标记测验与LOTCA成套测验应用于脑卒中后失语症患者的相关性研究

Correlation study of Token Test and Loewenstein Occupational Therapy Cognitive Assessment in Chinese aphasia after stroke

目的探讨标记测验与洛文斯顿作业疗法认知评定量表（LOTCA）在汉语失语症中的相关性，为其在国内的临床应用提供客观依据。方法选择脑卒中后汉语失语症患者54例，采用日文版标记测验评定其语言功能，应用LOTCA成套测验评定其认知功能。对标记测验成绩与LOTCA成套测验的各分项分值及总分之间进行相关性分析和多元逐步回归分析。结果本组标记测验成绩与LOTCA成套测验中的各分琐分值及总分的Pearson相关分析和偏相关分析均有正相关关系（均P〈0．05），有统计学意义；多元逐步回归分析显示，入选为影响标记测验成绩的主要因素是知觉力。结论认知功能可促进脑卒中后失语症患者语言功能的改善，可能与认知功能的知觉有关。

Objective To study the correlation of Token Test and Loewenstein Occupational Therapy Cognitive Assessment in Chinese aphasia, and to offer objective basis for clinical application in China. Methods A total of 54 patients with aphasia after stroke were selected. Japanese revised Token Test was used to assess their language functions and Loewenstein Occupational Therapy Cognitive Assessment to assess their cognition functions. The associations between Token Test scores and every subentry scores, total scores on Loewenstein Occupational Therapy Cognitive Assessment were analyzed by using correlations analysis and multiple stepwise regression analysis. Results Correlations of Token Test scores and every subentry scores, total scores in LOTCA were significant （all P 〈 0. 05 ） by using Pearson correlations analysis and partial correlations analysis. Multiple stepwise regression analysis showed that the main factor which affected the scores of Token Test was Visual and Spatial Perception. Conclusions The cognition function can promote the improvement of language functions of patients with aphasia after stroke, which may be related mostly to the perception of cognition function.