语言障碍与脑梗死的相关因素分析

ANALYSIS OF LANGUAGE DISTURBANCE AND ITS RELEVANT FACTORS WITH CEREBRAL INFARCTION

目的本文分析了350例急性脑血管病患者的语言障碍情况。方法对有语言障碍的急性脑梗死患者应用“汉语失语症检查法”（草案）进行语言的检查。结果因多发性脑梗死或桥、延部梗死所致的球麻痹型语言障碍100例，脑干或小脑梗死所致的小脑语言40例，各类型失语症210例（其中外侧裂周失语71例（33．8％），分水岭区失语60例（28．6％），完全性失语31例（14．8％），命名性失语8例（3．8％），皮层下失语40例（19％）。CT（MRI）显示患者的病灶与失语类型相符合者195例（92．9％）。结论语言障碍与CT（MRI）显示的梗死灶及脑梗死部位有明显的相关性。

AIM To analyse the factors to language disturbance and the possible relationship with cerebral infarction. Method 350 cases of acute cerebral infarction were analysed about their language disturbance according to the Examination of Chinese Aphasia(draft)of acute cerebral infarction. Result 100 cases were found suffering from dysarthria caused by bulbar palsy resulted from multiple infarction in cerebrum,in pons or medulla oblongata ; 40 cases suffering from cerebellar language caused by infarction in brain stem or cerebellum and 210 cases were with various types of aphasia, CT and MRI showed that the intracranial lesions in 195 cases were consistently corresponded to the types of aphasia. Conclusion Disorders of speech and language are closely related to the different lesions and positions of cerebral infarction displayed through CT (MRI).