脑卒中后基底节性失语症的特征  

Characteristics of basal ganglia aphasia after stroke

作　　者：孔亚婷[1] 潘希峰[1] 张其梅[2] 

机构地区：[1]三峡大学第一临床医学院宜昌市中心医院老年病科,湖北省宜昌市443003 [2]三峡大学第一临床医学院宜昌市中心医院神经科,湖北省宜昌市443003

出　　处：《中国临床康复》2006年第22期116-119,共4页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:脑卒中后基底节性失语症为临床常见疾病,但是否皮由质下结构导致了这些失语仍存在争论。基底节性失语症有特定的神经语言学特征,选择针对性语言康复治疗是有效的。资料来源:应用计算机检索中国期刊全文数据库1988-01/2005-12与脑卒中、皮质下及基底节性失语及语言康复相关的文献,检索词为“脑卒中、基底节性失语、语言康复”,限定语言种类为中文,同时检索Medline1982-01/2005-12的关于失语症的文献,检索词包括basalganglia,Subcorticalaphasia,apraxiaofspeech等,并限定文章语言种类为English。并手工查阅与之内容相关的书籍若干。资料选择:对资料进行初审,选择与脑卒中后基底节性失语症的病理机制,神经语言学特征,失语症诊断方法,语言康复方法相关的文章,然后筛除与以上要求无明显联系的文章。纳入标准:详细阐述基底节失语症的临床特征、神经语言学发病机制、康复治疗方法相关文献。排除标准:重复性研究。资料提炼:共收集到95篇关于基底节失语症的文献,涉及基底节失语症临床特征文献31篇,其中神经语言学发病机制篇45篇,失语症评估及分类5篇,康复治疗方法14篇。排除65篇选择符合标准的30篇用于综述。资料综合:对脑卒中后基底节性失语的定义,研究现状进行简明介绍,在此基础上详述基底节性失语复杂的神经语言学特征,从临床失语症状组合出发,进行失语症评估,探讨失语症状与病灶部位的关系,了解脑卒中后基底节性失语症患者的病态语言行为发生机制,为验证语言在脑内加工过程的神经机制提供重要资料;另一方面阐述脑卒中后基底节性失语症患者语言康复治疗方法。结论:脑卒中后基底节性失语为临床常见疾病,有其特定的神经语言学特征,基底节结构参与语言形成过程,其机制有待进一步证实。选择针对性语言康复治疗是有效的。神经�OBJECTIVE： Basal ganglia aphasia after stroke is a common disease on clinic. Whether the basal ganglia aphasia lead to aphasia is still on controversy. Basal ganglia aphasia has its definite neurolinguistics characteristics, and the effect of pertinence language training is effective. DATA SOURCES： An overall retrieval for stroke, subcortex, basal ganglia aphasia and language rehabilitation materials was performed on China Journal Full-text Database （CJFD） published from January 1988 to December 2005 with the key words of ＂stroke, basal ganglia aphasia and language rehabilitation＂ in Chinese. Simultaneously, Medline database was searched for articles about aphasia pulished from January 1982 to December 2005 with the key words of ＂basal ganglia, Subcortical aphasia, apraxia of speech＂ and so on in English, and books on this content were looked for handiwork. STUDY SELECTION： Data were selected primarily, and the articles of pathomechanism, neurolinguistics characteristics, diagnostic method of aphasia, rehabilitation approach of language of basal ganglia aphasia after stroke were selected. The articles had no significant relation with the above criteria Were excluded. Inclusive criteria： The articles detailedly explained clinical feature, pathogenesy of neurolinguistics and approach of rehabilitative treatment of basal ganglia aphasia. Exclusive criterion： the study of reproducibility. DATA EXTRACTION： Totally 95 literatures of basal ganglia aphasia were collected. Of them, 31 articles involved in the clinical philology feature, 45 on pathogenesy of neurolinguistics, 5 on evaluation and classification of aphasia, 14 on approach of rehabilitative treatment. Thirty articles accorded with the inclusive criteria were collected for review, and 65 articles were excluded. DATA SYNTHESIS： Concisely introduced the definition, past investigation of basal ganglia aphasia after stroke, then dwelled on the multiplicity neurolinguistics characteristics. Aphasia evaluation was dependent upon clinical lo

关 键 词：中风(中医) 失语症 语言 康复 综述文献 

分 类 号：R767.6[医药卫生—耳鼻咽喉科]