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床边失语症筛查:两种方法的比较。

Bedside screening for aphasia: a comparison of two methods.

作者信息

Al-Khawaja I, Wade D T, Collin C F

机构信息

Rivermead Rehabilitation Centre, Oxford, UK.

出版信息

J Neurol. 1996 Feb;243(2):201-4. doi: 10.1007/BF02444015.

DOI:10.1007/BF02444015
PMID:8750561
Abstract

A prospective study was carried out in 50 consecutive patients referred with suspected aphasia in order to compare the Frenchay Aphasia Screening Test (FAST) with the Sheffield Screening Test for Acquired Language Disorders (SST). The study included 32 men and 18 women with a mean (SEM) age 53.9 (2) years. The comprehension scores on the FAST were correlated with receptive skills on the SST r = 0.74 (P < 0.001). For expression, the correlation coefficient was r = 0.92 (P < 0.001) and the total scores of the two tests correlated closely r = 0.89 (P < 0.001). There was a positive correlation between total score on the FAST and the Short Orientation, Memory and Concentration test (SOMC) r = 0.86 (P < 0.001), and the total scores on the SST and SOMC r = 0.91 (P < 0.001). The Barthel index also correlated positively with the FAST r = 0.59 (P < 0.001) and SST r = 0.63 (P < 0.001). The study demonstrated that the two tests are simple, short and similar in their predictive value for the screening and diagnosis of aphasia. The SST was found to have additional advantages, as it does not require any special equipment or stimulus cards, and it was not affected by visual neglect.

摘要

对50例连续转诊的疑似失语症患者进行了一项前瞻性研究,以比较法国失语症筛查测试(FAST)和谢菲尔德后天性语言障碍筛查测试(SST)。该研究包括32名男性和18名女性,平均(SEM)年龄为53.9(2)岁。FAST的理解分数与SST的接受技能相关,r = 0.74(P < 0.001)。对于表达,相关系数为r = 0.92(P < 0.001),两项测试的总分密切相关,r = 0.89(P < 0.001)。FAST的总分与简易定向、记忆和注意力测试(SOMC)之间存在正相关,r = 0.86(P < 0.001),SST和SOMC的总分之间r = 0.91(P < 0.001)。巴氏指数也与FAST呈正相关,r = 0.59(P < 0.001),与SST呈正相关,r = 0.63(P < 0.001)。该研究表明,这两项测试简单、耗时短,在失语症筛查和诊断的预测价值方面相似。发现SST还有其他优点,因为它不需要任何特殊设备或刺激卡片,并且不受视觉忽视的影响。

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