LOTCA成套测验与西方失语症成套测验的相关性研究  

Correlation study of the Loewenstein Occupational Therapy Cognitive Assessment and the Western Aphasia Battery

作　　者：于秀荣[1] 于增志[2] 

机构地区：[1]解放军总医院手术室,北京100853 [2]解放军总医院康复医学科,北京100853

出　　处：《中华现代护理杂志》2008年第7期852-855,共4页Chinese Journal of Modern Nursing

摘　　要：目的研究洛文斯顿作业疗法认知评定量表（LOTCA）与西方失语症成套测验（WAB）的相关性，为临床应用提供可靠性依据。方法选择脑损害后汉语失语症患者37例，应用LOTCA成套测验评定其认知功能，采用WAB成套测验评定其语言功能。对LOTCA成套测验的各分项分值及总分与WAB成套测验中的各分项分值及失语商、操作商、大脑皮质商之间的关系分析，采用SPSS12．0软件进行Pearson相关分析、偏相关分析。结果37例脑损害后失语症患者全部进入结果分析。LOTCA成套测验的总分和WAB的失语商、操作商、大脑皮质商均有显著性正相关（P〈0．01）；LOTCA成套测验中的知觉力、思维运作能力分项分值和WAB中各个亚项均有显著性正相关关系（P〈0．01）；LOTCA成套测验中的定向力、视运动组织能力的得分除和WAB中的复述无显著性相关关系（P〉0．05）之外，而与其他变量均有显著性正相关关系（P〈0．05）。结论认知功能与语言功能有高度密切关系，LOTCA成套测验可用于脑损害后汉语失语症的认知功能评定。Objective To study the correlation of the Loewenstein Occupational Therapy Cognitive Assessment and the Western Aphasia Battery, and to offer trusty warrant for clinical application. Methods A total of 37 patients with aphasia following brain lesions were selected, They received an evaluation by the Loewenstein Occupational Therapy Cognitive Assessment for their recognition function, and an evaluation by the Western Aphasia Battery for their language function. The association between every subentry scores, total scores on the Loewenstein Occupational Therapy Cognitive Assessment and the western aphasia battery of every subentry scores, aphasia quotient ,performance quotient and cortical quotient was analyzed by using Pearson correlations analysis, partial correlations analysis, with the program SPSS 12.0. Results All 37 patients were involved in the result analysis. Correlations of total scores in LOTCA and the aphasia quotient, the performance quotient, the cortical quotient in WAB were positively significant （ P 〈 0. 01 ）. Correlations of Visual and Spatial Perception,Thinking Operations subentry scores, total scores in LOTCA and every subentry scores in WAB were positively significant （P 〈 0. 01 ）, Correlations of Orientation, Visual Motor Organization subentry scores in LOTCA and repetition in WAB were not significant （P 〉0. 05）. However, correlations of it and other items in WAB were significant （ P 〈 0. 05）. Conclusions The relation between Language function and cognitive function was highly close correlated. The LOTCA can be clinically used to evaluate the Chinese aphasia subjects with cognitive problems after brain lesions.

关 键 词：失语症 认知功能 洛文斯顿作业疗法认知评定量表 西方失语症成套量表 

分 类 号：R74[医药卫生—神经病学与精神病学]