常丽静,王亚辉,邢军,等.构音小组综合康复训练对脑卒中后构音障碍患者言语功能及生活质量的影响[J].中华物理医学与康复杂志,2020,42(9):792-796
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| 构音小组综合康复训练对脑卒中后构音障碍患者言语功能及生活质量的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2020.09.005 |
| 中文关键词: 康复训练 脑卒中 构音障碍 生活质量 |
| 英文关键词: Rehabilitation training Stroke Dysarthria Quality of life |
| 基金项目:河北省中医药管理局中医药类科研计划项目（2015120） |
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| 中文摘要: |
| 目的 观察构音小组综合康复训练对脑卒中后构音障碍患者言语功能及生活质量的影响。 方法 选取我院收治的脑卒中后构音障碍患者90例，按随机数字表法分为观察组和对照组，每组45例。研究过程中，观察组和对照组分别有2例因不能按时完成疗程而剔除，对照组中有2例因并发心血管疾病而转科治疗，最终纳入本研究病例84例，其中观察组43例，对照组41例。2组患者均行神经内科常规药物治疗，对照组患者在此基础上以单纯一对一方式训练，每日2次，每次30 min，共60 min，每周治疗6 d，持续4周；观察组在每日上午进行一对一常规康复治疗基础上，每日下午进行构音小组综合康复训练，每次30 min，每周治疗6 d，持续4周。分别于治疗前和治疗4周后（治疗后），对2组患者进行构音障碍综合性评价和生活质量量表（WHOQOL-100）评价。 结果 治疗后，2组患者的构音障碍综合性评价量表分项积分均低于组内治疗前（P＜0.05）；治疗后的8项分项积分中，观察组除颌位置积分［（3.15±0.85）分］与对照组相比差异无统计学意义（P＞0.05）外，观察组其余7项分项积分［呼吸 （1.02±1.03）分、唇的运动（2.04±1.25）分、反射（1.02±0.74）分、软腭运动（1.00±0.88）分、喉运动（1.30±1.23）分、舌运动（2.36±1.30）分、言语（2.23±1.33）分］均明显低于对照组［呼吸(１.９９±０.９１）分、唇的运动( ４.１４±１.９１)分、反射(２.０８±１.２９)分、软腭运动(１.７９±１.４５)分、喉运动(３.２２±１.６４)分、舌运动(５.３１±２.６２)分、言语(３.８８±１.６０)分］，差异有统计学意义（P＜0.05）。治疗后，观察组患者WHOQOL-100量表的各指标评分［生理领域（68.51±4.32）分、心理领域（67.53±4.52）分、环境领域（68.86±5.22）分、社会领域（50.36±4.65）分］均显著优于对照组［生理领域(４１.２２±３.９０)分、心理领域(４８.６６±５.００)分、环境领域(４３.６３±４.６０)分、社会领域(４３.９２±４.１０)分］，且组间差异均有统计学意义（P＜0.05）。 结论 构音小组综合康复训练可显著改善脑卒中后构音障碍患者的言语功能，且有利于提高患者的生活质量。 |
| 英文摘要: |
| Objective To observe the effect of comprehensive rehabilitation training in a group on the speech and life quality of stroke survivors with dysarthria. Methods Stroke survivors with dysarthria were randomly divided into an observation group (of 43) and a control group (of 41). In addition to routine medication, the control group was given 30 minutes of one-to-one rehabilitation training twice a day, 6 days a week for 4 weeks while the observation group was provided with 30 minutes of group training. Before and after the intervention, both groups were evaluated using the comprehensive dysarthria assessment scale and the WHOQOL-100 life quality assessment. Results After the treatment, both groups′ average scores on the comprehensive assessment scale had improved significantly. Except for jaw positioning, all of the observation group′s other scores were significantly better than those of the control group, on average. The observation group also performed significantly better on the WHOQOL-100 assessment, on average. Conclusions Group rehabilitation training can improve the speech function and life quality of stroke survivors with dysarthria significantly better than one-to-one training. |
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