APHASIA AFTER STROKE - NATURAL-HISTORY AND ASSOCIATED DEFICITS
APHASIA AFTER STROKE - NATURAL-HISTORY AND ASSOCIATED DEFICITS
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DOI：
10.1136/jnnp.49.1.11
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发表时间：
1986-01-01
影响因子：
11
通讯作者：
ENDERBY, PM
中科院分区：
文献类型：
--
作者：
WADE, DT;HEWER, RL;ENDERBY, PM
对976例登记为急性中风患者的数据进行了分析，以确定语言障碍的自然史：这些患者来自对215，000人进行的为期28个月的社区调查。在卒中7天内评估的545例患者中，24%为失语症，28%无法评估。在第三周，超过90%的幸存者接受了测试。20%的受试者患有失语症。在6个月时，只有12%的幸存者有明显的失语症，但44%的患者和57%的护理人员认为言语异常。在7天内失语的患者中，40%在6个月时仍然如此;在3周时失语的患者中，60%仍然如此。早期和晚期失语症评分之间有很高的相关性。失语症与更严重的残疾（肢体无力的程度，功能丧失，智商丧失），并与社会活动的恢复不太好，但没有造成任何可测量的增加照顾者的压力。在一个25万人的卫生区，每年约有60名患者在急性中风后接受语言治疗。
Data relating to 976 patients registered as suffering an acute stroke has been analysed to determine the natural history of speech disturbance: these patients came from a community survey of 215,000 people over a 28 month period. Of the 545 patients assessed within 7 days of stroke, 24% were aphasic and 28% unassessable. At 3 weeks, when over 90% of survivors were tested. 20% of those tested had aphasia. At 6 months only 12% of survivors had significant aphasia, but 44% of patients and 57% of carers thought speech was abnormal. Of those aphasic within 7 days, 40% remained so at 6 months; 60% of those aphasic at 3 weeks remained so. There was a high correlation between early and late aphasia scores. Aphasia was associated with more severe disability (degree of limb weakness, loss of function, loss of IQ), and with a less good recovery of social activities, but did not cause any measurable increase in stress upon carers. In a Health District of 250,000 people, about 60 patients each year may be referred for speech therapy after an acute stroke.