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周 亮,田智慧,田 亮,叶祥明.工作记忆训练用于脑卒中后失语症的疗效观察[J].中国康复医学杂志,2017,(5):530~533
工作记忆训练用于脑卒中后失语症的疗效观察    点此下载全文
周 亮  田智慧  田 亮  叶祥明
浙江省人民医院康复科,杭州,310014
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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。
关键词:工作记忆  失语症  脑卒中
Effects of working memory training on aphasia after stroke    Download Fulltext
Department of Rehabilitation Medicine, Zhejiang Provincial People's Hospital, Hangzhou, 310014
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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.
Keywords:working memory  aphasia  stroke
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