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目的 探讨失语患者听理解中特殊范畴语义障碍特点。方法 (1 )用汉语失语检查法(ABC)检查 42例卒中后失语患者 ,其中 ,Broca失语 (BA) 8例 ,Wernicke失语 (WA) 5例 ,传导性失语(CA) 1 1例 ,经皮质运动性失语 (TCM) 8例 ,经皮质感觉性失语 (TCS) 7例 ,命名性失语 (AA) 3例 ;(2 )分别统计各型失语患者ABC中听辨认 9项的得分 ,并用SPSS软件处理数据。结果 (1 )BA、TCM和AA患者听辨认 9项间差异无显著性意义 (P >0 0 5)。 (2 )WA、CA、TCS患者对 9个项目的听辨认存在不同程度困难 ;物品和动作听理解障碍的程度较轻 ,而颜色和 /或身体部位的听理解障碍较重。差异有显著性意义的 (P <0 0 5)是 :WA患者在物品 (M =4分 )、物品图 (M =4分 )、动作图 (M =4分 )与颜色(M =0分 )、家具 (M =0分 )及身体部位 (高、低频和左 /右 ) (M =2 ,0 ,0分 )间 ,几何图 (M =4分 )与物品图及身体部位 (低频 )间 ;CA患者在物品 (M =1 0分 )、物品图 (M =1 0分 )、动作图 (M =1 0分 )与身体部位 (高、低频和左 /右 ) (M =9,8,4分 )间 ,几何图 (M =9分 )与物品图间 ,颜色 (M =1 0分 )、家具 (M =1 0分 )与身体部位 (低频 )间 ;TCS患者在物品 (M =1 0分 )与家具 (M =5分 )和身体部位 (低频 ) (M =6分 )间 ,动作图 (M =1 0分 )?
Objective To explore the characteristics of semantic disorder in special category of aphasia patients in listening comprehension. Methods A total of 42 patients with post-stroke aphasia were examined by Chinese aphasia (ABC). Among them, 8 were Broca’s aphasia (BA), 5 were Wernicke’s aphasia (WA), 11 were conductive aphasia (CA) (TCM) 8 cases, 7 cases of cortical sensory aphasia (TCS) and 3 cases of nominal aphasia (AA). (2) The scores of 9 items were identified by ABC in each type of aphasia patients. SPSS software was used Data processing. Results (1) There was no significant difference among the 9 items in BA, TCM and AA patients (P> 0.05). (2) Patients in WA, CA and TCS have different degrees of difficulty in listening to nine items, while subjects and actions have a lesser degree of hearing impairment and heavier color and / or body parts. The difference was statistically significant (P <0.05) in patients with WA (item M = 4), object graph (M = 4), action graph (M = 4) and the object map and the body part (low frequency) between the furniture (M = 0) and the body parts (high and low frequencies and left / right) (M = 10), the motion picture (M = 10) and the body part (high, low frequency and left / right) (M = 9, (M = 10) and the body part (LF) between the geometric figure (M = 9) and the object figure, color (M = (M = 10 points) with furniture (M = 5 points) and body parts (M = 6 points)?