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皮层下失语症的特点及其康复机制探讨

Study on characteristics and rehabilitation mechanism of subcortex aphasia

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【作者】 陈艳潘翠环王璇

【Author】 CHEN Yan,PAN Cui-huan,WAN Xuan.Rehabilitation Department of the Second Affiliated Hospital of Guagnzhou Medical College,Guangzhou,510620,China

【机构】 广州医学院第二附属医院康复科

【摘要】 目的分析皮层下失语症的语言障碍特点,探讨其语言功能的康复机制。方法选择皮层下失语症患者70例,于语言康复治疗前及治疗4周后,分别采用汉语标准失语症检查法进行评估。对治疗前语言障碍的特点进行总结,分析皮层下失语症的语言障碍特点;对治疗前后各项语言能力进行比较。结果皮层下失语症患者听理解、复述、阅读理解能力在词汇水平正答率均达60%以上;语言康复治疗后,各项语言能力在不同水平的正答率均有提高,尤其是听理解与复述与说的词汇及句子水平及视执行文字指令正答率均较治疗前明显提高(P<0.05)。结论皮层下失语症患者听与视理解能力及复述能力相对保存,康复治疗后其各方面语言能力均可不同程度康复。

【Abstract】 Objective To analyze the characteristics of subcortex aphasia and to study its rehabilitation mechanism.Methods Seventy subcortex aphasics were evaluated by Chinese Rehabilitation Reserch Center Aphasia Examination (CRRCAE) before and after 4 weeks of rehabilitation therapy. The characteristics of subcortex aphasia was analyzed before treatment,and rehabilitation mechanism was examined before and after treatment. Results For subcortex aphasics,the ture answer rate was above 60% on vocabulary level of listening apprehension,re-stating and reading apprehension. After language rehabilitation therapy,language ability improved at deferent levels,especially on vocabulary and sentence level of listening apprehension,speaking and re-stating,and also on reading and executing character order. The true answer rate had significant differences between two evaluations(P<0.05). Conclusion The listening apprehension and re-stating abilities of subcortex aphasics are relatively preserved and all the language abilities can be improved by language rehabilitation therapy.

【基金】 广州市成果推广项目(编号:2007C13G0131)
  • 【文献出处】 广东医学 ,Guangdong Medical Journal , 编辑部邮箱 ,2009年05期
  • 【分类号】R742
  • 【被引频次】3
  • 【下载频次】203
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