首都医科大学学报 ›› 1999, Vol. 20 ›› Issue (3): 195-197.

• 论著 • 上一篇    下一篇

脑梗死与语言障碍的相关性研究

谢淑萍, 梁宝华, 郭冬梅   

  1. 首都医科大学宣武医院神经内科
  • 收稿日期:1999-01-15 修回日期:1900-01-01 出版日期:1999-07-15 发布日期:1999-07-15

The Association between Cerebral Infarction and Disorders of Speech

Xie Shuping, Liang Baohua, Guo Dongmei   

  1. Dept. of Neurology, Xuanwu Hospital, Affiliate of Capital University of Medical Sciences
  • Received:1999-01-15 Revised:1900-01-01 Online:1999-07-15 Published:1999-07-15

摘要: 应用“汉语失语症检查法(草案)”,检查了350例急性脑血管病患者的语言障碍情况。结果:因多发性脑梗死或桥、延部梗死所致的延髓性麻痹型语言障碍100例;脑干或小脑梗死所致的小脑语言40例;各类型失语症210例,其中外侧裂周失语71例(33.8%),分水岭区失语60例(28.6%),完全性失语31例(14.8%),命名性失语8例(3.8%),皮层下失语40例(19.0%).CT(MRI)显示患者的病灶与失语类型相符合者195例(92.9%).结果提示:语言障碍与CT(MRI)显示的梗死灶及脑梗死部位有明确的相关性。

关键词: 脑梗死, 语言障碍, 失语症

Abstract: Three hundred and fifty cases with acute cerebral infarction were included in this study for the analysis of language disturbances. According to the examination of Chinese aphasia(draft) of acute cerebral infarction (language disturbances). The series comprised 100 cases with dysarthria caused by bulbar palsy resulted from multiple infarction in cerebrum,infarction in pons or medulla oblongata,40 cases with cerebellar language caused by infarction in brain stem or cerebellum and 210 cases with various types of aphasia. The last group was sorted into peri-lateral fissure aphasia (n=71, 33.8%), watershed aphasia(60,28.6%), complete aphasia(31,14.8%),anomic aphasia(8,3.8%) and subcortical aphasia(40,19.0%). CT and MRI showed that the intracranial lesions corresponded to the types of aphasia in 195 cases(92.9%). The results showed that disorders of speech and language were related to the position of cerebral infarction and the lesion of CT(MRI).

Key words: cerebral infarction, disorders of speech and language, aphasia

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