Clinical Observation On The Treatment Of Post-stroke Aphasia Recovery Period With Five-tone Therapy Combined With Language Rehabilitation Trainin

Objective:To observe the clinical efficacy and safety of five-tone therapy combined with language rehabilitation training in the treatment of post-stroke aphasia in recovery period.Methods:Randomized controlled studies were conducted to observe subjects admitted to Hunan Hospital of Integrated Traditional Chinese and Western Medicine(Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine)from December 2021 to January 2023 in the recovery period of post-stroke aphasia.Randomly assigned to the experimental group(routine internal medicine treatment+language rehabilitation training+five tone therapy)and the control group(routine internal medicine treatment+language rehabilitation training),with a course of 10 days and a follow-up of 1 month.The two groups used the China Rehabilitation Research Center Chinese Standard Aphasia Examination Scale(CRRCCAE),Aphasia Rating Scale(BDAE),the Chinese Poststroke Aphasia Quality of Life Scale(SAQOL-39g),and the Poststroke Aphasia Depression Assessment Scale(SADQ)for scoring comparison.Results:A total of 80 subjects were evaluated in this study,and a total of 57 subjects were effectively included in the analysis.Among them,28 were in the experimental group and 29 were in the control group.The two groups had no statistically significant differences in stroke type,gender,education level,comorbidities,age,disease course,and proportion of depression(P>0.05),indicating comparability.After 10 days of the experiment,there was no statistically significant difference(P>0.05)in the CRRCCAE single score,BDAE rating,SAQOL-39g single score,SADQ score between the experimental group and the control group.After one month of follow-up,there was no statistically significant difference between the two groups in terms of CRRCCAE score,BDAE score,SAQOL-39g score,and SADQ score(P>0.05).After one month of follow-up,there was no statistically significant difference in the CRRCCAE score,BDAE score,SAQOL-39g score,and SADQ results among the control group subjects compared within the group(P>0.05).After one month of follow-up,within the group comparison,the CRRCCAE score and BDAE rating results of the experimental group showed no statistically significant difference(P>0.05).The SAQOL-39g score and SADQ results showed statistically significant differences(P<0.05).Conclusion:Five tone therapy can improve the quality of life and depression of patients after stroke.If implemented in the long term,it may help improve the language proficiency of post-stroke aphasia recovery patients,thereby improving their oral expression.Overall,the five tone therapy is safe and easy to implement,and through training for family members,it can have a positive impact on aphasia patients after stroke,which is worthy of clinical promotion.