| 张欣,张庆苏.左侧脑卒中后上肢运动功能与失语症的相关性分析[J].中国康复,2024,39(9):521-524 |
| 左侧脑卒中后上肢运动功能与失语症的相关性分析 |
| Correlation between post-stroke upper limb motor dysfunction and aphasia |
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| DOI：10.3870/zgkf.2024.09.002 |
| 中文关键词: 失语症 上肢 脑卒中 语言 |
| 英文关键词: aphasia upper limb stroke language |
| 基金项目: |
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| 摘要点击次数: 1759 |
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| 中文摘要: |
| 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CRRCAE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。 |
| 英文摘要: |
| 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 language functions. |
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