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背景:利手一直作为判断语言优势半球的方法,汉字为表意文字,与拼音文字不同,语言优势半球可能也会不同。目的:分析母语为汉语的脑卒中患者利手与语言优势半球的关系。设计:病例观察。单位:牡丹江医学院附属红旗医院神经内科。对象:纳入牡丹江医学院附属红旗医院神经内科2003-02/2004-06住院的经CT或MRI证实的脑卒中患者400例。男249例,女151例;平均年龄(67.45±5.67)岁;病程2～4周。方法:应用北京医科大学第一医院神经内科的利手判定标准进行利手判定,应用西部失语检查法进行失语症的分类。主要观察指标:脑卒中患者利手与语言优势半球的关系。结果:按实际处理分析,400例均进入结果分析。①右利手366例,非右利手34例。②左侧半球病变237例,有169例失语的患者;右侧半球病变163例,有9例失语的患者。③右利手366例中,左侧半球病变218例,有158例失语;右侧半球病变148例,有7例失语。非右利手34例中,左侧半球病变19例,有11例失语;右侧半球病变15例,有2例失语。结论:母语为汉语的人种中,脑卒中患者右利手者优势半球多为左侧大脑半球,少数为右侧大脑半球;非右利手者优势半球仍多为左侧大脑半球,极少数为右侧大脑半球。
Background: Benefit has always been used as a method of judging the dominant hemisphere of the language. Chinese characters are ideographs. Different from pinyin characters, the dominant hemisphere may be different. OBJECTIVE: To analyze the relationship between the favorable hemisphere and the dominant language of stroke patients who are native speakers of Chinese. Design: Case observation. SETTING: Department of Neurology, Hongqi Hospital Affiliated to Mudanjiang Medical College. PARTICIPANTS: A total of 400 stroke patients admitted to Department of Neurology, Hongqi Hospital affiliated to Mudanjiang Medical College from February 2003 to June 2004 were enrolled. There were 249 males and 151 females, with an average age of (67.45 ± 5.67) years and duration of 2 to 4 weeks. Methods: The first hand hospital of Beijing Medical University, Department of Neurology, hand judgment criteria for the determination of profits, the application of western aphasia examination for aphasia classification. MAIN OUTCOME MEASURES: Relationship between hemiplegia and language proficiency in stroke patients. Results: According to the actual treatment analysis, 400 cases were entered into the result analysis. Right hand 366 cases, non-right hand 34 cases. ② The left hemisphere lesions 237 cases, 169 cases of aphasia patients; 163 cases of right hemisphere lesions, 9 cases of aphasia patients. ③ Right hand 366 cases, 218 cases of left hemisphere lesions, 158 cases of aphasia; right hemisphere lesions in 148 cases, 7 cases of aphasia. Non-right hand 34 cases, the left hemisphere lesions in 19 cases, 11 cases of aphasia; right hemisphere lesions in 15 cases, 2 cases of aphasia. CONCLUSIONS: Among ethnic Chinese native speakers, right hemisphere of right-handed patients in stroke patients are mostly left hemisphere and a few of right hemisphere. In non-right-handed patients, dominant hemisphere is still mostly left hemisphere, and very few For the right hemisphere.