非流利型失语患者汉语反身代词指称理解障碍浅析  

The comprehension disorder of sentences containing Chinese reflexives in influent aphasia patients

作　　者：付光斌[1] 毛善平[1] 冯学锋[2] 许莉[1] 张乾[1] 董慧敏[1] 

机构地区：[1]武汉大学人民医院神经内科,430060 [2]武汉大学语言科学技术与当代社会建设跨学科创新平台

出　　处：《卒中与神经疾病》2009年第5期306-309,共4页Stroke and Nervous Diseases

基　　金：国家985工程"语言科学技术与当代社会建设跨学科创新平台"资助项目(编号985yk002);国家985工程"认知与神经信息科学平台"资助项目(编号904273258)

摘　　要：目的通过对比人称代词和反身代词在句子中指称理解受损表现的差异,分析汉语非流利型失语症患者反身代词指称理解障碍的特点,用以指导康复治疗。方法采用北京医科大学汉语失语症标准化检查法,将诊断为非流利型失语症的患者作为测试对象。设计相应(ABCDE型)句子,A型句和C型句含人称代词,B型句和D型句将人称代词替换汉语反身代词。通过听句子-配正确图和听句子-配错误图进行上述句子测试,把被试者测试的分数进行统计分析。结果10例失语症患者听句子-配图理解得分数明显低于对照组;失语症患者在听句子-配正确图理解所得分数中B型句组低于A型句组(P<0.05);D型句组低于C型句组(P<0.05)。结论汉语失语症患者的反身代词的指称受损伤程度相对于人称代词的指称受损伤程度较重,含反身代词的句子理解和加工过程具有独特性。Objective To explore the feature and mechanism of the comprehension of reflexives in Broca＇s aphasic individuals. Methods The ten aphasia patients with a lesion caused bv cerebrovascular disease and ten matched controls were studied. In the present study, the comprehension of sentences containing personal pronouns and reflexives was tested in a group of 10 agrammatic participants. Subjects were presented with meaning - utter-nce pairs and asked to decide if each pair was true or false according to a cartoon picture they saw. The participants were asked to answer ＇yes＇ or ＇no＇ We examine the comprehension of sentences containing personal pronouns and reflexives in a larger group of participants with Broca＇s aphasia and comparee these results in two groups. Results Subjects with Broca＇s aphasia had display difficulties in tasks involved in personal pronouns and reflexives（P〈0.05） ; These tasks contained more errors with reflexives than that with pronouns（P〈0. 05） . Conclusions There are obvious characteristics of Chinese reflexives in the patients with Broca＇s aphasia, which may be used as an objective evidence in making rehabilitation plane.

关 键 词：失语 约束理论 汉语反身代词 指称 语言测试 

分 类 号：R741[医药卫生—神经病学与精神病学]