强制性诱导语言治疗对脑卒中后慢性失语症的效果观察

目的探讨短期强制性诱导语言治疗对脑卒中后慢性失语症的疗效。方法30 例脑卒中后慢性失语症患者接受共30 h言语康复训练，对照组(n=15)为传统言语康复训练，治疗组(n=15)为每天3 h 强制性诱导语言治疗。治疗前后采用西方失语症成套测验(WAB)和交流能力问卷(CAL)进行评定。结果治疗后，治疗组WAB口语表达、命名及复述功能显著改善(P<0.001)，听理解恢复不明显(P=0.066)；对照组口语表达显著改善(P<0.001)。治疗后，治疗组CAL评分显著改善(P<0.001)。结论强制性诱导语言治疗可短期内明显改善脑卒中后慢性失语症患者的语言功能。

Effect of Constraint-induced Aphasia Therapy on Chronic Aphasia after Stroke

Objective To investigate the effect of short-term constraint-induced aphasia therapy on chronic aphasia after stroke. Methods 30 stroke patients with chronic aphasia accepted speech therapy for a total of 30 hours. The control group (n=15) accepted routine speech training and the treatment group (n=15) accepted constraint- induced aphasia therapy 3 hours a day. They were assessed with the Western Aphasia Battery (WAB) and the Communicative Activity Log (CAL) before and after treatment. Results The treatment group improved significantly in oral expression, naming and repetition function of WAB after treatment (P<0.001), but not significantly in listening understanding (P=0.066); while the control group improved significantly in oral expression (P<0.001). The treatment group also significantly improved in CAL (P<0.001). Conclusion Constraint- induced aphasia therapy can significantly improve the speech for stroke patients with chronic aphasia in the short term.