三级语言指令训练对使用虚拟现实技术训练的老年脑卒中失语症患者的康复增效作用

doi:10.3969/j.issn.1003-9198.2026.07.011

摘要/Abstract

摘要： 目的观察三级语言指令训练对使用虚拟现实技术训练的老年脑卒中失语症患者的康复增效作用。方法回顾性分析2022年7月至2025年3月于四川大学华西医院康复医学科接受康复训练的98例老年脑卒中失语症患者,按照干预措施不同分为观察组(n=49)与对照组(n=49)。对照组予以常规语言训练及虚拟现实技术训练,观察组在对照组的基础上予以三级语言指令训练,干预时间均为8周。比较2组干预前后西方失语症成套测验(WAB)各维度评分、失语商(AQ)评分、NIHSS评分、MMSE评分、Barthel指数评分、医院版卒中后失语抑郁问卷(SADQ-H)评分的差异。结果干预后2组WAB各维度评分、AQ评分、MMSE评分、Barthel指数评分均高于干预前,NIHSS评分、SADQ-H评分均低于干预前,且观察组上述指标改善情况均优于对照组,差异均有统计学意义(P＜0.01)。结论相较于单纯应用虚拟现实技术,联合应用三级语言指令训练可提高老年脑卒中失语症患者语言功能、神经功能、认知功能、日常生活能力及负性心理的改善效果。

关键词: 脑卒中, 失语症, 三级语言指令, 虚拟现实技术, 语言功能

Abstract: Objective To evaluate the effect of virtual reality-assisted three-level language instruction training on rehabilitation in the elderly patients with post-stroke aphasia. Methods A retrospective analysis was conducted on 98 elderly patients with post-stroke aphasia who received rehabilitation training at Department of Rehabilitation Medicine, West Hospital, Sichuan University from July 2022 to March 2025. The patients were divided into the observation group (n=49) and the control group (n=49) based on different intervention measures. The control group received conventional language training and virtual reality training, while the observation group received three-level language instruction training on the base of the control group. Both groups received 8 weeks of training. The scores of each dimension of Western Aphasia Battery (WAB), aphasia quotient (AQ), National Institutes of Health Stroke Scale (NIHSS), Mini-Mental State Examination (MMSE), Barthel index, and Hospital Version Aphasia Depression Questionnaire (SADQ-H) were compared before and after the intervention in both groups. Results After the intervention, the scores of each dimension of WAB, AQ, MMSE, and Barthel index in both groups were higher than those before the intervention, while the NIHSS score and SADQ-H score were lower than those before the intervention in two groups. The improvements of the above indicators in the observation group were more significant than those in the control group(P<0.01). Conclusions Compared with virtual reality training alone, the combined application of three-level language instruction training can lead to greater improvements in language function, neurological function, cognitive function, activities of daily living, and psychological well-being among the elderly patients with post-stroke aphasia.

Key words: stroke, aphasia, three-level language instruction, virtual reality technology, language function

中图分类号:

田德英, 邹余婷, 罗朝斤. 三级语言指令训练对使用虚拟现实技术训练的老年脑卒中失语症患者的康复增效作用[J]. 实用老年医学, 2026, 40(7): 703-707.

TIAN Deying, ZOU Yuting, LUO Chaojin. Efficacy of a three-level language instruction protocol integrated with virtual reality on aphasia in elderly post-stroke patients[J]. Practical Geriatrics, 2026, 40(7): 703-707.

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