高强度旋律语调疗法对脑卒中后非流畅性失语的影响

目的:探讨高强度旋律语调疗法对脑卒中后非流畅性失语患者语言功能及日常交流能力的影响。方法:选取2019年6月～2021年12月在徐州医科大学附属医院康复医学科住院的脑卒中非流畅性失语患者40例，按随机数字表法随机分为观察组和对照组，每组各20例。给予对照组常规言语治疗，观察组采用高强度旋律语调疗法治疗。治疗前后分别使用西方失语症成套测验(WAB)的前四项自发言语、听理解、复述和命名评价语言功能，日常生活交流活动检查(CADL)评价日常交流能力。结果:治疗前，2组患者在WAB评定自发言语、听理解、复述和命名等各项评分及CADL评分比较均差异无统计学意义；治疗4周后，2组患者WAB评定各项评分均较治疗前明显提高(均P<0.05),且观察组各项评分均高于对照组(均P<0.05)。结论:高强度旋律语调疗法对脑卒中后非流畅性失语患者语言功能及日常交流能力的提高效果显著。

Effect of high-intensity melodic intonation therapy for non-fluent aphasia after stroke

Objective: To investigate the effect of high-intensity melodic intonation therapy (MIT) on language function and daily communication ability of patients with non-fluent aphasia after stroke. Methods: From June 2019 to December 2021, 40 patients with non-fluent aphasia after stroke who were hospitalized in the Department of Rehabilitation Medicine of the Affiliated Hospital of Xuzhou Medical University were randomly divided into test group and control group according to the method of random number table, with 20 patients in each group. The control group was given conventional speech therapy, and the test group was given high-intensity MTT. Before and after treatment, the language function was evaluated by self speech, listening comprehension, retelling and naming (the first four items of the Western Aphasia Battery), and the daily communication ability was evaluated by the communication abilities in daily living (CADL). Results: There was significant difference in degrees of improvement in self speech, listening comprehension, retelling and naming in both group before and after treatment (P<0.05), and the daily communication ability after treatment was significantly improved (P<0.05). At the same time, the first four functions of WAB and the scores of CADL in the test group were better than those in the control group (P<0.05). Conclusion: High-intensity has a significant effect on improving the language function and daily communication ability of patients with non-fluent aphasia after stroke.