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目的:评价高压氧联合言语疗法对失语患者的近远期疗效。方法:93例患者,随机分为三组,第一组使用Schuell刺激疗法治疗,第二组采用高压氧治疗,第三组采用高压氧联合言语疗法治疗。在治疗前及治疗后的第1周,1月,3月,6月及1年采用波士顿诊断性失语症检查量表(BDAE)对所有患者的言语功能进行评分。结果:1三组患者在治疗后,BDAE分值较治疗前均有明显升高;2三组患者在治疗后6月与治疗后1年BDAE分值变化不大;3治疗后1年,第三组在BDAE分值较治疗前的改善率较第一组及第二组高。结论:高压氧联合言语疗法更较好的改善患者的语言功能,发病6个月以内是失语康复治疗的最佳时期。
Objective: To evaluate the short-term and long-term effects of hyperbaric oxygen combined with speech therapy on aphasia patients. Methods: Ninety-three patients were randomly divided into three groups. The first group was treated with Schuell stimulus, the second group was treated with hyperbaric oxygen, the third group was treated with hyperbaric oxygen combined with speech therapy. The speech function of all patients was assessed before treatment, 1 week after treatment, January, March, June and 1 year using Boston Diagnostic Aphasia Examination Scale (BDAE). Results: After treatment, the BDAE scores of three groups of patients were significantly higher than those before treatment. The BDAE scores of two groups of three patients did not change much at one month after treatment and one year after treatment. Three years after treatment, The improvement rate of BDAE score before treatment in the three groups was higher than that in the first group and the second group. Conclusion: Hyperbaric Oxygen combined with speech therapy can improve the language function of patients better. Within 6 months after onset, it is the best period for aphasia rehabilitation treatment.