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目的听觉理解障碍是脑血管病失语症的常见症状 ,分析听觉理解各个过程的特点 ,对于汉语失语症的分类、比较东西方失语症的异同、探索语言在脑内加工过程的神经机制及言语康复具有一定意义。方法采用汉语失语检查法和听觉理解补充检查法 ,并结合CT、MRI技术 ,对不同类型汉语失语症听觉理解障碍各个过程的特点进行比较系统的研究。结果与结论①失语类型不同 ,听觉理解在各个层级受损程度也不同 ;②不同类型失语都存在音素辨别的损害或保留 ;③在词的理解上 ,多数失语存在程度不等的困难等级 ,皮质下失语无此特性 ,与英语失语症有一定的差别 ;④各种失语对被动句理解比主动句更困难 ;⑤各组失语中篇章理解损害均较重
Aims Auditory dysfunction is a common symptom of aphasia of cerebrovascular disease, analyzes the characteristics of each process of auditory comprehension, compares the classification of Chinese aphasia, compares the similarities and differences between the east and west aphasia, and explores the neural mechanism and speech rehabilitation of language processing in the brain Has some significance. Methods Chinese aphasia test and auditory comprehension supplementary test were used to study the characteristics of each process of hearing impairment in different types of Chinese aphasia with CT and MRI. RESULTS AND CONCLUSIONS ① The types of aphasia are different, and the level of impairment of auditory comprehension is also different at all levels. ② The different types of aphasia have the damage or retention of phoneme discernment. ③ In the comprehension of words, most aphasia have difficulty level, cortex Under aphasia without this feature, and English aphasia have a certain difference; ④ a variety of aphasia passive sentence understanding than the active sentence is more difficult; ⑤ each group of aphasia chapters understand the damage are heavier