中国神经再生研究(英文版)

中国神经再生研究(英文版) ›› 2016, Vol. 11 ›› Issue (10): 1591-1594.doi: 10.4103/1673-5374.193237

• 原著:脑损伤修复保护与再生 • 上一篇    下一篇

对亚急性脑卒中后失语患者进行的正音和语障治疗

  

  • 收稿日期:2016-09-07 出版日期:2016-10-31 发布日期:2016-10-31

Speech and language therapy for aphasia following subacute stroke

Engin Koyuncu1, *, Pınar Çam1, Nermin Altınok2, Duygu Ekinci Çallı2, Tuba Yarbay Duman3, Neşe Özgirgin   

  1. 1 Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey 2 Department of Psychology, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey 3 Department of Linguistics, Amsterdam Center for Language and Communication, Amsterdam Brain and Cognition Center, University of Amsterdam, Amsterdam, Te Netherlands
  • Received:2016-09-07 Online:2016-10-31 Published:2016-10-31
  • Contact: Engin Koyuncu, M.D., engkoyuncu@gmail.com.

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摘要：

为确定最佳正音和语障治疗治疗脑卒中后失语的时间窗、干预时间和强度，纳入来源于安卡拉物理医学与康复训练研究医院住院进行康复训练的33例首次亚急性脑卒中患者。试验设计给予患者8周（30-60min/d，2d/周），共16次的正音和语障治疗。以Gülhane失语测试2评估发现，治疗后患者的讲话流畅度、听力理解、阅读理解、口腔运动能力、自动语音、重复和命名能力方面较治疗前明显改善。说明30-60min/d，2d/周，共8周的正音和语障治疗对于亚急性脑卒中失语患者恢复语言能力具有良好的治疗作用。 

orcid: 0000-0001-5512-2396 (Engin Koyuncu)

关键词: 神经再生, 脑卒中, 失语, 正音和语障治疗, 失用, 康复, Gülhane失语测试2

Abstract: Te aim of this study was to investigate the time window, duration and intensity of optimal speech and language therapy applied to aphasic patients with subacute stroke in our hospital. Te study consisted of 33 patients being hospitalized for stroke rehabilitation in our hospital with frst stroke but without previous history of speech and language therapy. Sixteen sessions of impairment-based speech and language therapy were applied to the patients, 30–60 minutes per day, 2 days a week, for 8 successive weeks. Aphasia assessment in stroke patients was performed with Gülhane Aphasia Test-2 before and afer treatment. Compared with before treatment, fluency of speech, listening comprehension, reading comprehension, oral motor evaluation, automatic speech, repetition and naming were improved afer treatment. Tis suggests that 16 seesions of speech and language therapy, 30–60 minutes per day, 2 days a week, for 8 successive weeks, are e?ective in the treatment of aphasic patients with subacute stroke.

Key words: nerve regeneration, stroke, aphasia, speech and language therapy, disability, rehabilitation, Gülhane Aphasia Test-2, neural regeneration