Sarno M T, Levita E
Stroke. 1979 Nov-Dec;10(6):663-70. doi: 10.1161/01.str.10.6.663.
During a one year post-stroke period of observation, the recovery trend in treated aphasic patients was characterized by general progression in communication skill. The most notable improvement occurred on a measure of everyday function with changes worthy of note on tasks of auditory comprehension and spontaneous word production. In the first 6 months post-stroke, the greatest gain occurred in aphasic patients classified as Fluent, and the least gain in Global aphasics. On the auditory comprehension task, however, improvement was noted in all aphasics regardless of type. In contrast, during the latter half of the first year post-stroke, Fluent aphasics showed least and Global aphasics the greatest improvement. In spite of their progress, Global aphasic patients remained considerably more impaired than the other groups. That the Global aphasics remained so impaired was expected, but the extent and temporal characteristics of their progress in communicating was unexpected.
在中风后的一年观察期内，接受治疗的失语症患者的恢复趋势表现为沟通能力总体上不断进步。最显著的改善出现在日常功能指标上，在听觉理解和自发言语产出任务方面也有值得注意的变化。在中风后的前6个月，分类为流利型失语症患者的进步最大，而完全性失语症患者的进步最小。然而，在听觉理解任务中，无论失语症类型如何，所有患者都有改善。相比之下，在中风后第一年的后半段，流利型失语症患者的改善最小，而完全性失语症患者的改善最大。尽管取得了进展，但完全性失语症患者的受损程度仍比其他组严重得多。完全性失语症患者仍然如此受损在意料之中，但他们在沟通方面进步的程度和时间特征却出乎意料。
