摘要
目的:探究镜像神经元疗法(MNST)对脑卒中后急性期失语症的临床疗效。方法:72例脑卒中后急性期失语症患者随机分为对照组、传统的言语-语言疗法组(SLT组)和MNST组,每组24例。3组患者均接受脑卒中后急性期内科治疗和常规护理,SLT组在此基础上接受Schuell刺激法、交流效果促进法和强制诱导法等训练。MNST组在对照组基础上接受镜像神经元疗法。SLT组和MNST组每天训练1次,每次30min,每周5天,共2周。治疗前和治疗2周后,采用中文版语言障碍筛查测试(CLAST)和波士顿诊断性失语症检查法(BDAE)评定其失语症严重程度。结果:治疗前,3组患者CLAST各项评分及总分、BDAE分级的组间比较差异无统计学意义。治疗2周后,MNST组的CLAST各项评分和总分均明显高于治疗前(均P<0.05);且与SLT组和对照组治疗后相比,MNST组在命名、复述以及总分上都有所提高(均P<0.05)。此外,与SLT组和对照组治疗后相比,MNST组的BDAE分级也显著提高(均P<0.05)。结论:镜像神经元疗法可安全有效地改善脑卒中后急性期失语症患者的语言功能。
Objective:To evaluate the efficacy of mirror neuron system therapy(MNST)for patients with acute post-stroke aphasia.Methods:Patients(n=72)were randomly divided into three groups:control group(n=24),traditional SLT group(n=24)and MNST group(n=24).All groups received post-acute stroke care and routine nursing.The SLT group received training including:Schuell stimulation method,promoting aphasics communication effectiveness and constraint-induced aphasia therapy.The MNST group received mirror neuron therapy training.Training lasted 30 min/day,5 days a week for two weeks in the SLT and MNST groups.The language function and aphasia severity of the 3 groups were assessed using Chinese version The Language Screening Test(CLAST)and Boston diagnostic aphasia examination(BDAE)before and after treatment.Results:There was no significant difference among the 3 groups in CLAST scores and severity of BDAE before treatment.After 2 consecutive weeks’training,CLAST scores in the MNST group were obviously increased(P<0.05).Compared with the SLT group and the control group,the function of naming and repetition was improved greatly in MNST group.In addition,the severity of BDAE was significantly improved in MNST group as compared with SLT group and control group(P<0.05).Conclusion:MNST can improve language function in patients with acute post-stroke aphasia.
作者
任雨晴
周秋敏
郭聪聪
彭丽君
丛芳
戚新雪
陆晓
Ren Yuqing;Zhou Qiumin;Guo Congcong(The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)
出处
《中国康复》
2023年第7期407-411,共5页
Chinese Journal of Rehabilitation
