《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (6): 509-512.

• 论文 • 上一篇    下一篇

认知康复在重型颅脑损伤失语症治疗中的作用

张建宏1a，范建中1a，漆松涛1b，王琰1a，何婧雯1a   

  1. 1.广州南方医科大学南方医院，a：康复医学科；b：神经外科，广东广州市510515。
  • 收稿日期:2012-03-28 修回日期:2012-04-12 出版日期:2012-06-25 发布日期:2012-06-25

Effects of Cognitive Rehabilitation on Aphasia in Severe Traumatic Brain Injury

ZHANG Jian-hong, FAN Jian-zhong, QI Song-tao,et al.   

  1. Department of Rehabilitation Medicine, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong, China
  • Received:2012-03-28 Revised:2012-04-12 Published:2012-06-25 Online:2012-06-25

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摘要： 目的探讨认知康复在重型颅脑损伤失语症治疗中的作用。方法将40 例重型颅脑损伤失语症患者随机分为单纯语言组(n=20)和语言认知组(n=20)。两组均给予常规治疗和语言治疗，语言认知组在此基础上给予认知康复。每次治疗30 min，每天1 次，共1 个月。语言功能采用中国康复研究中心失语症检查表(CRRCAE)进行评定，认知功能采用中文洛文斯顿作业疗法认知量表(LOTCA)电脑版进行评定。结果两组治疗后CRRCAE 中的各项指标分值均明显高于治疗前(P<0.01)；CRRCAE 中除听写(P>0.05)外，语言认知组治疗后其他指标分值均高于单纯语言组(P<0.05)。失语症患者CRRCAE 及LOTCA中各项指标的相关性分析显示，听理解与定向、视知觉、空间知觉、动作运用、视运动组织及思维运作均存在相关性。结论认知康复可改善颅脑损伤后失语症的语言功能。

关键词: 重型颅脑损伤, 失语症, 认知康复

Abstract: Objective To explore the effects of cognitive rehabilitation on aphasia for the patients with severe traumatic brain injury.
Methods 40 patients with traumatic brain injury following aphasia were randomly divided into simple language group (n=20) and language-
cognition group (n=20). Both groups received conventional therapy and language therapy, and the language-cognition group received
cognitive rehabilitation additionally, 30 minutes 1 day for 1 month. Results The index of Chinese Rehabilitation Research Center Aphasia
Examination (CRRCAE) improved significantly after treatment in both groups (P<0.01). There were significant differences in all the indexes
of CRRCAE (P<0.05) between 2 groups after treatment except dictation (P>0.05). Auditory comprehension correlated with orientation,
visual perception, spatial perception, motor praxis, visuomotor organization and thinking operations. Conclusion Cognitive rehabilitation
can improve the language function of traumatic brain injury patients with aphasia.

Key words: severe traumatic brain injure, aphasia, cognition rehabilitation