CAJ | 학술논문

目的：研发及应用失语症强化训练软件系统，观察其对脑卒中后失语的治疗效果。方法选取40例脑卒中后失语症患者，分为观察组和对照组，每组20例。对照组由言语治疗师对患者采用常规人工方法进行治疗，再由家属协助患者进行家庭自我训练，完成言语治疗师安排的作业项目；观察组由言语治疗师使用自行研发的失语症强化训练软件系统对患者进行治疗，再使用该系统生成的训练软件包在家庭环境进行强化训练。在治疗前后两组患者均采用汉语标准失语症检查表进行语言功能评估，统计并对比两组结果。结果治疗2个月后，两组患者的复述、口语表达、朗读、阅读理解、抄写、描写、听写等能力均比治疗前明显改善（ P＜0.05，P＜0.01），观察组疗效优于对照组，两组比较差异有统计学意义（P＜0.05，P＜0.01）。结论失语症强化训练软件系统的研发及应用效果满意，对脑卒中后失语患者进行计算机辅助强化训练能，能够有效改善患者的语言和理解能力。
목적：연발급응용실어증강화훈련연건계통，관찰기대뇌졸중후실어적치료효과。방법선취40례뇌졸중후실어증환자，분위관찰조화대조조，매조20례。대조조유언어치료사대환자채용상규인공방법진행치료，재유가속협조환자진행가정자아훈련，완성언어치료사안배적작업항목；관찰조유언어치료사사용자행연발적실어증강화훈련연건계통대환자진행치료，재사용해계통생성적훈련연건포재가정배경진행강화훈련。재치료전후량조환자균채용한어표준실어증검사표진행어언공능평고，통계병대비량조결과。결과치료2개월후，량조환자적복술、구어표체、랑독、열독리해、초사、묘사、은사등능력균비치료전명현개선（ P＜0.05，P＜0.01），관찰조료효우우대조조，량조비교차이유통계학의의（P＜0.05，P＜0.01）。결론실어증강화훈련연건계통적연발급응용효과만의，대뇌졸중후실어환자진행계산궤보조강화훈련능，능구유효개선환자적어언화리해능력。
Objective To investigate the therapeutic efficacy of aphasia strengthening training software system on aphasia patients after stroke .Methods Forty aphasia patients after stroke in our hospital were selected in recent years and randomly divided into observation group (n=20) and control group (n=20).In control group, speech therapists with routine and artificial method was provided , and family self training by the help of the family members to complete the speech therapist project arrangement were given to the subjects;while in observation group , speech therapists using self -developed aphasia training software system were provided , and the generated system training packages for training in the home environment were given .Before and after the treatment , the Chinese standard aphasia examination ( CRRCAE ) of language function evaluation were recorded for analysis .Results The repetition, oral expression, oral reading, reading, copying, description and dictation ability were significantly improved in both groups , while they were significantly in ob-servation group (P<0.05).Conclusion The aphasia training software system is well developed with satisfied efficacy on aphasia after stroke .