论文部分内容阅读
目的:研究大脑两半球卒中患者在汉语阅读和书写认知中的差异性及可能的机制,为脑卒中后汉语语言障碍的康复提供理论依据。方法:采用汉语失语检查法、汉字书写检查表和视空间结构检查表测试102例被试,其中右半球卒中41例、左半球卒中31例、正常对照30例。结果:阅读障碍11例,其中左半球卒中7例,表现为语言性阅读障碍,右半球卒中4例,均为疏忽性阅读障碍;书写障碍29例,其中左半球卒中13例,均表现为语言性书写障碍,右半球卒中16例,其中9例为视空间性书写障碍,7例为语言性书写障碍。结论:左大脑半球在汉语阅读和书写认知中仍然起主导作用,右大脑半球参与汉语书面语的加工,左右大脑半球损伤所致阅读和书写障碍的特点不同。
OBJECTIVE: To study the differences and possible mechanisms of stroke hemisphere hemispheres in Chinese reading and writing and to provide a theoretical basis for the rehabilitation of Chinese language disorders after stroke. Methods: A total of 102 subjects were tested with Chinese aphasia test, Chinese writing test chart and visual spatial structure checklist. Among them, 41 cases were right hemisphere stroke, 31 cases were left hemisphere stroke and 30 cases were normal control. Results: There were 11 cases of dyslexia, including 7 cases of stroke in the left hemisphere, 4 cases of speech dyslexia and 4 cases of right hemisphere stroke, all of them were inattentive dyslexia. Among the 29 cases of dyslexia, 13 cases of left hemisphere stroke showed language There were 16 cases of stroke in the right hemisphere, including 9 as visual spatial disability and 7 as dyslexic. Conclusion: The left hemisphere still plays a leading role in Chinese reading and writing cognition. The right hemisphere is involved in the processing of Chinese written language. The features of reading and writing disorder caused by left and right cerebral hemisphere injuries are different.