虚拟现实技术联合言语康复训练在脑卒中后运动性失语患者中的应用观察OA
Application of virtual reality technology combined with speech rehabilitation training in patients with post-stroke motor aphasia
目的 探究虚拟现实(VR)技术联合言语康复训练在脑卒中后运动性失语患者中的应用效果.方法 选取2022年6月至2025年5月拟于我院接受康复训练的116例脑卒中后运动性失语患者,按照随机数字表法分为2组,对照组58例患者予以言语康复训练,联合组58例患者予以VR技术联合言语康复训练.比较2组患者临床疗效、训练依从性、语言功能[西方失语症成套测验(WAB)评分及失语商(AQ)评分]、神经功能[中国脑卒中患者临床神经功能缺损评分标准(CSS)评分]、认知功能[简易精神状态检查量表(MMSE)评分]、生活质量[脑卒中失语症生活质量量表(SAQOL-39g)评分]及安全性.结果 联合组患者干预有效率及训练依从性高于对照组(P<0.05).干预后联合组患者WAB复述、自发言语、命名评分与AQ评分,MMSE评分,SAQOL-39g各维度评分均高于对照组,CSS评分低于对照组,差异均有统计学意义(P<0.05).干预期间联合组患者轻微不良反应发生率高于对照组(P<0.05).结论 在言语康复训练基础上辅以VR技术可提高脑卒中后运动性失语患者的训练依从性,进一步促进语言功能、神经功能及认知功能恢复,提高生活质量,疗效确切.
Objective To investigate the application effect of virtual reality(VR)technology combined with speech rehabilitation training in patients with post-stroke motor aphasia.Methods A total of 116 patients with post-stroke motor aphasia who were scheduled to receive rehabilitation training at our hospital from June 2022 to May 2025 were enrolled and divided into two groups by random number table method.Fifty-eight patients in the control group underwent speech rehabilitation training only,whereas 58 patients in the combined group received VR technology in combination with speech rehabilitation training.The clinical efficacy,training compliance,speech function[Western aphasia battery(WAB)scores and aphasia quotient(AQ)scores],neurological function[China Stroke Scale(CSS)scores],cognitive function[mini-mental state examination(MMSE)scores],quality of life[stroke aphasia quality of life scale(SAQOL-39g)scores],and safety were compared between the two groups.Results The treatment effective rate and training compliance of the combined group were higher than those of the control group(P<0.05).After intervention,the combined group demonstrated higher scores in the WAB repetition,spontaneous speech,naming dimensions,AQ score,MMSE score,and scores in all dimensions of SAQOL-39g,and lower CSS scores compared to the control group,with statistically significant differences(P<0.05).During the intervention period,the incidence of mild adverse reactions in the combined group was higher than that in the control group(P<0.05).Conclusion Speech rehabilitation training supplemented with VR technology can improve training compliance in patients with post-stroke motor aphasia,further facilitate the restoration of speech function,neurological function and cognitive function,and enhance quality of life,demonstrating definite efficacy.
曹静静;杨方;陆珍
空军军医大学第一附属医院神经内科,陕西 西安 710032空军军医大学第一附属医院神经内科,陕西 西安 710032空军军医大学第一附属医院门诊部,陕西 西安 710032
医药卫生
脑卒中运动性失语虚拟现实技术言语康复训练神经功能认知功能
strokemotor aphasiavirtual reality technologyspeech rehabilitation trainingneurological functioncognitive function
《局解手术学杂志》 2026 (9)
760-764,5
国家重点军事临床研究项目(JSYXM03)
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