中国临床心理学杂志

右侧大脑半球损伤患者汉语语言认知功能的临床评估

作者：席艳玲李华韩静

单位：石河子大学医学院护理系新疆石河子 832002

分类号：R395.2

出版年,卷(期):页码：2007,15(4):356-358

摘要：

目的：研究右侧大脑半球在汉语认知中的特点及汉语两半球的协同性，为汉语语言的康复训练提供理论依据。方法：采用标准汉语失语检查法、汉字书写检查表和视空间结构检查表测试102例被试，其中右半球损伤41例、左半球损伤31例、正常对照30例。结果：本研究发现14例失语，其中右半球损伤1例，左半球损伤13例；11例明显阅读障碍，左半球损伤7例，均表现为语言性阅读障碍，右半球损伤4例，均为疏忽性阅读障碍；29例明显书写障碍，其中左半球损伤13例，均表现为语言性书写障碍，右半球损伤16例，9例为视空间性书写障碍，7例为语言性书写障碍；在听理解测试中右半球损伤患者较左半球损伤患者障碍程度轻。结论：右侧大脑半球主要参与汉语书面语的认知加工，其损伤所致左侧疏忽、空间分析和视知觉障碍是阅读和书写障碍主要原因。

Objective: TO provide theoretic evidence for Chinese rehabilitation training to study the characteristics ofright hemisphere in recognizing Chinese and association between left and right cerebral hemispheres. Methods: 102 casesup to the qualification, including 41 patients with right-hemisphere-lesion (RHL) 、31 patients with left-hemisphere-lesion(LHL) and 30 healthy individuals as control, were collected and tested with The Standardized Aphasia Battery in Chinese(ABC)、Writing-scopy of Chinese Character and Visual Spatial Structure- scopy. Results: 14 aphasic patients, including 1 RHL and 13 LHLs, were found 11 of 72 patients had apparent reading disorder, including 7 LHLs with language reading disorder and 4 RHLs with neglect reading disorder; and 29 of 72 patients had apparent writing disorder, including 13 LHLs with language writing disorder and 16 RHLs among whom 9 cases had visual space writing disorder and 7 caseshad language writing disorder; RHLs showed lighter listenning comprehension disorder than that of LHLs in the test.Conclusion: Right hemisphere is mainly involved in Chinese written language recognition and processing, and one of themost important reasons of reading and writing disorder is left side neglect、visual consciousness and spatial analysis dysfunctiondue to RHL.

基金项目：

作者简介：

参考文献：

[1] 高素荣.失语症.北京:北京医科大学出版社,1993
[2] Benson DF.Aphasia Alexia and Agraphia.New York:Churchill living stone,1979
[3] 李心天.中国人的左右利手分布.心理学报,1993,15:268-275
[4] 李华.右半球损伤病人汉字书写的研究.中国临床心理学杂志,1996,4(2):77-79
[5] 张玉梅,王拥军,朱镛连,等.交叉性失语.中国临床康复,2004,8(22):4574
[6] 高素荣,孙可淳.失语患者听理解中的特殊范畴语义障碍.中华神经科杂志,2002,35(6):330-332
[7] Tan LH,Liu HL,Perfetti CA,et al.The neural system underlying Chinese logograph reading.Neuro -Image,2001,13:836-846
[8] 李传玲,王荫华.右半球梗塞与汉语语言障碍的神经心理学研究.中国临床心理学杂志,1999,7(4):193-196
[9] 章士正,刘海,崔恒武,等.国人汉字书写神经基础的脑功能成像.中国医学计算机成像杂志,2004,10(1):60-64
[10] 陈海波,蔡晓杰,王新德.右利手右大脑半球病变所致的失写症.中华神经精神科杂志,1994,27(1):37-40
[11] Matsuo K,Nakai T,Kato C,et al.Dissociation of writing processes:Functional magnetic resonance imaging during writing of Japanese ideographic characters.Brain Reserch Cognitive Rederch,2000,9:281-286
[12] Perrine K,Devinsky O,Uysal S,et al.Cortical mapping of right hemisphere functions.Epilepsy and Behavior,2000,1:7-16

服务与反馈：

【文章下载】【加入收藏】