计算机辅助执行功能训练联合言语训练对脑卒中后构音障碍患者的康复效果

曹迎; 金霞; 汪吴臻

doi:10.3969/j.issn.1672-4933.2025.01.019

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计算机辅助执行功能训练联合言语训练对脑卒中后构音障碍患者的康复效果

康复教育 | 更新时间：2026-07-11

- 计算机辅助执行功能训练联合言语训练对脑卒中后构音障碍患者的康复效果
- The Rehabilitation Effect of Computer-assisted Executive Function Combined with Speech Training on Post-stroke Articulation Disorders Patients
- 中国听力语言康复科学杂志 2025年23卷第1期页码：79-82
- 作者机构：
  
  东南大学附属中大医院溧水分院（南京市溧水区人民医院）康复医学科南京 211200
- 作者简介：
  
  曹迎本科主治医师；研究方向：康复医学与治疗技术
  金霞，E-mail：xing123sj@163.com
- 基金信息：
  
  江苏省卫生健康委2020年度医学科研(Z2020222)
- DOI：10.3969/j.issn.1672-4933.2025.01.019
  中图分类号： G762
- 收稿：2024-04-07，
  
  纸质出版：2025-01-15
- 稿件说明：
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曹迎,金霞,汪吴臻.计算机辅助执行功能训练联合言语训练对脑卒中后构音障碍患者的康复效果[J].中国听力语言康复科学杂志,2025,23(01):79-82.

CAO Ying,JIN Xia,WANG Wu-zhen.The Rehabilitation Effect of Computer-assisted Executive Function Combined with Speech Training on Post-stroke Articulation Disorders Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(01):79-82.
曹迎,金霞,汪吴臻.计算机辅助执行功能训练联合言语训练对脑卒中后构音障碍患者的康复效果[J].中国听力语言康复科学杂志,2025,23(01):79-82. DOI： 10.3969/j.issn.1672-4933.2025.01.019.

CAO Ying,JIN Xia,WANG Wu-zhen.The Rehabilitation Effect of Computer-assisted Executive Function Combined with Speech Training on Post-stroke Articulation Disorders Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(01):79-82. DOI： 10.3969/j.issn.1672-4933.2025.01.019.

摘要

目的

探讨计算机辅助执行功能训练联合言语训练的康复效果。

方法

采用随机数字表法将纳入的150例脑卒中后构音障碍患者分为语言训练组、计算机组和联合组各50例。语言训练组行言语-语言疗法干预，计算机组接受计算机辅助执行功能训练，联合组进行言语-语言疗法和计算机辅助执行功能训练联合干预。比较3组疗效和治疗前后Frenchay构音障碍评价量表分级、言语功能、声学指标含最长发声时间（MPT）、音调、音量和平均发声气流量变化，采用卒中生存质量量表（stroke-specific qualley of life，SS-QOL）评价治疗前后患者生活质量变化。

结果

联合组治疗总有效率显著高于语言训练组和计算机组（96.00% vs. 74.00%/76.00%，

0.05）。3组患者治疗后Frenchay构音障碍评价量表分级、言语功能分级显著改善，MPT显著延长，SS-QOL评分显著提高（

0.05）。联合组患者治疗后言语功能分级、MPT、SS-QOL评分显著优于语言训练组和计算机组（

0.05）。

结论

计算机辅助执行功能训练联合言语-语言疗法能够显著提高脑卒中后构音障碍患者的康复效果，改善生活质量、延长发声时间。

Abstract

Objective

Exploring the effectiveness of computer-assisted executive function training combined with traditional speech language therapy.

Methods

Using a random number table method

150 prospective patients with post-stroke articulation disorders were divided into a language training group

a computer group

and a combination group

with 50 cases in each group. The language training group received speech language therapy intervention

the computer group received computer-assisted executive function training

and the combined group received both speech language therapy intervention and computer-assisted executive function training. Compare the efficacy of three groups and evaluate the changes in Frenchay articulation disorder grading

speech function

and acoustic indicators (maximum phonation time

MPT)

pitch

volume

and average photic airflow) before and after treatment. Use the Stroke Quality of Life Scale (SS-QOL) to assess the changes in patients' quality of life before and after treatment.

Results

The total effective rate of the combined treatment group was significantly higher than that of the language training group and the computer group (96.00% vs. 74.00%/76.00%

0.05). After treatment

the Frenchay articulation disorder evaluation scale grading and speech function grading of the three groups of patients were significantly improved

MPT was significantly prolonged

and SS-QOL score was significantly improved (

0.05). After treatment

the speech function grading of the combined group patients was significantly better than that of the language training group and the computer group

and the MPT was significantly longer than that of the language training group and the computer group. The SS-QOL score was significantly higher than that of the language training group and the computer group (

0.05).

Conclusion

The combination of computer-assisted executive function training and traditional speech language therapy can significantly improve the rehabilitation effect of post-stroke patients with articulation disorders

improve their quality of life

and prolong their speaking time. The effect is superior to traditional speech language therapy and computer-assisted executive function training conducted separately.

关键词

Keywords

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