工作记忆训练用于脑卒中后失语症的疗效观察

关键词：工作记忆  失语症  脑卒中

Keywords:working memory  aphasia  stroke

摘要：

      摘要 目的：探讨工作记忆训练对脑卒中后失语症患者的治疗效果。 方法：19例脑卒中后失语症患者随机分为治疗组（10例）和对照组（9例），对照组给予常规言语训练，治疗组在此基础上给予工作记忆训练。训练前和训练4周后接受数字广度测试（DS）、西方失语症成套测验（WAB）。 结果：训练后，治疗组DS评分、WAB各项子测试积分及失语商较治疗前显著提高（P＜0.05），治疗组DS评分、听理解积分及失语商显著高于对照组（P＜0.05），治疗组DS评分与WAB自发言语积分（r=0.801，P＜0.01）、听理解积分（r=0.826，P＜0.01）呈正相关。 结论：工作记忆训练可促进脑卒中后失语症患者言语功能，尤其是听理解能力的恢复。

Abstract:

      Abstract Objective: To observe the effect of working memory training on aphasia after stroke. Method: Nineteen cases with aphasia after stroke were randomly divided into treatment group (10 cases) and control group (9 cases). The treatment group received working memory training for 4 weeks. Digit span (DS) and Western aphasia battery (WAB) were administered before and after training. Result: After 4 weeks training, the score of DS, subitems of WAB and aphasia quotient (AQ) were significantly higher after training than before(P＜0.05); The score of DS, listening comprehension of WAB and AQ improved more in treatment group than in control group (P＜0.05); And the score of DS was positively correlated to the score of the spontaneous speech (r=0.801, P＜0.01) and listening comprehension(r=0.826, P＜0.01) of WAB. Conclusion: Working memory training could improve listening comprehension and speech function of aphasia after stroke.