认知康复在重型颅脑损伤失语症治疗中的作用

目的探讨认知康复在重型颅脑损伤失语症治疗中的作用。方法将40例重型颅脑损伤失语症患者随机分为单纯语言组(n=20)和语言认知组(n=20)。两组均给予常规治疗和语言治疗,语言认知组在此基础上给予认知康复。每次治疗30 min,每天1次,共1个月。语言功能采用中国康复研究中心失语症检查表(CRRCAE)进行评定,认知功能采用中文洛文斯顿作业疗法认知量表(LOTCA)电脑版进行评定。结果两组治疗后CRRCAE中的各项指标分值均明显高于治疗前(P<0.01);CRRCAE中除听写(P>0.05)外,语言认知组治疗后其他指标分值均高于单纯语言组(P<0.05)。失语症患者CRRCAE及LOTCA中各项指标的相关性分析显示,听理解与定向、视知觉、空间知觉、动作运用、视运动组织及思维运作均存在相关性。结论认知康复可改善颅脑损伤后失语症的语言功能。

Effects of Cognitive Rehabilitation on Aphasia in Severe Traumatic Brain Injury Guangdong, China

Objective To explore the effects of cognitive rehabilitation on aphasia for the patients with severe traumatic brain injury.Methods 40 patients with traumatic brain injury following aphasia were randomly divided into simple language group(n=20) and language-cognition group(n=20).Both groups received conventional therapy and language therapy,and the language-cognition group received cognitive rehabilitation additionally,30 minutes 1 day for 1 month.Results The index of Chinese Rehabilitation Research Center Aphasia Examination(CRRCAE) improved significantly after treatment in both groups(P<0.01).There were significant differences in all the indexes of CRRCAE(P<0.05) between 2 groups after treatment except dictation(P>0.05).Auditory comprehension correlated with orientation,visual perception,spatial perception,motor praxis,visuomotor organization and thinking operations.Conclusion Cognitive rehabilitation can improve the language function of traumatic brain injury patients with aphasia.