| 孙长慧,邱晓,白玉龙,张玉倩.语义特征分析法在脑卒中后非流畅性失语患者中的应用研究[J].中国康复,2025,40(12):716-720 |
| 语义特征分析法在脑卒中后非流畅性失语患者中的应用研究 |
| Application of semantic feature analysis in patients with post-stroke non-fluent aphasia |
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| DOI：10.3870/zgkf.2025.12.002 |
| 中文关键词: 失语症 语义特征分析 言语康复 |
| 英文关键词: aphasia semantic feature analysis speech rehabilitation |
| 基金项目:国家科技部重点研发计划（2022YFC3601204）；上海市宝山区科学技术委员会科技创新专项资金项目（21-E-04）；中西医协同重点科室建设项目（复旦大学附属华山医院康复医学科） |
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| 中文摘要: |
| 目的：探究语义特征分析法对脑卒中后非流畅性失语患者语言功能及一般认知功能的影响。方法：纳入脑卒中后非流畅性失语患者40例，采用随机数字表法分为对照组和干预组，每组各20例。对照组接受常规言语康复训练，干预组接受基于语义特征分析法的言语康复训练。使用西方失语成套测验(WAB)、非语言性认知功能评估量表(NLCA)分别评估比较2组训练前后语言功能、一般认知功能变化。结果：训练3周后，2组WAB量表中自发言语、流畅度、听理解、复述、命名及总分AQ值评分较训练前均有显著提高(P＜0.05)；训练后干预组WAB各项评分均高于对照组,但只有流畅度明显改善(P＜0.05)；训练后，除对照组执行功能方面无显著改善之外，2组非言语认知量表各项评分及总分均高于训练前(P＜0.05)；但训练后2组非言语认知量表各项评分及总分差异无统计学意义。结论：语义特征分析法能有效改善脑卒中后非流畅性失语患者的语言功能及一般认知功能，尤其在言语流畅度方面。 |
| 英文摘要: |
| Objective: To explore the effect of semantic feature analysis (SFA) on language function and general cognitive function in patients with post-stroke non-fluent aphasia. Methods：A total of 40 patients with post-stroke non-fluent aphasia were enrolled and randomly divided into a control group and an intervention group, with 20 cases in each group. The control group received conventional speech rehabilitation training, while the intervention group received speech rehabilitation training based on SFA. The Western Aphasia Battery (WAB) and Nonverbal Cognitive Assessment Scale (NLCA) were used to evaluate and compare changes in language function and general cognitive function before and after training in both groups. Results：After 3 weeks of training, scores of spontaneous speech, fluency, auditory comprehension, repetition, naming, and total Aphasia Quotient (AQ) in the WAB scale were significantly improved in both groups compared with those before training (P<0.05). After training, all WAB scores in the intervention group were higher than those in the control group, with a significant improvement only in fluency (P<0.05). After training, all scores and total scores of the nonverbal cognitive scale in both groups were higher than those before training (P<0.05), except for no significant improvement in executive function in the control group. However, there was no statistically significant difference in all scores and total scores of the nonverbal cognitive scale between the two groups after training. Conclusion: SFA can effectively improve language function and general cognitive function in patients with post-stroke non-fluent aphasia, especially in speech fluency. |
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