镜像神经元疗法联合认知训练系统治疗脑卒中后命名性失语症的效果OA
Effect of mirror neuron therapy combined with cognitive training system on post-stroke anomic aphasia
目的 分析镜像神经元疗法联合认知训练系统治疗脑卒中后命名性失语症的效果.方法 回顾性收集2022年1月—2025年5月南通市第一人民医院收治的85例脑卒中后命名性失语症患者,按治疗方法分为对照组(n=42)、研究组(n=43).对照组给予认知训练,研究组给予镜像神经元疗法联合认知训练.比较两组疗效以及中国康复研究中心汉语标准失语症检查(CRRCAE)、洛文斯顿作业疗法认知评定成套测验(LOTCA)、中国功能性语言沟通能力检查法(CFCP)、美国国立卫生研究院卒中量表(NIHSS)、Barthel指数(BI)、脑卒中失语症生活质量量表通用版(SAQOL-39g)评分.结果 研究组总有效率为88.37%(38/43)高于对照组的69.05%(29/42,P<0.05).治疗后,研究组CRRCAE中听理解、出声读、复述、阅读、说的正确答案率高于对照组,LOTCA中视运动组织、动作运用、视知觉、空间知觉评分及总分高于对照组,SAQOL-39g各维度评分及总分高于对照组(P<0.05).与对照组比较,研究组治疗后CFCP、BI评分较高,NIHSS评分较低(P<0.05).结论 镜像神经元疗法联合认知训练可提升脑卒中后命名性失语症治疗效果,改善认知、语言、听理解及沟通能力,提升神经功能、日常生活能力及生活质量.
Objective To analyze the effect of mirror neuron therapy combined with cognitive training system on post-stroke anomic aphasia.Methods A total of 85 patients with post-stroke anomic aphasia admitted to the First People's Hospital of Nantong City from January 2022 to May 2025 were retrospectively collected.They were divided into the control group(n=42)and the study group(n=43)according to different treatment methods.The control group received cognitive training,while the study group received mirror neuron therapy combined with cognitive training.The efficacy,Chinese Rehabilitation Research Center Standard Aphasia Examination(CRRCAE),Loewenstein occupational therapy cognitive assessment(LOTCA),Chinese functional communication profile(CFCP),National Institutes of Health Stroke Scale(NIHSS),Barthel Index(BI),and stroke and aphasia quality of life scale-39g(SAQOL-39g)scores of the two groups were compared.Results The overall effective rate of the study group was 88.37%(38/43),which was higher than that of the control group at 69.05%(29/42,P<0.05).After treatment,the correct answer rates of auditory comprehension,oral reading,repetition,reading,and speaking in the CRRCAE of the research group were higher than those of the control group,the scores of visuomotor organization,motor apraxia,visual perception,and spatial perception of LOTCA,and the total score were higher in the study group than in the control group,and the scores of each dimension of SAQOL-39g and the total score were also higher in the study group(P<0.05).Compared with the control group,the scores of CFCP and BI in the study group after treatment were higher,while the NIHSS score was lower(P<0.05).Conclusion The combination of mirror neuron therapy and cognitive training can enhance the therapeutic effect of post-stroke anomic aphasia,improve cognitive,language,auditory comprehension and communication abilities,and enhance neurological function,daily living ability and quality of life.
葛春雨;印皓天;徐倩;朱冬燕;王梁;陈伟观
南通市第一人民医院康复医学科,江苏 南通 226001南通市第一人民医院儿内科,江苏 南通 226001南通市第一人民医院康复医学科,江苏 南通 226001南通市第一人民医院康复医学科,江苏 南通 226001南通市第一人民医院康复医学科,江苏 南通 226001南通市第一人民医院康复医学科,江苏 南通 226001
脑卒中命名性失语症镜像神经元疗法认知训练语言生活质量
strokeanomic aphasiamirror neuron therapycognitive traininglanguagequality of life
《临床误诊误治》 2026 (13)
47-52,6
南通市卫生健康委员会科研课题(QNZ2023025)
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