患有帕金森病和深度大脑刺激的成年人群中的语言-认知特征:一项比较研究
Alejandro Cano-Villagrasa1, Miguel López-Zamora2, Lorena Romero-Moreno3
1Faculty of Health Sciences, Valencian International University (VIU), 46002 Valencia, Spain.
European journal of investigation in health, psychology and education
|February 23, 2024
概括
帕金森病 (PD) 患有深度大脑刺激的患者随着疾病的进展,表现出语言和认知能力的下降. 早期PD患者 (I期) 的表现明显好于后期 (II和III期) 的患者.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 语音和语言病理学 语言病理学
背景情况:
- 帕金森病 (PD) 的特点是运动和非运动障碍,包括语言,沟通和认知方面的缺陷.
- 深度大脑刺激 (DBS) 手术改善了PD的运动症状,但可能会加剧语言和认知能力的下降.
- 随着疾病的进展,这种下降变得更加明显,影响患者的自主性和生活质量.
研究的目的:
- 为了比较经过DBS的帕金森病患者在不同疾病阶段的语言认知表现.
- 评估疾病进展对患有DBS的PD患者语言和认知功能的影响.
主要方法:
- 这是一项涉及60名PD患者的准实验性,横截面研究.
- 根据疾病阶段,参与者被分为三个组:第一阶段 (n=20),第二阶段 (n=20) 和第三阶段 (n=20).
- 使用MoCA,ACE-III和MetAphas测试来评估语言认知功能,数据通过MANOVA进行分析.
主要成果:
- 在疾病不同阶段的语言认知表现中观察到统计学上显著的差异 (p < 0.05).
- 第一阶段的患者表现优于第二阶段和第三阶段的患者.
- 一个明显的语言和认知能力下降的趋势是显而易见的,随着PD的进展阶段.
结论:
- 帕金森病的疾病进展在患有DBS的患者中显著损害了语言和认知功能.
- 观察到的下降会对患者的自主权和整体生活质量产生负面影响.
- 早期干预和管理策略对于缓解这些非运动性缺陷至关重要.
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