目的：探讨进阶式言语训练法对脑卒中后基底节性失语症患者的康复效果。方法：选取基底节性失语症 患者18例，随机分为对照组和治疗组，各9例。对照组给予传统语言康复，治疗组给予进阶式言语训练法，均 治疗3周。于治疗前、后，采用波士顿诊断性失语检查法（BDAE）及西方失语测验量表（WAB）评价2组患者的 失语程度及言语功能。出院后随访3个月，采用BDAE量表评估失语程度并判定康复疗效。结果：治疗后，2 组的BDAE分级均较治疗前升高，且治疗组的BDAE分级高于对照组（P＜0.05）；2组的WAB量表各项评分均 高于同组治疗前（P＜0.05），且治疗组自发言语（信息量及流畅度）得分高于对照组（P＜0.05）。随访3个月后， 2组的BDAE分级继续提高，治疗组的总有效率（88.89%）高于对照组的总有效率（77.78%），但2组间差异均无 统计学意义（均P＞0.05）。结论：进阶式言语训练有助于改善卒中后基底节性失语症患者的言语功能。

To explore the rehabilitative effect of advanced speech training on patients with basal ganglia aphasia after stroke. Methods: Eighteen patients with basal ganglia aphasia were randomly assigned to the treatment group or control group, with 9 patients in each. The control group was given conventional language therapy, and the treatment group received advanced speech training, both for 3 months. Patients were assessed with the Boston Diagnostic Aphasia Examination (BDAE) and Western Aphasia Battery (WAB) before and after therapy. Patients were followed up 3 months after discharge and evaluated with the BDAE to investigate the degree of aphasia and rehabilitative effect. Results: After therapy, the BDAE score in both groups increased compared to before therapy, and the treatment group showed a greater score than the control group (P<0.05). Within each group, all WAB subscores were higher after therapy than before (P<0.05); furthermore, the treatment group showed a higher score in spontaneous speech (greater information and fluency) than the control group (P<0.05). Three months after discharge, the BDAE score in both groups continued to increase, but there was no significant difference between the groups (P>0.05). The total effectiveness rate of the treatment group (88.89% ) was greater than that of the control group (77.78% ), but not significantly (P>0.05). Conclusion: Advanced speech training is useful in improving speech function in patients with basal ganglia aphasia after stroke.