中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2014年
6期
487-489
,共3页
王琪%刘晓加%吴积宝%李园
王琪%劉曉加%吳積寶%李園
왕기%류효가%오적보%리완
卒中%失语%认知功能障碍%非语言性认知功能评估量表
卒中%失語%認知功能障礙%非語言性認知功能評估量錶
졸중%실어%인지공능장애%비어언성인지공능평고량표
Stroke%Aphasia%Cognition disorders%NLCA
目的 探讨卒中后失语患者的非语言性认知功能特点.方法 纳入30例卒中后失语患者和30例卒中后非失语患者,对失语组采用汉语失语检查量表(Aphasia Battery of Chinese,ABC)进行失语评估,并用非语言性的认知功能评定量表(The Non-language-based Cognitive assessment,NLCA)评估卒中后失语患者和非失语患者的认知功能.用卒中后失语患者抑郁问卷(医院版)(Stroke Aphasic Depression Questionnaire Hospital Version,SADQ-H)评估卒中后失语患者的抑郁情绪,比较失语患者的抑郁情绪与认知功能损伤之间的关系.结果 失语组的NLCA总分(50.01±14.01)分显著低于非失语组(66.13±5.95)分,差异具有统计学意义(P＜0.05);失语组的NLCA总分及其各亚项分值均与ABC总分及其各亚项分值具有相关性(P＜0.01,P＜0.05);失语组SADQ-H总分(21.83±7.37)分显著高于非失语组SADQ-H总分(16.13±5.84)分,差异具有统计学意义(P＜0.01);失语组SADQ-H评分与NLCA总分呈显著负性相关(r=-0.468,P＜0.05).结论 卒中后失语患者存在非语言性认知功能障碍,并且失语患者抑郁情绪的严重程度对认知功能的损伤有影响.
目的 探討卒中後失語患者的非語言性認知功能特點.方法 納入30例卒中後失語患者和30例卒中後非失語患者,對失語組採用漢語失語檢查量錶(Aphasia Battery of Chinese,ABC)進行失語評估,併用非語言性的認知功能評定量錶(The Non-language-based Cognitive assessment,NLCA)評估卒中後失語患者和非失語患者的認知功能.用卒中後失語患者抑鬱問捲(醫院版)(Stroke Aphasic Depression Questionnaire Hospital Version,SADQ-H)評估卒中後失語患者的抑鬱情緒,比較失語患者的抑鬱情緒與認知功能損傷之間的關繫.結果 失語組的NLCA總分(50.01±14.01)分顯著低于非失語組(66.13±5.95)分,差異具有統計學意義(P＜0.05);失語組的NLCA總分及其各亞項分值均與ABC總分及其各亞項分值具有相關性(P＜0.01,P＜0.05);失語組SADQ-H總分(21.83±7.37)分顯著高于非失語組SADQ-H總分(16.13±5.84)分,差異具有統計學意義(P＜0.01);失語組SADQ-H評分與NLCA總分呈顯著負性相關(r=-0.468,P＜0.05).結論 卒中後失語患者存在非語言性認知功能障礙,併且失語患者抑鬱情緒的嚴重程度對認知功能的損傷有影響.
목적 탐토졸중후실어환자적비어언성인지공능특점.방법 납입30례졸중후실어환자화30례졸중후비실어환자,대실어조채용한어실어검사량표(Aphasia Battery of Chinese,ABC)진행실어평고,병용비어언성적인지공능평정량표(The Non-language-based Cognitive assessment,NLCA)평고졸중후실어환자화비실어환자적인지공능.용졸중후실어환자억욱문권(의원판)(Stroke Aphasic Depression Questionnaire Hospital Version,SADQ-H)평고졸중후실어환자적억욱정서,비교실어환자적억욱정서여인지공능손상지간적관계.결과 실어조적NLCA총분(50.01±14.01)분현저저우비실어조(66.13±5.95)분,차이구유통계학의의(P＜0.05);실어조적NLCA총분급기각아항분치균여ABC총분급기각아항분치구유상관성(P＜0.01,P＜0.05);실어조SADQ-H총분(21.83±7.37)분현저고우비실어조SADQ-H총분(16.13±5.84)분,차이구유통계학의의(P＜0.01);실어조SADQ-H평분여NLCA총분정현저부성상관(r=-0.468,P＜0.05).결론 졸중후실어환자존재비어언성인지공능장애,병차실어환자억욱정서적엄중정도대인지공능적손상유영향.
Objective To analyze the characteristics of the non-language-based cognitive function in patients with aphasia after stroke.Methods Thirty patients of the first infarction with aphasia and thirty stroke patients without aphasia were recruited.The aphasia deficits in patients were evaluated using the Aphasia Battery of Chinese(ABC).The non-language-based cognitive assessment scale (NLCA) was applied to analyze the cognitive function in the two groups.The stroke aphasic depression questionnaire hospital version (SADQ-H)was applied to analyze the depression in the two groups.Results The score in NLCA of the aphasia group was significantly lower than that of control group((50.01± 14.01)vs(66.13±5.95),P＜0.01).There was high correlation between the total and sub-scores of NLCA and ABC in both groups(P＜0.01,P＜0.05).The score in SADQ-H of the aphasia group was significantly higher than that of control group((21.83±7.37)vs(16.13±5.84),P＜0.01).The total score for the aphasia patients shown by the SADQ-H was negatively related with the total score of the NLCA(r=-0.468,P＜0.05).Conclusion There is non-language-based cognitive dysfunction in patients with aphasia after stroke,and the severity of depression affects cognitive function.
