摘要
目的:分析汉语失语症患者动词功能的损伤和临床病灶部位。方法:于2000-02/04在江苏省徐州市第一、二、三、四医院、解放军第九十七医院等大型医院入住的神经内科患者中选择6位典型的汉语失语症患者作为测查对象。采用北京医科大学汉语失语症成套测验检查法,同时参考波士顿诊断性失语检查法、西方失语症成套测验,并结合头颅CT的检查结果判断失语类型。根据本实验的目的,设计听觉路径和视觉路径两种测试方法。听觉路径通过语音来测试患者的动词功能知识(配价知识);视觉路径则是通过画面来测试患者的动词功能知识。最后,根据被试对测试的正确结果进行统计分析。结果:患者6例均进入结果分析。6例失语症患者的单宾语动词(二价动词)听觉路径成绩为:①字词层级,患者1的正确率为10%,患者2为55%,患者3为75%,患者4为60%,患者5为80%,患者6为35%。②语句层级,患者1的正确率为5%,患者2为40%,患者3为60%,患者4为55%,患者5为65%,患者6为30%。③篇章层级,患者1的正确率为5%,患者2为30%,患者3为50%,患者4为50%,患者5为60%,患者6为25%。6例失语症患者的二价动词视觉路径成绩为:①字词层级,患者1的正确率为15%,患者2为55%,患者3为80%,患者4为65%,患者5为85%,患者6为75%。②语句层级,患者1的正确率为10%,患者2为45%,患者3为65%,患者4为60%,患者5为75%,患者6为65%。③篇章层级,患者1的正确率为5%,患者2为35%,患者3为55%,患者4为50%,患者5为65%,患者6为60%。结论:汉语失语症患者的动词功能中受损伤程度最小的是该动词的基本价位,大脑对任何动词的各种论元结构变换都有极强的适应能力;左额下回后部对动词配价加工起主要作用,还涉及左额下回后部的周围区域和其他较远的相关区域。
AIM; To analyze the injury of Chinese aphasiacs at verb aspect and the clinical loci of speech lesions. METHODS： From February to April 2000, six Chinese aphasiacs wore selected as the experiment subjects from the Department of Neurology, the 97 Hospital of Chinese PLA and Xuzhou Municipal No.l, No.2, No.3 and No.4 Hospitals in Jiangsu Province. They wore examined with the Aphasia Battery of Chinese of Beijing Medical University, Western Aphasia Battery and Boston Diagnostic Aphasia Examination. When the subjects＇ aphasia types wore classified, the CT scanning results wore also taken as references. Two sets of psychological tests （listening pathway and viewing pathway） wore designed to test the verb （valence） knowledge performance of the subjects in the research. The subjects＇ correct responses to the test wore collected and analyzed statistically. RESULTS： All the six aphasia subjects＇ responses wore involved in the result analysis. Taking the verb of two valences as examples： Listening model：①word level, case 1 was 10%, case 2 was 55%, case 3 was 75%, case 4 was 60%, case 5 was 80%, case 6 was 35%;②sentence level, case 1 was 5%, case 2 was 40%, case 3 was 60%, case 4 was 55%, case 5 wos.65%, case 6 was 30%;③text level, case 1 was 5%, case 2 was 30%, case 3 was 50%, case 4 was 50%, case 5 was 60%, case 6 was 25%. Viewing model：①word level, case 1 was 15%, case 2 wos 55%, case 3 was 80%, case 4 was 65%, case 5 was 85%, case 6 was 75%;②sentence level, case 1 was 10%, case 2 was 45%, case 3 was 65%, case 4 was 60%, case 5 was 75%, case 6.wos 65%;③text level, case 1 was 5%, case 2 was 35%, case 3 was 55%, case 4 was 50%, case 5 was 65%, case 6 was 60%. CONCLUSION, The basic valences of verbs are the least affected among the speech parformances of Chinese aphasiacs. However, the other verb structures are also performed flexibly by the aphasiacs. The left infenor temporal gyrus plays a key role in the processing of verb collocations, which are also connected with left suparior frontal gyrus and other brain loci.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2007年第17期3251-3254,共4页
Journal of Clinical Rehabilitative Tissue Engineering Research
基金
国家社会科学基金资助项目(03BYY013)
江苏省高校青蓝工程基金资助项目(QL200504)~~
作者简介
方环海,男．1968年生。江苏省沭阳县人，汉族，1999年复旦大学毕业，博士，教授，主要从事神经语言学的研究。fhuanhai@163.com
