脑卒中后汉语失语症病变部位及其自然恢复的初步研究  

Relationships Between the Lesion Regions and Types of Chinese Aphasia in Patients after Stroke and the Recovery of Aphasia

作　　者：韩剑虹[1] 朱榆红[1] 熊静[1] 刘豫霞[1] 李燕[1] 严勇[1] 殷梅[1] 

机构地区：[1]昆明医学院第二附属医院神经内科,云南昆明650101

出　　处：《中国康复》2003年第1期15-17,共3页Chinese Journal of Rehabilitation

摘　　要：目的 :前瞻性研究脑卒中后汉语失语症类型与病变部位的关系及对其自然恢复的影响。方法 :脑卒中后汉语失语症患者 30例分别在脑卒中后第 10 5d、1、2、4及 6个月时 ,用同一套语言测评材料进行语言评定。结果 :同一病变部位所致失语症的类型可不同 ,最复杂的是基底节 ,并且同一类型失语症可由不同病变部位产生。30例不同类型失语症患者的语言能力在 6个月内均获得不同程度的自然恢复。除完全性失语外 ,各类失语在第1～ 2个月内恢复最明显。听理解、口语表达和阅读恢复最好 ,其次为复述 ,书写的恢复最差。丘脑性失语和基底节性失语恢复最好 ,运动性失语恢复较好 ,感觉性失语恢复较差 ,完全性失语恢复最差 ,经皮质失语和传导性失语因病例数太少而不能充分反映其自然恢复情况。结论 :脑卒中后汉语失语症的病变部位与类型关系复杂。其自然恢复与失语症类型有关。Objective:To prospectively study the relationships among spontaneous recovery, the lesion regions, and types of Chinese aphasia in patients after stroke. Methods:Thirty cases of Chinese aphasia after stroke were initially tested at a mean of 10.5 days post-onset and reassessed at 1, 2, 4, 6 months, using the same Chinese aphasia test . Results:All patients showed spontaneous recovery to varying degrees. Except for complete aphasia patients, recovery happened mostly within 2 months, and lasted for 5 to 6 months. Listening comprehension, oral expression and reading comprehension got the best recovery within 1 month. Oral repetition recovery started within 2 months. Writing recovery showed the worst recovery, and the recovery started only after 2 to 4 months. Aphasia recovery was related to the lesion regions and type in the patients with Chinese aphasia after stroke nation.The patients with Broca aphasia, Basel Ganglion aphasia, and Thalamic aphasia showed better improvement than that of complete aphasia. Conclsuion:The aphasia recovery was related to the lesion regions. There was a complicated relationship between lesion regions and types in the patients with Chinese aphasia after stroke.

关 键 词：脑卒中 汉语失语症 自然恢复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]