失语症患者的心理障碍特点及发生机制

A study of psychological disorders on poststroke aphasia.

目的研究失语症患者的心理障碍特点及可能发生的机制。方法采用症状自评量表(SCL-90)对108例失语症患者(失语组)进行评定,并与104例卒中无失语患者(对照组)对比。结果失语组各因子均分大多高于对照组,以抑郁、焦虑及躯体化得分最高。前部失语总症状指数(GSI)(1.76±0.37),抑郁因子分(2.19±0.61);后部失语GSI为(1.82±0.49),焦虑因子分(1.90±0.39),皮层性失语GSI>皮层下失语,双侧病变GSI>单侧病变。结论失语症患者心理障碍发生率为63.89%,明显大于卒中无失语组,主要表现为抑郁、焦虑及躯体化。心理障碍的发生机制可能与病变部位、侧位、失语类型及失语程度有关。

Objective To study the pathogenesis and characteristics of the psychological disorders of aphasia patients.Method SCL 90 were performed in 108 aphasia patients(aphasia group).It was compared with 104 poststroke patients without aphasia(control group).Result Each item core in aphasia group was significantly higher than that of control group.The items with higher core were depression, anxiety and somatization.GSI of the anterior aphasics was higher than that of posterior aphasics.GSI of cortical aphasics was higher than that of subcortical aphasics.GSI in bilateral lesion group was higher than that of unilateral lesion group.Couclusion The incidence of psychological disorders of aphasics which is 63.89%is higher than that of stroke without aphasics. It mainly includes depression, anxiety and somatization. The pathogenesis of it is probably related to the location of the lesions, aphasia type and severity.