摘要
选择1988年5月~1996年8月经头颅CT证实为单侧脑卒中且病灶波及语言相关区的病人100例,在发病2周内进行失语检查,要求患者接受检查时神志清楚,定向力及记忆力好,无智能障碍,既往无脑部疾病史。其检测结果:左脑病变80例中,有66例失语;右脑病变20例中,仅4例失语。经统计学处理差别有高度显著性。说明中国人左脑和右脑均可能控制语言,语言优势侧多在左侧。同时发现,右利手中,68例左脑病变者有58例失语,17例右脑病变仅4例失语;非右利手中,12例左脑病变者8例出现了失语,而3例右脑病变者均无失语。经统计学处理差别有显著性,说明中国人右利手者语言优势侧多为左半球,仅少数为右半球。非右利手者语言的控制仍以左半球为优势侧可能性大,至于有无双侧支配,尚待进一步研究证实。
One hundred patients with unilateral cerebral vascular disease involved language-related regions confirmed by CT scans were studied. Aphasia examinations were performed in two weeks after onset. All patients were concious, good orientation and memory when they accepted examinations. The results showed that 66 cases were aphasic among 80 cases with left cerebral lesions and 4 cases were aphasic among 20 cases with right cerebral lesions. In right -handed patients, 58 cases were aphasic among 68 cases with left cerebral lesious and 4 cases were aphasic among 17 cases with right cerebral lesions. In non-right-handed patients, 8 cases were aphasic among 12 cases with left cerebral lesions and 3 cases with right cerebral lesions were not aphasic. There were significant difference statistically. It suggestted thst left and right hemisphere in chinese probably control language. In right -handed chinese the dominant language hemisphere is mostly on the left and is seldom on the right. In non-right-handed Chinese the dominant language hemispheres is also mostly on the left, whether there are double control of both hemisphere is still needed to study further.
出处
《卒中与神经疾病》
1997年第1期18-20,共3页
Stroke and Nervous Diseases
关键词
中风
脑半球
利手半球
失语
脑血管疾病
Handness Aphasia Cerebrovasular diseases Dominance in hemisphere