脑卒中后Broca失语不同康复时间临床疗效研究.docVIP

脑卒中后Broca失语不同康复时间临床疗效研究 　　[摘要]目的 研究脑卒中后Broca失语的最佳康复时间。方法 选取2012年9月～2015年7月在安徽医科大学第一附属医院康复科进行言语治疗的62名脑卒中后出现Broca失语的患者作为研究对象。按照卒中发生后到接受言语康复治疗的时间分为30 d组（22例）。以1年为观察研究终点，对3组患者的最终康复结果使用中国康复研究中心汉语标准失语症检查法（CR-RCAE）进行评估，评估时间为接受康复治疗后1、3、6个月及1年。比较不同时间段接受康复治疗患者的康复情况。结果 0.05），但均明显优于30 d组，差异有统计学意义（P30 d组患者的3个月内接受康复治疗患者的疗效优于3个月以后，但差异无统计学意义（P0.05）。结论 对于脑卒中后Broca失语，30 d内接受言语康复训练对患者有益，3个月接受治疗者效果较差。 　　[关键词]脑卒中；Broca失语；言语康复；康复时间；后遗症 　　[中图分类号] R743.306 [文献标识码] A [文章?号] 1674-4721（2017）12（c）-0020-04 　　[Abstract]Objective To study the optimal time of Broca aphasia after stroke.Methods From September 2012 to July 2015，62 patients with Broca aphasia after stroke treated in department of Rehabilitation in The first affiliated hospital of AnHui Medical University were selected as the subjects，and divided into three groups according to the interval between stroke to rehabilitation treatment：less than 15 d from stroke to accept speech rehabilitation（19 cases）；more than 15 d but less than 30 d（21 cases）；more than 30 d（22 cases）.The terminal time point of this study was one year after accept speech rehabilitation.The assessments of speech ability were clinical rehabilitation research center aphasia examination （CR-RCAE） and the evaluation time points were 1 month，3 months，6 months and 1 year post speech rehabilitation.The rehabilitation were compared among the three groups.Results There was not significiant difference between less than 15 d and more than 15 d but less than 30 d groups in the speech rehabilitation results （P0.05），but all of them were better than more than 30 d group，the difference was statistically significant （P0.05）.Conclusion For Broca associated with stroke，the optional time point to accept speech rehabilitation is within 30 d. The prognosis of patients who accept speech rehabilitation more than 3 months post stroke is poor. 　　[Key words]Cerebral stroke；Broca aphasia；Speech rehabilitation；Timing of rehabilitation；Sequela 　　脑卒中（cerebral stroke）是一组突然起病，以局灶性神经功能缺失为主要特征的脑血管