标记测验与左、右侧脑损害所致高级神经心理障碍的关系

Relationship between Token Test and higher neuropsychological function disorder due to left and right hemispheric damages

目的确定标记测验对于汉语失语症和其他神经心理功能障碍的检测意义 ,探讨两侧大脑半球不对称性机制。方法对 33例左侧大脑半球 (左侧组 )和 30例右侧大脑半球 (右侧组 )首次发病、单个病灶、发病在 6个月以内的患者进行标记测验及汉语失语检查 ,并对标记测验成绩与汉语失语检查各项检测内容、梗死面积、失语严重程度进行等级相关性检验。结果两组标记测验成绩均与汉语失语检查法各项测验呈非常显著性正相关 (H >H0 1 =340 ,P <0 .0 1 ) ;左侧组与梗死面积呈显著性负相关 (H =1 2 8<H0 1 =1 88,P <0 .0 1 ) ;右侧组与梗死面积无相关性 (H =1 86 >H0 5=1 71 ,P >0 .0 5) ;标记测验成绩与失语严重程度呈显著正相关 (rs’≈0 .62 90 ,P <0 .0 1 )。

ObjectiveTo evaluate the value of Token Test in testing Chinese aphasia and study the mechanism of bilateral hemispheric asymmetry.Methods33 patients with left hemispheric cerebral vascular diseases and 30 patients with right hemispheric cerebral vascular diseases were studied by Token Test and Aphasia Battery of Chinese(ABC). ResultsThe statistical analysis shows that the score of Token Test was significantly correlated with all tests of ABC in both left and right hemispheric damages groups( P<0.01), and that the score of Token Test was significantly negative correlated with infarction areas in left hemispheric damages groups ( P<0.01),but incorrelated with infarction areas in right hemispheric damages groups( P>0.05). There is a significant correlation between the score of Token Test and the severity of the aphasia( P<0.01). Conclusions Token Test was closely related with ABC. It can be effective to detect some higher neuropsychological function disorder.