基于镜像神经元理论的动作观察疗法对脑卒中后言语失用的疗效观察

基于镜像神经元理论的动作观察疗法对脑卒中后言语失用的疗
效观察
由丽;王珧;田丽;朱慧敏;饶江;高润;刘莉
【期刊名称】《临床神经病学杂志》
【年(卷),期】2018(31)6
【摘要】目的观察动作观察疗法(AOT)对脑卒中后言语失用(AOS)的疗效.方法将38例AOS患者按随机数字表法分为AOT组(19例)和对照组(19例).对照组给予每日2次语言康复训练,每次30 min,每周5 d,疗程4周.AOT组在对照组基础上,于语言功能训练前对患者进行AOT,每次20 min,每天1次.采用中国康复研究中心版的AOS评定方法以及汉语失语症成套测试(ABC)于治疗前后评价患者的语言功能;采用波士顿诊断性失语症检查(BDAE)评价治疗前后患者失语严重程度,并计算治疗显效率及有效率.结果对照组与AOT组患者治疗前AOS评分、ABC测试评分差异无统计学意义(均P＞0.05).与治疗前比较,两组患者治疗后AOS评分及ABC测试评分均显著增加(均P＜0.05).AOT组治疗后AOS评分及ABC测试评分均显著高于对照组(均P＜0.05).AOT组有效率显著高于对照组(χ2＝6.269,P＝0.012).结论 AOT可显著改善脑卒中后AOS患者的语言功能.%Objective To evaluate the efficacy of action observation therapy (AOT)on apraxia of speech (AOS)in patients after stroke. Methods Thirty-eight patients diagnosed as apraxia of speech after stroke were randomly divided into AOT group (n ＝19)and control group (n ＝19). Both group received twice conventional language therapy every day,30 min each time,5 d a week for 4 weeks. The patients in AOT group additionally received AOT before the first language therapy,20
min each time,5 times per week for 4 weeks. The speech function andaphasia severity of the two groups were assessed by speech apraxia assessment method of China Rehabilitation Research Center
Edition,Aphasia Battery of Chinese (ABC ) and the Boston Diagnostic Aphasia Examination (BDAE)before and after treatment. Results There was no significant difference in scores of AOS and ABC between two groups(all P＞0.05). The scores of AOS and ABC were significantly increased after treatment in both groups (all P＜0.05). The scores of AOS and ABC in AOT group were significantly increased compared with the control group after the treatment (all P＜0.05). The response rate in the test group was significantly higher than that in the control group (χ2＝6.269,P＝
0.012).Conclusion Action observation therapy can significantly improve language function of patients with AOS after stroke.
【总页数】4页(P429-432)
【作者】由丽;王珧;田丽;朱慧敏;饶江;高润;刘莉
【作者单位】210029 南京医科大学附属脑科医院康复医学科;210029 南京医科大学附属脑科医院康复医学科;210029 南京医科大学附属脑科医院康复医学
科;210029 南京医科大学附属脑科医院康复医学科;210029 南京医科大学附属脑科医院康复医学科;210029 南京医科大学附属脑科医院康复医学科;210029 南京医科大学附属脑科医院康复医学科
【正文语种】中文
【中图分类】R743
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