目的 研究言语听觉反馈训练治疗脑卒中后认知障碍(PSCI)患者临床效果以及对患者血清尿酸(UA)、神经元特异性 烯醇化酶(NSE)水平和认知功能的影响。方法 将64例PSCI患者随机均分为观察组(基础治疗+常规康复训练+言语听 觉反馈训练)和对照组(基础治疗+常规康复训练)，比较两组治疗效果。结果 治疗后，两组MoCA各领域评分及总分 均明显升高(P<0.05)，两组血清UA、NSE水平明显降低(P<0.05)，BI评分明显升高(P<0.05)，且观察组变化幅度更 大(P<0.05)。结论 Forbrain言语听觉反馈训练治疗PSCI患者可降低患者血清UA和NSE水平，减轻神经细胞损伤，改 善患者认知功能，促进患者康复。

Objective To study the clinical effects of speech auditory feedback training in patients with post-stroke cognitive impairment (PSCI) and its influence on levels of serum uric acid (UA) and neuron-specific enolase (NSE) and cognitive function. Methods 64 cases of patients with PSCI were randomly divided into observation group (basic treatment and routine rehabilitation training, speech auditory feedback training) and control group (basic treatment and routine rehabilitation training). The treatment effects were compared between the two groups. Results After treatment, the fields scores and total score of MoCA scale in the two groups were significantly increased (P<0.05) while the levels of serum UA and NSE in the two groups were significantly decreased (P<0.05), and the BI scores were significantly increased (P<0.05), and the changes were larger in observation group (P<0.05). Conclusion Forbrain speech auditory feedback training in patients with PSCI can reduce serum UA and NSE levels, reduce nerve cell damage, improve cognitive function and promote patients rehabilitation.