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[用于痴呆诊断的语言流畅性测试]

[The verbal fluency test for the diagnosis of dementia].

作者信息

Sciarma T, Finali G, Mazzi P, Poli R, D'Alessandro P, Piccirilli M, Piccinin G L, Agostini L

机构信息

Laboratorio di Neuropsicologia, Clinica Neurologica, Università di Perugia.

出版信息

Riv Neurol. 1990 Sep-Oct;60(5):194-7.

PMID:2100040
Abstract

Two forms of verbal fluency test, phonological (FF) and semantic (FS) sets, have been administered to four groups of demented patients: 11 with Alzheimer-type dementia (DAT), 13 with multi-infarct dementia (MID), 8 with Parkinson-Dementia (P-D) and 11 with adult chronic hydrocephalus (ICA). Patients were matched for age, educational level and neuropsychological impairment pattern. Further, ten neurologically healty subjects were selected as control group. Control subjects result to be different from all other groups in both FF and FS; moreover, FF test results to be more impaired in ICA than in DAT. Furthermore, FF is more impaired than FS in P-D and ICA patients. On the basis of our results, verbal fluency tests might represent an useful instrument to differentiate demented subjects from non-demented ones and within demented groups to characterize the different neuropsychological pattern of the cortical and subcortical type of cognitive deterioration.

摘要

已对四组痴呆患者进行了两种形式的语言流畅性测试,即语音(FF)和语义(FS)组:11例阿尔茨海默病型痴呆(DAT)患者、13例多发梗死性痴呆(MID)患者、8例帕金森痴呆(P-D)患者和11例成人慢性脑积水(ICA)患者。对患者的年龄、教育水平和神经心理损伤模式进行了匹配。此外,选择了10名神经健康受试者作为对照组。对照组在FF和FS方面均与所有其他组不同;此外,ICA患者的FF测试结果比DAT患者更受损。此外,P-D和ICA患者的FF比FS受损更严重。根据我们的结果,语言流畅性测试可能是一种有用的工具,可用于区分痴呆患者和非痴呆患者,并在痴呆组内表征皮质和皮质下认知衰退类型的不同神经心理模式。

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