首页|基于语义特征分析的叙事句法训练在卒中后非流畅性失语患者中的应用

基于语义特征分析的叙事句法训练在卒中后非流畅性失语患者中的应用

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目的:探究基于语义特征分析的叙事句法训练对卒中后非流畅性失语患者的影响.方法:选取卒中后非流畅性失语患者69例.采用随机数字表法分为对照组35例接受常规言语康复训练、干预组34例接受基于语义特征分析的叙事句法训练.使用汉语失语症评定表(ABC)、日常生活交流能力评定法(CADL)、非语言性认知功能评估量表(NLCA)及汉密尔顿焦虑量表(HAMA)分别评估比较2组训练前后语言功能、一般认知功能及心理状态变化.结果:训练后2组ABC量表中言语流利性、听理解、命名、复述、阅读及总评分较训练前提高(P<0.05),训练后干预组ABC量表各项评分均高于对照组(P<0.05);2组训练后CADL评分较训练前评分提高(P<0.05),且干预组训练后记忆力、视空间及总评分均高于对照组(P<0.05);训练后2组非语言性认知功能评分高于训练前(P<0.05),且训练后干预组注意力、记忆力及视空间能力评分高于对照组(P<0.05);2组训练后焦虑量表评分较训练前评分降低,且干预组训练后评分低于对照组(P<0.05).结论:基于语义特征分析的叙事句法训练能有效改善卒中后非流畅性失语患者的语言功能、一般认知功能及心理焦虑状态.
Application of narrative syntax training based on semantic feature analysis in patients with non-fluent aphasia after stroke
Objective:To explore the impact of narrative syntax training based on semantic feature analysis on non-fluent aphasia after stroke.Methods:A total of 69 patients with non-fluent aphasia after stroke were selected.U-sing a random number table method,35 cases were divided into a control group receiving routine speech rehabilita-tion training,and 34 cases in an intervention group receiving narrative syntax training based on semantic feature a-nalysis.The changes of language function,general cognitive function and mental state of the two groups before and after the experiment were evaluated and compared with the Aphasia Battery of Chinese(ABC),comprehensive ac-tivities of daily living(CADL),non-language-based cognitive assessment(NLCA)and Hamilton Anxiety Scale(HAMA).Results:After the experiment,the scores of language fluency,listening comprehension,naming,retell-ing,and reading in the two groups were significantly improved compared to the pre-experiment scores(P<0.05).The scores of the language function scale in the intervention group after the experiment were higher than those in the control group(P<0.05).The daily life communication ability scores of the two groups after the experiment were significantly improved compared to the pre-experiment scores(P<0.05),and the intervention group had a higher score after the experiment than the control group(P<0.05).After the experiment,the scores of nonverbal cogni-tive function in the two groups were higher than those before the experiment(P<0.05),and the scores of atten-tion,memory,and visuospatial ability in the intervention group were higher than those in the control group(P<0.05).The scores of the anxiety scale in the two groups after experiments decreased compared to those before ex-periments,and those in the intervention group after the experiment were lower than those in the control group(P<0.05).Conclusion:Narrative syntax training based on semantic feature analysis can effectively improve language function,general cognitive function,and psychological anxiety state in patients with non-fluent aphasia after stroke.

aphasiaanalysis of semantic featuresnarrative syntaxspeech rehabilitation

张梦琴、何小俊、李薇薇、孙沛

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武汉大学人民医院老年病科,武汉 430060

失语症 语义特征分析 叙事句法 言语康复

武汉市科技局课题湖北省重点实验室开放项目

20130623010108202022KFH005

2024

中国康复
中国残疾人康复协会 华中科技大学同济医学院

中国康复

CSTPCD
影响因子:1.154
ISSN:1001-2001
年,卷(期):2024.39(2)
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