计算机辅助言语认知康复对脑损伤失语症患者的疗效

摘要

Objective? To explore the clinical effect of computer-assisted cognitive training on language function and cognitive ability improvement of patients with aphasia after traumatic brain injury (TBI). Methods? A total of 80 patients with TBI with aphasia were selected as subjects from January 2013 to December 2017, and divided into trial group and control group by random number table method. The two groups were given conventional treatment and language therapy. Additionally, computer-assisted training was performed in the trial group at the same time. All the subjects were evaluated with Loewenstein Occupational Therapy Cognitive Assessment Battery (LOTCA) and Clinical Rehabilitation Research Center Aphasia Examination (CR-RCAE) for their cognitive and language function after 2 months. Results? After intervention, the LOTCA scores of orientation, perception, vision and thinking of the two groups were significantly improved, and the CR-RCAE scores of repetition, expression, reading aloud and naming were significantly improved, and the trial group was better than the control group, with statistical significance (P＜0.05). Conclusions? Computer-assisted cognitive training has enhancement effect on language function and cognitive ability improvement in patients with aphasia after TBI.%目的? 探讨计算机辅助言语认知康复在颅脑损伤(TBI)患者失语症康复疗效中的价值.方法? 选择2013年1月—2017年12月收治的80例TBI伴失语症的患者作为研究对象,并采用随机数字表将其分为试验组及对照组.两组均给予常规治疗和语言治疗,试验组在此基础上采用计算机辅助言语认知进行康复训练.2个月后,采用洛文斯顿作业疗法用认知评定成套测验评定量表(LOTCA)及汉语标准失语症检查法(CR-RCAE)评定其认知及语言功能.结果? 经干预,两组患者的LOTCA的定向力、知觉、视觉及思维评分均明显提高,CR-RCAE的复述、表达、朗读、命名评分均明显改善,且试验组优于对照组,差异均有统计学意义(P＜0.05).结论? 计算机辅助言语认知康复训练可显著改善TBI后失语症患者的语言及认知功能.