significantly higher than that of the control group(80.0 %, 40/50)(P<0.05). Conclusion: The effect of language rehabilitation training on patients with spastic dysarthria caused by stroke is very significant, which can effectively restore the language function of patients, so it is worthy of clinical application.
引文
[1] 何苗.语言康复护理联合针刺疗法对脑卒中痉挛型构音障碍患者的影响[J].光明中医,2018,33(2):276-277.
[2] 徐颖,罗子芮,金蓉.针刺“咽四穴”联合构音训练治疗脑卒中后痉挛型构音障碍的临床观察[J].按摩与康复医学,2017,8(8):27-29.
[3] 张艳民.吞咽功能治疗仪用于脑卒中所致痉挛型构音障碍患者的疗效[J].吉林医学,2015,36(18):4228-4229.
[4] 金泽,曹晓婷.颈部电针治疗中风后痉挛型构音障碍30例[J].针灸临床杂志,2015,31(5):26-28.
[5] 刘丽丽,董赟,郝盼富.针刺配合言语康复训练治疗脑卒中后构音障碍临床研究进展[J].中医药临床杂志,2013,25(11):1038-1039.
[6] 朱守娟,屈云,刘珂.任务导向结合构音训练治疗痉挛型构音障碍的疗效评估[J].四川大学学报(医学版),2013,44(5):779-782.
[7] 陈立早,王丽菊.针刺结合语言训练治疗脑卒中患者痉挛型构音障碍[J].针灸临床杂志,2011,27(8):24-26.
[8] 董宝杰.醒脑通络法治疗脑卒中后痉挛型构音障碍60例的疗效观察[J].北京中医药,2011,30(1):48-49.
[2] 徐颖,罗子芮,金蓉.针刺“咽四穴”联合构音训练治疗脑卒中后痉挛型构音障碍的临床观察[J].按摩与康复医学,2017,8(8):27-29.
[3] 张艳民.吞咽功能治疗仪用于脑卒中所致痉挛型构音障碍患者的疗效[J].吉林医学,2015,36(18):4228-4229.
[4] 金泽,曹晓婷.颈部电针治疗中风后痉挛型构音障碍30例[J].针灸临床杂志,2015,31(5):26-28.
[5] 刘丽丽,董赟,郝盼富.针刺配合言语康复训练治疗脑卒中后构音障碍临床研究进展[J].中医药临床杂志,2013,25(11):1038-1039.
[6] 朱守娟,屈云,刘珂.任务导向结合构音训练治疗痉挛型构音障碍的疗效评估[J].四川大学学报(医学版),2013,44(5):779-782.
[7] 陈立早,王丽菊.针刺结合语言训练治疗脑卒中患者痉挛型构音障碍[J].针灸临床杂志,2011,27(8):24-26.
[8] 董宝杰.醒脑通络法治疗脑卒中后痉挛型构音障碍60例的疗效观察[J].北京中医药,2011,30(1):48-49.