| 张梦琴,何小俊,李薇薇,孙沛.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[J].中国康复,2024,39(2):76-80 |
| 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 |
| Application of narrative syntax training based on semantic feature analysis in patients with non-fluent aphasia after stroke |
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| DOI： |
| 中文关键词: 失语症 语义特征分析 叙事句法 言语康复 |
| 英文关键词: aphasia analysis of semantic features narrative syntax speech rehabilitation |
| 基金项目:武汉市科技局课题（2013062301010820）；湖北省重点实验室开放项目（2022KFH005） |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| 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. Using a random number table method, 35 cases were divided into a control group receiving routine speech rehabilitation training, and 34 cases in an intervention group receiving narrative syntax training based on semantic feature analysis. 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 activities 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, retelling, 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 cognitive function in the two groups were higher than those before the experiment (P<0.05), and the scores of attention, 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 experiments, 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. |
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