不同型失语症患者的复述障碍  

Repetition disturbance of the patients with aphasia of various types

作　　者：高素荣[1] 刘献增[1] 

机构地区：[1]北京大学第一医院神经科,硕士研究生100034

出　　处：《卒中与神经疾病》2001年第5期259-261,共3页Stroke and Nervous Diseases

基　　金：国家自然科学基金资助项目 (3 9870 2 5 0 )

摘　　要：目的　探讨不同型失语症患者的复述障碍特点。方法　设计 8组近音单字词及词的图画 ,对不同型失语症患者做复述检查。结果　 3例传导性失语症患者复述障碍最重 ,复述错误主要为音位性错语 ,但大多配画正确 ;3例经皮质感觉性失语症患者的复述错误中 ,9个音位性错语及 2个词义性错语 ,大多错语配画正确 ,但 16个复述正确的词配错画 ;7例经皮质运动性失语症患者中 ,5例复述和配画全对 ,另 1例口语表达表现为语音障碍 ,1例在复述中有持续现象。结论　本文三型失语症患者复述障碍的特点不同 ,揭示其复述障碍各有不同的病理生理机制。Objective To investigate the characteristics of repetition disturbance in the patients with aphasia of various types. Methods We designed 8 groups of similar sound single words and their pictures, and examined repetition of the patients with aphasia of various types.Results The repetition disturbance of 3 patients with conduction aphasia was the severest. The repetition errors were dominantly phonemic paraphasia, but most of them were matched pictures correctly. There were 2 semantic paraphasia and 9 phonemic paraphasia in repetition of 3 patients with transcortical sensory aphasia, most paraphasias were matched pictures correctly, but 16 words repeated correctly were matched pictures incorrectly. Among 7 patients with transcortical motor aphasia, repetition and matching pictures of 5 cases were correct, Oral expression of one patient showed phonetic disturbance, and another one had perseveration phenomenon in his repetition. Conclusion The characteristics of the repetition disturbance in 3 types of aphasics in this article were different, this suggested that their repetition disturbance had different pathophsiological mechanism.

关 键 词：失语症 复述 音位性错语 语音障碍 持续症 

分 类 号：R767.64[医药卫生—耳鼻咽喉科]