首页|左侧脑卒中后上肢运动功能与失语症的相关性分析

左侧脑卒中后上肢运动功能与失语症的相关性分析

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目的:观察左侧脑卒中患者上肢运动功能障碍和失语症之间的相关程度.方法:回顾性收集住院接受语言功能评估的438例患者资料,包括一般资料、汉语标准失语症检查表(CRRCAE)总分及分项得分、Fugl-Meyer运动功能评分上肢部分评分(FMA-UE评分),对以上数据进行相关性分析.按照病程将患者分为3组,病程≤30d的患者108例,30d<病程≤90d的患者219例,病程>90d的患者111例.结果:CRRCAE总分与FMA-UE得分之间有相关性(r=0.55~0.65,P<0.01);3组的CRRCAE总分、各分项得分,均与FMA-UE得分之间有相关性(P<0.01),CRRCAE总分与FMA-UE得分之间存在中度正相关关系(r=0.55~0.65,P<0.01),病程>90d的患者有最强的相关性(r=0.65,P<0.01).将损伤部位作为控制变量,对以上数据进行了偏相关分析,3组的CRR-CAE总分、各分项得分,与FMA-UE得分之间仍然存在轻中度的正相关关系(P<0.01).结论:左侧脑卒中患者失语与上肢运动功能之间存在正相关关系,临床中可考虑设计一些运动相关的失语症训练方法,来改善语言功能.
Correlation between post-stroke upper limb motor dysfunction and aphasia
Objective:To observe the degree of correlation between upper limb motor dysfunction and aphasia.Methods:The clinical data were retrospectively collected and analyzed on 438 patients hospitalized for assessment of language function,including basic information,total and sub-scores of the Chinese Rehabilitation Research Center Aphasia Examination(CRRCAE),and upper limb scores of the Fugl-Meyer Motor Function Assessment(FMA-UE).Results:There was a significantly positive correlation between the total and sub-scores of the CRRCAE and the FMA-UE scores(P<0.01).After using the lesion site as a control variable for partial correlation analysis,the results still indicated a mild to moderate positive correlation between the total and sub-scores of CRRCAE and FMA-UE scores(P<0.01).Conclusion:There is a positive correlation between aphasia and upper limb motor function.Clinically,it is feasible to consider designing aphasia training methods related to physical movement to improve lan-guage functions.

aphasiaupper limbstrokelanguage

张欣、张庆苏

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首都医科大学康复医学院,北京 100068

中国康复研究中心北京博爱医院,北京 100068

失语症 上肢 脑卒中 语言

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(9)