摘要
目的:探讨重型颅脑外伤后失语症患者与无失语症患者的认知状况及其与失语症的相关性。方法:选择2007年12月—2008年12月住院或门诊重型脑外伤患者,对符合标准的患者统一采用中国康总研究中心的失语症筛查量表(CRRCAE)进行检测,并结合临床表现、CT或MRI结果将患者分为失语组及无失语组;两组均应用洛文斯顿认知评定成套检测量表(LOTCA)检测;比较两组患者LOTCA检测结果,并将失语组患者CRRCAE量表的各项分值与LOTCA量表各项分值之间进行相关分析。结果:重型脑外伤后失语组患者与无失语组患者在定向、视知觉、空间知觉、动作运作、视运动组织、逻辑思维各项有显著性差异(P<0.01),失语组患者CRRCAE检查量表与LOTCA检查量表各项结果间有不同的相关性(P<0.01或P<0.05)。结论:重型脑外伤后失语症患者与无失语症患者的认知状况可能存在差异,这种差异可能与失语症的表现有关。
Objective： To explore the cognitive functions of the aphasia and without aphasia patients following severe traumatic brain injury, and the association of cognition and aphasia. Method：Patients following severe traumatic brain injury were selected and divided into two groups： aphasia group and without aphasia group by China rehabilitation research center aphasia examination（CRRCAE） test, clinical manifestations and the imagingof CT/MRI. Then cognitive functions of patients were detected by Loewenstein occupational therapy cognition assessment（LOTCA） test.The results of LOTCA test for aphasia and without aphasia patients were analyzed by using U test and the association of sub-items scores in CRRCAE and those in LOTCA were analyzed by Spearman correlation analysis. Result：There were significant differences between the aphasia and without aphasia patients in orientation,visual perception,spatial perception,motor praxis,visuomotor organization and thinking operation（P〈0.01）.The aphasia patients＇ sub-items scores in CRRCAE had different correlations with those in LOTCA （P〈0.01,or P〈0.05）. Conclusion：The patients with aphasia following severe traumatic brain injury may have different cognitive functions from without aphasia patients. The different manifestations of aphasia patients may result in the cognition differences.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2009年第7期622-625,共4页
Chinese Journal of Rehabilitation Medicine
关键词
重型脑外伤
失语症
认知
severe traumatic brain injury
aphasia
cognition
