The Influence of Stepwise Speech Rehabilitation Training on Speech Functions in Elderly Patients with Motor Aphasia after Stroke

ZHANG Wei; DAI Hui; MIAO Xiao-hong; CHEN Xi; TAO Hui-chan

doi:10.3969/j.issn.1672-4933.2025.06.018

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The Influence of Stepwise Speech Rehabilitation Training on Speech Functions in Elderly Patients with Motor Aphasia after Stroke

Rehabilitation Education | 更新时间：2026-07-30

- The Influence of Stepwise Speech Rehabilitation Training on Speech Functions in Elderly Patients with Motor Aphasia after Stroke
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 23, Issue 6, Pages: 637-640(2025)
- 作者机构：
  
  江苏省中医院南京 210029
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.06.018
  CLC： G762
- Received：26 March 2025，
  
  Online First：17 November 2025，
  
  Published：15 November 2025
- 稿件说明：
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张暐,戴卉,缪小红等.阶梯式语言康复训练对老年脑卒中后运动性失语患者言语功能的影响[J].中国听力语言康复科学杂志,2025,23(06):637-640.

ZHANG Wei,DAI Hui,MIAO Xiao-hong,et al.The Influence of Stepwise Speech Rehabilitation Training on Speech Functions in Elderly Patients with Motor Aphasia after Stroke[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(06):637-640.
张暐,戴卉,缪小红等.阶梯式语言康复训练对老年脑卒中后运动性失语患者言语功能的影响[J].中国听力语言康复科学杂志,2025,23(06):637-640. DOI： 10.3969/j.issn.1672-4933.2025.06.018.

ZHANG Wei,DAI Hui,MIAO Xiao-hong,et al.The Influence of Stepwise Speech Rehabilitation Training on Speech Functions in Elderly Patients with Motor Aphasia after Stroke[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(06):637-640. DOI： 10.3969/j.issn.1672-4933.2025.06.018.

摘要

目的

分析阶梯式语言康复训练对老年脑卒中后运动性失语患者言语功能的影响。

方法

采用随机数字表法将本院2021年10月～2024年10月收治的80例老年脑卒中后运动性失语患者分为对照组与观察组各40例。对照组给予常规语言康复训练，观察组给予阶梯式语言康复训练。采用功能性语言沟通能力量表（Chinese functional communication profile，CFCP）、西方失语症成套测验（western aphasia battery，WAB）、日常生活交流能力量表（communication abilities in daily living，CADL）、脑卒中失语症生活质量量表（stroke and aphasia quality of life scale，SAQOL）行临床疗效比较。

结果

与对照组总有效率（72.50%）对比，观察组（90.00%）显著升高（

＜0.05）。两组干预后WAB、CADL、SAQOL量表各维度评分均显著提高（

＜0.05），观察组均比对照组显著提高（

＜0.05）。

结论

阶梯式语言康复训练在老年脑卒中后运动性失语患者中应用效果显著，能有效提升言语功能、交流能力及生活质量。

Abstract

Objective

To analyze the effect of stepwise speech rehabilitation training on speech functions in elderly patients with motor aphasia after stroke.

Methods

80 elderly patients with motor aphasia after stroke treated in our hospital from October 2021 to October 2024 were divided into a control group (40 cases) and an observation group (40 cases) by random number table method. The control group was given routine language rehabilitation training

and the observation group was given stepped language rehabilitation training. The Chinese functional Communication Profile was adopted. CFCP

the Chinese Rehabilitation Research Center Standard Aphasia Examination Cr-cae

Communi cation abilities in daily living The clinical efficacy was compared using CADL (Stroke and Aphasia Quality of Life Scale

SAQOL-39).

Results

Compared with the control group

the total effective rate was 72.50%

and the observation group was 90.00% higher (

0.05). After the intervention

the scores of WAB scale

CADL scale and SAQOL-39 scale were higher in the both groups than before the intervention (

0.05). After the intervention

the scores of WAB scale

CADL scale and SAQOL-39g scale in the observation group were higher than those in the control group (

0.05).

Conclusion

The clinical effect of stepwise speech rehabilitation training is remarkable in elderly patients with motor aphasia after stroke

which can effectively improve speech function

daily communication ability and quality of life.

关键词

Keywords

references

赵苗苗 , 王莉 , 陈满满 , 等 . 老年脑卒中患者老化态度现状及影响因素分析 [J ] . 护理学杂志 , 2024 , 39 ( 14 ): 16 - 20 .

«中国脑卒中防治报告 2021 »编写组,王陇德.«中国脑卒中防治报告2021»概要 [J ] . 中国脑血管病杂志 , 2023 , 20 ( 11 ): 783 - 793 .

中华医学会神经病学分会神经康复学组 , 中国康复医学会脑血管病专业委员会 , 中国康复研究中心 . 卒中后失语临床管理专家共识 [J ] . 中国康复理论与实践 , 2022 , 28 ( 1 ): 15 - 23 .

殷红彪 , 陈幸生 , 周婷 , 等 . 芒针"循经透刺"结合语言康复训练治疗脑卒中后运动性失语临床研究 [J ] . 针灸临床杂志 , 2024 , 40 ( 5 ): 26 - 30 .

靳雨 , 陈卉 . 阶梯式言语康复联合抗阻运动规律康复训练对帕金森病患者的影响 [J ] . 国际护理学杂志 , 2023 , 42 ( 19 ): 3510 - 3515 .

刘巧云 , 刘敏 , 卢海丹 , 等 . 阶梯式儿童语言康复模式的构建与运用 [J ] . 中国听力语言康复科学杂志 , 2023 , 21 ( 4 ): 337 - 340 .

国家卫生健康委脑卒中防治工程委员会 . 中国脑卒中防治指导规范 [M ] . 北京 : 人民卫生出版社 , 2018 . 155 .

高素荣 . 失语症 [M ] . 2版 . 北京 : 北京大学医学出版社 , 2006 . 516 - 518 .

王国民 , 朱川 , 袁文化 , 等 . 汉语语音清晰度测试字表的建立和临床应用研究 [J ] . 上海口腔医学 , 1995 , 4 ( 3 ): 125 - 127 .

李宁 , 张明 , 周敬杰 , 等 . 沉浸式虚拟现实言语康复系统在卒中后失语症患者康复治疗中的作用 [J ] . 中国听力语言康复科学杂志 , 2024 , 22 ( 6 ): 628 - 631 .

王荫华 . 西方失语症成套测验(WAB)介绍(一) [J ] . 中国康复理论与实践 , 1997 , 3 ( 2 ): 87 - 89 .

马凯敏 , 俞坤强 , 徐日 , 等 . 经颅直流电刺激结合头皮针治疗脑卒中运动性失语患者的疗效观察 [J ] . 中国康复 , 2024 , 39 ( 4 ): 195 - 199 .

林润 , 陈锦秀 , 冯木兰 , 等 . 脑卒中失语症患者生活质量量表汉化及信效度测评 [J ] . 中华护理杂志 , 2013 , 48 ( 4 ): 349 - 351 .

Deng S , Sang B , Li B , et al . The efficacy and safety of acupuncture combined with language training for motor aphasia after stroke: study protocol for a multicenter randomized sham-controlled trial [J ] . Trials , 2022 , 23 ( 1 ): 540 - 540 .

陈志秀 , 毛忠南 , 吴育庄 , 等 . 头针联合语言康复训练治疗卒中后运动性失语疗效的系统评价与Meta分析 [J ] . 海南医学院学报 , 2023 , 29 ( 1 ): 63 - 71 .

仲丽芸 , 陆朋玮 , 邓岚 , 等 . 阶梯式语言康复训练在脑胶质瘤术后失语症患者中的应用 [J ] . 护士进修杂志 , 2024 , 39 ( 19 ): 2055 - 2059 .

侯太甫 , 殷恒斌 , 姬文凤 , 等 . 头部电针同步言语康复训练治疗缺血性脑卒中后运动性失语的疗效观察 [J ] . 中华物理医学与康复杂志 , 2024 , 46 ( 9 ): 802 - 805 .

曹蕙 , 王芳 . 阶段性语言康复训练在脑卒中后失语症患者中的应用 [J ] . 上海护理 , 2020 , 20 ( 9 ): 36 - 38 .

张玺 , 卢瑛 , 张红晓 , 等 . 早期语言康复训练对胶质瘤术后运动性失语症患者的疗效观察 [J ] . 现代消化及介入诊疗 , 2020 , 13 ( 1 ): 102 - 103 .

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