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目的揭示母语为汉语的失语症类型与病变部位之间的关系。方法记录2002年2月2005年2月入院的1198例脑梗死患者的病变部位,进行失语症初步筛查;对符合入选标准的325例急性脑梗死患者,应用西部失语成套测验进行失语症的分类,应用波士顿诊断性失语严重程度分级标准进行失语症严重程度分级,并进行CT、MRI检查。结果1198例脑梗死患者中,有5例患者Broca区受累,4例患者Wernicke区受累,却没有引起失语症候群。在325例入选病例中,西部失语成套测验评定结果为Broca失语83例,Wernicke失语48例,完全性失语58例,传导性失语12例,经皮质运动性失语36例,经皮质感觉性失语17例,经皮质混合性失语19例,命名性失语52例。病变部位位于经典语言中枢的240例,非语言中枢受累85例;波士顿诊断性失语严重程度分级标准评定结果:0级84例,1级79例,2级77例,3级63例,4级22例,其中失语严重程度为0级、1级的患者多为经典的语言中枢受累。结论多数失语症的类型与病变部位之间的关系符合经典的失语症模式,非语言中枢病变也可引起失语,病变部位位于语言中枢的失语症患者失语程度严重。
Objective To reveal the relationship between the type of aphasia and the lesion site whose mother tongue is Chinese. Methods A total of 1198 patients with cerebral infarction who were hospitalized in February 2005 and February 2005 were enrolled in the study. Aphasia was initially screened. A total of 325 patients with acute cerebral infarction who met the criteria for inclusion were included in this study. The severity of aphasia was graded according to the Boston Diagnostic Aphasia Severity Grading Scale and CT and MRI were performed. Results Among the 1198 patients with cerebral infarction, 5 patients were involved in Broca area and 4 patients were involved in Wernicke area, but no aphasia was found. Among the 325 selected cases, Western Aphasia Complete Set test was evaluated in 83 cases of Broca aphasia, 48 cases of Wernicke aphasia, 58 cases of complete aphasia, 12 cases of conductive aphasia, 36 cases of cortical aphasia, cortical sensory aphasia 17 Cases, 19 cases of cortical mixed aphasia, naming 52 cases of aphasia. There were 240 cases of lesion located in the classical language center and 85 cases of non-verbal center involvement. Results of the Boston Diagnostic Aphasia Severity Rating Criteria were as follows: Level 0 84, Level 1 79, Level 2 77, Level 3 63, Level 4 Among the 22 cases, the severity of aphasia was grade 0, and the grade 1 patients were mostly affected by the classical language central. Conclusions The relationship between the types of most aphasia and the lesion is in line with the classical pattern of aphasia. Nonverbal central lesion can also cause aphasia, and the aphasia of the aphasia with the lesion located in the language center is serious.