脑卒中交叉性失语的临床研究  

Clinical Analysis of Crossed Aphasia Patients Sufferd Apoplexy

作　　者：金雪红[1] 姚潇涵 

机构地区：[1]江苏省苏州市立医院北区神经内科,215008

出　　处：《实用心脑肺血管病杂志》2012年第11期1778-1779,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨交叉性失语的发病机制、特点、发病率及预后。方法比较左右两侧大脑半球卒中出现失语的比例,并将失语患者进行波士顿诊断性失语检查法(BDAE)严重程度分级,了解失语严重程度的分布,3周后观察两者的治疗有效率。结果左侧卒中患者伴失语196例(占61.1%),而交叉性失语9例(占6.7%),两组比较差异有统计学意义(P<0.05)。左半球失语148例为运动性失语,占75.51%;交叉性失语7例为运动性失语,占77.78%,两组比较差异无统计学意义(P>0.05)。3周后196例左半球失语治疗有效142例,有效率为72.45%;9例交叉性失语治疗有效8例,有效率为88.89%,两组比较差异无统计学意义(P>0.05)。结论交叉性失语的发生率显著低于左半球失语,且以运动性失语多见,交叉性失语的预后比较理想。右半球的语言功能可能为失语康复开辟新的途径。Objective To approach the pathogenesy,characteristic,attack rate and prognosis of crossed aphasia.Methods Comparison of left and right cerebral hemisphere stroke appear aphasia proportion,and aphasia patients BDAE severity grading,understanding of aphasia severity distribution,after 3 weeks of observation on treatment efficiency.Results The left stroke patients with aphasia in 196 cases（61.1%）,while the right side stroke patients with aphasia in 9 cases（6.7%）,the two groups had significant difference（P0.05）.After 3 weeks in 196 patients with left hemisphere aphasia therapy was effective in 142 cases,efficiency is 72.45%;9 cases of crossed aphasia therapy was effective in 8 cases,effective rate was 88.89%,no significant differences between the two groups（P〉0.05）.Conclusion Crossed aphasia occurring rate was significantly lower than that of the left hemisphere aphasia,and motor aphasia rare,crossed aphasia prognosis compared to ideal.Right hemisphere language function may open up a new way for the rehabilitation of aphasia.

关 键 词：卒中 交叉性失语 发生率 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]