不同刺激模式下失语症命名能力的特征及治疗策略的研究

发布时间：2018-04-01 19:05

本文选题：失语症　切入点：刺激模式　出处：《华东师范大学》2014年硕士论文

【摘要】：命名障碍是失语症表达能力异常的表现之一。本研究采用黄昭鸣、KIMHa-kyung编制的“失语症评估软件系统”中口语表达—词语命名的测试部分,旨在考察不同类型失语症患者在不同刺激模式下的命名能力,并以此为基础进行相应的治疗策略研究。研究内容及结果包括以下方面： 1.失语症患者与正常人在不同刺激模式下命名能力的比较正常人在视觉、听觉、听视同时、听视继时刺激模式下的命名得分均为满分10,失语症患者在四种刺激模式下的命名能力均显著低于正常人。这提示对失语症患者命名障碍进行干预需要建立合理的期望值。 2.非流利型与流利型失语症在不同刺激模式下命名能力的比较非流利型与流利型失语症在视觉、听觉、听视同时、听视继时刺激模式下的命名能力均无显著性差异。 3.探究了非流利型失语症在不同刺激模式下的命名能力非流利型失语症的命名能力在视觉与听觉、听视继时与听觉刺激下存在显著性差异；在视觉刺激模式下的命名能力与听视继时刺激模式下的命名能力相近；两者均优于听视同时刺激模式下的命名能力,听觉刺激模式下的命名得分最低。这为非流利型失语症命名障碍治疗策略的制定提供了依据。 4.探究了流利型失语症在不同刺激模式下的命名能力流利型失语症患者在视觉与听觉、听觉与听视继时刺激、听视同时与听视继时刺激下存在显著性差异,在听视继时刺激模式下的命名能力优于视觉刺激模式下的命名能力；视觉刺激优于听视同时刺激,听视同时刺激优于听觉刺激。这为流利型失语症命名障碍治疗策略的制定提供了依据。 5.失语症命名障碍的治疗策略根据不同类型失语症患者命名能力的实际情况,本研究提出了非流利型和流利型失语症患者命名障碍的治疗框架。在治疗框架的指导下,进一步提出了较为系统的治疗策略,以期能对失语症命名障碍的临床治疗提供指导和借鉴。
[Abstract]:Nomenclature disorder is one of the manifestations of abnormal expression ability of aphasia.The purpose of this study was to investigate the nomenclature ability of aphasia patients under different stimulation modes by using the test part of the colloquial expression and the naming of words in the aphasia evaluation software system written by Huang Zhaoming and KIMHa-kyung.On the basis of this, the corresponding treatment strategies were studied.The contents and findings of the study include the following:1.Comparison of naming ability between aphasia patients and normal subjects under different stimulation modesThe nomenclature scores of the normal subjects in the visual, auditory, auditory and auditory modes were all 10, and the nomenclature ability of the aphasia patients in the four stimuli was significantly lower than that in the normal subjects.This suggests that the intervention of aphasia patients with nomenclature disorder requires the establishment of reasonable expectations.2.Comparison of nomenclature ability between non-fluency and fluency aphasia under different stimulation modesThere was no significant difference in nomenclature between non-fluency and fluency aphasia under visual, auditory, auditory and visual stimuli.3.This paper explores the naming ability of non-fluency aphasia under different stimulation modes.The nomenclature ability of non-fluency aphasia was significantly different from that of hearing, hearing and hearing, and the naming ability of visual stimulation was similar to that of auditory follow-up.Both of them were superior to the naming ability of the auditory stimulation model, and the auditory stimulation model had the lowest nomenclature score.This provides a basis for the formulation of strategy for the treatment of non-fluency aphasia nomenclature disorder.4.The nomenclature ability of fluency aphasia in different stimuli was explored.The nomenclature ability of the aphasia patients with fluency was better than that of the visual stimulation mode, the nomenclature ability of the auditory and visual follow-up mode was better than that of the visual stimulation mode. There were significant differences in the visual and auditory stimuli, the auditory and visual follow-up stimuli and the auditory and visual follow-up stimuli in the patients with fluency aphasia.Visual stimulation is superior to simultaneous auditory stimulation, and auditory stimulation is superior to auditory stimulation.This provides a basis for the formulation of strategy for the treatment of nomenclature disorder of fluency aphasia.5.Treatment Strategy of nomenclature Disorder in AphasiaAccording to the nomenclature ability of aphasia patients with different types of aphasia, this study proposed a therapeutic framework for nomenclature disorders in aphasia patients with non-fluency and fluency.Under the guidance of the treatment framework, a more systematic treatment strategy was put forward in order to provide guidance and reference for the clinical treatment of aphasia nomenclature disorder.
【学位授予单位】：华东师范大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R742

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