[1]李舜,宋成宪,薛森新,等. 旋律语调疗法对Broca失语的恢复和事件相关电位的影响[J].中国医学物理学杂志,2019,36(6):732-735.[doi:DOI:10.3969/j.issn.1005-202X.2019.06.022]
　LI Shun,SONG Chengxian,XUE Senxin,et al. Effects of melodic intonation therapy on Broca aphasia recovery and event-related potentials[J].Chinese Journal of Medical Physics,2019,36(6):732-735.[doi:DOI:10.3969/j.issn.1005-202X.2019.06.022]
点击复制

 旋律语调疗法对Broca失语的恢复和事件相关电位的影响()
分享到：

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
36卷
期数:
2019年第6期
页码:
732-735
栏目:
医学生物物理
出版日期:
2019-06-25

文章信息/Info

Title:
 Effects of melodic intonation therapy on Broca aphasia recovery and event-related potentials
文章编号:
1005-202X（2019）06-0732-04
作者:
 李舜; 宋成宪; 薛森新; 林君; 刘小蓝
 广州医科大学附属第三医院康复医学科， 广东 广州 510150
Author(s):
 LI Shun;  SONG Chengxian;  XUE Senxin;  LIN Jun;  LIU Xiaolan
 Department of Rehabilitation Medicine, the Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China
关键词:
 ; 旋律语调疗法; Broca失语; P300; 事件相关电位
Keywords:
 ; Keywords: melodic intonation therapy;  Broca aphasia;  P300;  event-related potential
分类号:
R35；H014
DOI:
DOI:10.3969/j.issn.1005-202X.2019.06.022
文献标志码:
A
摘要:
 目的：探讨旋律语调刺激对Broca失语症患者听理解、复述和出声读等恢复及P300的影响。方法：选取40例Broca失语症患者随机分为试验组（n=20）和对照组（n=20），试验组用一些富有韵律的句子做发音训练，让患者使用夸张的韵律和重音来表达正常的语言；对照组采用常规言语治疗。治疗前和治疗后4周分别进行语言评定和事件相关电位（ERP）P300检查。结果：两组治疗后比较，试验组的语言评分明显改善，差异有统计学意义（P<0.05）；其中听理解、复述和出声读明显改善，差异有统计学意义（P<0.01）；说和阅读改善，差异有统计学意义（P<0.05）；计算、抄写、描写和听写评分差异无统计学意义（P>0.05）；同时P300潜伏期缩短（P<0.05），波幅明显增高（P<0.001）。结论：旋律语调疗法对Broca失语症的恢复有较好的效果，P300可作为评价Broca失语恢复的客观指标。
Abstract:
 Abstract: Objective To investigate the effects of melodic intonation stimulation on the recovery of auditory comprehension, retelling and audible reading and P300 in patients with Broca aphasia. Methods Forty patients with Broca aphasia were randomly divided into experimental group (n=20) and control group (n=20). In experimental group, some prosodic sentences were used for pronunciation training, and the patients were taught to use exaggerated prosody and stress to express normal language. The patients in control group were treated with conventional speech therapy. Language assessment and examination of (ERP) P300 were performed before treatment and 4 weeks after treatment. Results After treatment, the score of lingual functions in experimental group was significantly improved, with statistical significance (P<0.05). Remarkable improvements were found in auditory comprehension, retelling and audible reading, with statistical significance (P<0.01). Moreover, the abilities to speak and read were also improved, with statistical significance (P<0.05). However, no significant difference was found in the score of calculation, copying, description and dictation (P>0.05). The P300 latency was shortened (P<0.05) and the amplitude was significantly increased (P<0.001). Conclusion The patients with Broca aphasia can benefit from melodic intonation therapy, and P300 can be used as an objective index to evaluate the recovery of Broca aphasia.

相似文献/References:

[1]王遥,霍万里,熊壮,等.TACE手术中不同站姿下铅眼镜和铅面罩对医生眼晶状体防护效果的蒙特卡洛模拟比较[J].中国医学物理学杂志,2016,33(6):553.[doi:DOI:10.3969/j.issn.1005-202X.2016.06.003]
　[J].Chinese Journal of Medical Physics,2016,33(6):553.[doi:DOI:10.3969/j.issn.1005-202X.2016.06.003]
[2]张新,谷晓芳,王培臣,等.轻离子束治疗设备注册检验关键技术问题[J].中国医学物理学杂志,2016,33(6):559.[doi:10.3969/j.issn.1005-202X.2016.06.004]
　[J].Chinese Journal of Medical Physics,2016,33(6):559.[doi:10.3969/j.issn.1005-202X.2016.06.004]
[3]江芬芬,王培,康盛伟,等. 热释光剂量片测量肺部肿瘤放疗剂量的方法[J].中国医学物理学杂志,2016,33(6):564.[doi:10.3969/j.issn.1005-202X.2016.06.005]
　[J].Chinese Journal of Medical Physics,2016,33(6):564.[doi:10.3969/j.issn.1005-202X.2016.06.005]
[4]刘洪源,彭威,杨锐,等. 锥形束CT离线校正肺癌摆位误差[J].中国医学物理学杂志,2016,33(6):573.[doi:10.3969/j.issn.1005-202X.2016.06.007]
　[J].Chinese Journal of Medical Physics,2016,33(6):573.[doi:10.3969/j.issn.1005-202X.2016.06.007]
[5]赵彪,潘香,杨毅,等. 右乳癌保乳术后瘤床同步X线和后程电子线补量调强放疗剂量学比较[J].中国医学物理学杂志,2016,33(6):576.[doi:10.3969/j.issn.1005-202X.2016.06.008]
　[J].Chinese Journal of Medical Physics,2016,33(6):576.[doi:10.3969/j.issn.1005-202X.2016.06.008]
[6]邓南,钱建庭,刁现芬,等. 基于宽带检测放疗X-光光声效应仿体实验[J].中国医学物理学杂志,2016,33(9):865.[doi:DOI:10.3969/j.issn.1005-202X.2016.09.001]
　[J].Chinese Journal of Medical Physics,2016,33(6):865.[doi:DOI:10.3969/j.issn.1005-202X.2016.09.001]
[7]张先稳,李军,张西志,等. 宫颈癌术后5野调强放疗4个变量组合的最佳治疗模式的剂量学[J].中国医学物理学杂志,2016,33(9):872.[doi:10.3969/j.issn.1005-202X.2016.09.002]
　[J].Chinese Journal of Medical Physics,2016,33(6):872.[doi:10.3969/j.issn.1005-202X.2016.09.002]
[8]胡健,李承军,徐利明,等. 床面倾斜对剂量验证通过率的影响[J].中国医学物理学杂志,2016,33(9):881.[doi:10.3969/j.issn.1005-202X.2016.09.003]
　[J].Chinese Journal of Medical Physics,2016,33(6):881.[doi:10.3969/j.issn.1005-202X.2016.09.003]
[9]陈亚正,肖明勇,孙春堂,等. 准直器角度对宫颈癌术后VMAT计划的影响[J].中国医学物理学杂志,2016,33(9):885.[doi:10.3969/j.issn.1005-202X.2016.09.004]
　[J].Chinese Journal of Medical Physics,2016,33(6):885.[doi:10.3969/j.issn.1005-202X.2016.09.004]
[10]李毅,唐丰文,张晓智. 基于四维CT和锥形束CT确定非小细胞肺癌放疗靶区外放边界[J].中国医学物理学杂志,2016,33(9):892.[doi:10.3969/j.issn.1005-202X.2016.09.005]
　[J].Chinese Journal of Medical Physics,2016,33(6):892.[doi:10.3969/j.issn.1005-202X.2016.09.005]

备注/Memo

备注/Memo:
 【收稿日期】2019-01-18
【基金项目】广东省科技计划项目（2016ZC0140）
【作者简介】李舜，副主任医师，主要研究方向：语言康复与神经电生理，E-mail: shunli168668@163.com
更新日期/Last Update: 2019-06-25