维语和汉语失写症的书写障碍特点及与脑损伤部位关系的初步分析  

Characteristics of Writing and Related Focuses in Brain in Patients with Uighur and Chinese Agraphia

作　　者：席艳玲[1] 巴努[1] 张小宁[1] 库尔班乃木.卡合曼[1] 王宝兰[1] 黄海霞[1] 

机构地区：[1]新疆医科大学第一附属医院,新疆乌鲁木齐市830054

出　　处：《中国康复理论与实践》2013年第12期1147-1151,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：新疆维吾尔自治区自然科学青年基金(No.2010211B18)

摘　　要：目的比较维语、汉语失写症的书写障碍特点及其与脑损伤部位的关系。方法采用汉语失语检查法(ABC)和翻译版(维语)ABC评定脑损伤后失语症患者的语言功能,特别关注其书写能力并进行分型,同时行头颅CT或MRI检查。结果 67例患者失写,其中37例维吾尔族,30例汉族,两组均以失语性失写为主,其病灶部位分布较广,涉及左侧大脑半球额、顶、颞叶和皮层下结构,但相对集中于左侧额顶颞叶较大面积损伤和基底节区。结论各型失写症的书写障碍特点不同,但同一类型维语、汉语失写症的书写障碍特点基本一致;书写行为依赖于大脑神经系统的协同作用。Objective To study the writing characteristics and related focuses in brain in patients with Uighur and Chinese agraphia. Methods Aphasia Battery of Chinese （ABC） and Uighur ABC were used to examine the characteristics of speaking and writing. The focues were observed with CT and MRI. Results 67 patients were with agraphia, in which 37 were Uigur and 30 were ethnic Han. Both groups mostly showed aphasic agraphia, the focuses were found in various areas in the brain, and mostly located on the left frontal, parietal, tempo- ral lobes and basal ganglion. Conclusion The characteristics of writing were various with the types of agraphia, but similar between Uighur and Chinese cases with same writing characteristics. Writing behavior relies on the cooperation of the whole neuromechanism.

关 键 词：维语 汉语 失写症 书写特点 病灶部位 

分 类 号：R651.1[医药卫生—外科学]