Abstract:

Objective　To analyze the effect of gradient training based on assessment of speech rehabilitation degree for patients with postoperative language dysfunction after intracranial aneurysms. Methods　One hundred patients taking intracranial aneurysm surgery at First Hospital, Xi'an Medical College between January 2020 and January 2023 were selected for the randomized controlled trial. The patients were divided into an observation group and a control group by the random number table method, with 50 cases in each group. There were 35 males and 15 females in the control group; they were (45.69±2.55) years old; their disease course was (2.48±0.21) years. There were 32 males and 18 females in the observation group; they were (45.65±2.48) years old; their disease course was (2.54±0.22) years. The control group took routine care, and the observation group took gradient training of assessment of speech rehabilitation degree. The next day after admission and after 6 months' intervention, the patients' language function, communication function, and life quality were assessed. t and χ² were used. Results　Before the intervention, there were no statistical differences in the scores of language function, communication function, and life quality between the two groups (all P>0.05). After the intervention, the scores of language function, communication function, and life quality in the observation group were higher than those in the control group [(128.52±9.45) vs. (123.52±8.46), (17.42±2.16) vs. (16.16±2.16), and (13.12±1.31) vs. (12.25±1.26)], with statistical differences (t=2.787, 2.917, and 3.385; all P<0.05). Conclusion　Gradient training based on assessment of speech rehabilitation degree for patients with postoperative language dysfunction after intracranial aneurysms can improve their language function, communication function, and life quality.

Key words:

Intracranial aneurysm, Language dysfunction, Evaluation of speech rehabilitation degree, Gradient training team

摘要：

目的　分析语言康复程度评估梯度训练对颅内动脉瘤术后语言功能障碍患者的影响。方法　采用随机对照试验，选取2020年1月至2023年1月西安医学院第一附属医院收治的100例颅内动脉瘤手术患者作为研究对象，以随机数字表法分为观察组（50例）和对照组（50例）。对照组男35例、女15例，年龄（45.69±2.55）岁，病程（2.48±0.21）年，实施常规护理；观察组男32例、女18例，年龄（45.65±2.48）岁，病程（2.54±0.22）年，实施语言康复程度评估梯度训练。对比两组患者干预前及干预后6个月的语言能力、交流能力、生活质量情况。统计学方法采用t检验、χ²检验。结果　干预前，两组患者语言能力、交流能力、生活质量评分比较，差异均无统计学意义（均P>0.05）。干预后，观察组语言能力、交流能力及生活质量总分均高于对照组［（128.52±9.45）分比（123.52±8.46）分、（17.42±2.16）分比（16.16±2.16）分、（13.12±1.31）分比（12.25±1.26）分］，差异均有统计学意义（t=2.787、2.917、3.385，均P<0.05）。结论　颅内动脉瘤术后语言功能障碍患者实施语言康复程度评估梯度训练，可有效提高患者语言能力及生活质量，加强其交流能力。

关键词:

颅内动脉瘤, 语言功能障碍, 语言康复程度评估, 梯度训练队