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汪 洁,屈亚萍,吕艳玲.语义语音治疗对重度失语症命名和朗读的影响[J].中国康复医学杂志,2008,23(5):402~405
语义语音治疗对重度失语症命名和朗读的影响    点此下载全文
汪 洁  屈亚萍  吕艳玲
首都医科大学宣武医院康复医学科,北京,100053
基金项目:
DOI:
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摘要:
      目的:探讨语义和语音治疗对汉语重度非流利型失语症患者命名和朗读能力的影响,并观察语义和语音治疗的近期疗效。方法:采用单病例实验设计,对1例重度非流利型失语症患者发病后12个月,进行语义治疗(2周,每天2次,共19次)、语音治疗(2周,共19次)、随访(语音治疗后8周)。语义治疗采用图画上位范畴判断、同范畴判断、特征判断、功能判断和命名;语音治疗采用汉字声调判断、同音字判断和朗读。结果:语义治疗后,语义检查分测验,如听觉词-图匹配、视觉词-图匹配,以及治疗项命名和朗读得到改善(P<0.05),而语音检查分测验成绩无明显改变。语音治疗后,语音检查分测验,如同音字判断、双字、三字非词复述,以及治疗项命名和朗读得到显著改善(P<0.05)。语音治疗后8周随访,语音训练项的命名成绩下降(P<0.05)。结论:对慢性重度非流利型失语症患者进行语义和语音治疗均可改善患者的命名和朗读能力,但语义治疗较语音治疗对维持命名能力有更长久的效果。
关键词:失语症  语义治疗  语音治疗  图画命名  朗读
Effects of semantic and phonological treatments on picture-naming in a severe non-fluent aphasia patient    Download Fulltext
Dept. of Rehabilitation, Xuanwu Hospital,Capital Medical University, Beijing,100053
Fund Project:
Abstract:
      Objective:To search for the effect of semantic and phonological treatments on picture-naming in a chronic severe non-fluent aphasic patient, and observe the changes in picture-naming 8 weeks after semantic and phonological treatment. Method: Single case experiment design was used. One severe non-fluent aphasic patient 12 months after onset of left cerebral vascular accident accepted the semantic and phonological therapy, 2 sessions a day for 2 weeks. In the first 2 weeks, semantic treatment was given, then the following 2 weeks phonological treatment. The follow-up was carried out 8 weeks after phonological treatment had been finished. Semantic treatment include picture superordinate, coordinate category judgements, characteristic judgement, function judgement and picture naming. Phonological treatment includes Chinese character tone judgement, homophone judgement and word reading aloud. Result:Scores of semantic tests such as auditory word-picture matching, written word-picture matching and verbal picture naming, word reading aloud were improved significantly (P<0.05) after semantic therapy. However, scores of phonological tests did not changed. Scores of phonological tests such as homophone judgement, 2 and 3 syllable non-word repetition, verbal picture naming and word reading aloud in treated items were improved(P<0.05) after phonological treatment. Follow-up was carried out 8 weeks after phonological treatment. The result showed reduction in picture naming in phonological treated items(P<0.05). Conclusion:Semantic and phonological treatment can improve picture naming and verbal word reading abilities in chronic severe non-fluent aphasics, and semantic treatment can maintain the naming ability better than phonological treatment.
Keywords:aphasia  semantic treatment  phonological treatment  picture naming  reading aloud
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