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成语在脑卒中后运动性及经皮质运动性失语症患者语言功能康复中的应用研究

张丽 何小俊 李薇薇 雷蕾 张梦琴 胡含波 孙沛

中国康复2025,Vol.40Issue(7):407-411,5.
中国康复2025,Vol.40Issue(7):407-411,5.DOI:10.3870/zgkf.2025.07.005

成语在脑卒中后运动性及经皮质运动性失语症患者语言功能康复中的应用研究

Application of Chinese idiomatic phrases in the rehabilitation of language function in patients with motor and transcortical mo-tor aphasia in stroke

张丽 1何小俊 1李薇薇 1雷蕾 1张梦琴 1胡含波 1孙沛1

作者信息

  • 1. 武汉大学人民医院老年科,武汉 430060
  • 折叠

摘要

Abstract

Objective:To systematically evaluate the efficacy of a specialized training program using Chinese idiomatic phrases in improving language function and daily communicative abilities in patients with motor and transcortical motor a-phasia.Methods:A total of 78 patients with post-stroke motor/transcortical motor aphasia admitted to the Department of Neurology,Renmin Hospital of Wuhan University were enrolled.Participants were randomized into an intervention group(n=37)and a control group(n=41)using a random number table.Both groups received standard pharmacotherapy and rehabilitation(60 min/session,twice daily),while the intervention group underwent additional 50-min daily idiomatic ex-pression training for 2 weeks.Training materials(high-frequency idioms)were delivered via multimodal stimuli(text/ima-ges/videos),including reading aloud,repetition,and contextual application exercises.Outcomes were assessed using the Chinese Rehabilitation Research Center for Aphasia Examination(CRRCAE)and Communicative Abilities in Daily Living(CADL)scales.Results:After intervention,the listening comprehension,paraphrasing,speaking,speaking and reading scores in both groups of CRRCAE scales were higher than before intervention(P<0.01),and those in the study group were higher than the control group(P<0.01).The CADL scores of both groups were higher than before intervention(P<0.01),and those in the study group were higher than the control group(P<0.01).Conclusion:Specialized training based on idioms can effectively promote language function reconstruction in patients with post-stroke motor and transcortical motor aphasia.

关键词

脑卒中/失语症/言语康复/成语

Key words

stroke/aphasia/speech rehabilitation/idioms

分类

医药卫生

引用本文复制引用

张丽,何小俊,李薇薇,雷蕾,张梦琴,胡含波,孙沛..成语在脑卒中后运动性及经皮质运动性失语症患者语言功能康复中的应用研究[J].中国康复,2025,40(7):407-411,5.

基金项目

武汉市科技局课题(2013062301010820) (2013062301010820)

湖北省重点实验室开放项目(2022KFH005) (2022KFH005)

中国康复

1001-2001

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