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

作　　者：张欣[1,2] 张庆苏[1,2] Zhang Xin;Zhang Qingsu(China Rehabilitation Research Center,Beijing Bo’ai Hospital,Beijing 100068,China)

机构地区：[1]首都医科大学康复医学院,北京100068 [2]中国康复研究中心北京博爱医院,北京100068

出　　处：《中国康复》2024年第9期521-524,共4页Chinese Journal of Rehabilitation

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。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.

关 键 词：失语症 上肢 脑卒中 语言 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]