【作者】 林峋； 沈敏海；

【Author】 Lin Xun, Shen Min HaiLongyan First Hospital, Longyan City, Fujian 364000

【机构】 福建省龙岩市第一医院；

【摘要】 目的 探索适合低教育水平脑卒中患者的失语症评估方法及康复训练方案.方法 选择急性期脑卒中失语症患者7例,均采用波士顿诊断性失语症检查(BDAE)和实用.性语言交流能力检查(CADL)进行评估对照,并根据评估结果进行训练,之后每两周进行测评一次,直至疗程结束.结果 经4—6周训练后,采用(BDAE)法进行评估的患者中有4例因无法进行分析.采用(CADL)法进行评估的患者有6例通过评估结果,制定有针对性的训练方案,实用性语言交流能力获显著改善.结论 实用性语言交流能力检查(CADL)能够真实反映患者残存语言能力,操作简便,时间短,患者易于接受,适合低教育水平脑卒中失语症患者进行评估,并根据评估结果进行训练,可在短期内使实用语言交流能力获显著提高,从而改善其生活质量.更多还原

【Abstract】 Objectives To study the assesment and language training on aphasia following stroke at the low educatinal level. Method 7 cases of aphasia following acute stroke recieived Boston diagnostic aphasia examination(BDAE)and communicative abilities in daily living test(CADL), then train them according to the assessment results. Language function was assessed every two weeks until the end of the training: Results 4 cases of the aphasia were not able to be analysed by BDAE, While 6 cases of aphasia passed the assessment by CADL. CADL can providing useful information for planning a speech therapy program. 6 cases of aphasia had obtained improvement in language ability after 4 - 6 weeks training. Conclusion CADL can reflect the level of residuol ability in aphasic patients at low educationol level. CADL is better than BDAE in evaluating The patientis ability of functional communication in daily life and also found that CADL as simple tese was more acceptable to the patients than BDAE.更多还原