脑血管意外后空间方位和时间词句的听理解研究

运用空间方位词、时间词对４５例正常成人、３１例右半球脑血管意外病人、２０例左半球脑血管意外无失语病人和２０例左半球脑血管意外失语病人进行了听理解测验。结果表明，失语组、右半球病变组的空间方位词句测验成绩与对照组有差异，而且失语组与右半球病变组的成绩也有差异。失语组时间词句的听理解成绩与其它三组的成绩有差异。结果表明失语组的是否句与语段成绩无差异；可逆被句、方位词句、时间词句的成绩无差异。但是否句、语段与可逆被动句、方位词句、时间词句的成绩有差异。认为失语组听理解是否句、语段较理解可逆被动句、方位词句、时间词句容易。失语组倾向于按事件发生的时间顺序理解时间词句。

Auditory comprehension study on words and sentences of position and time after cerebral vascular accident

Auditory comprehension ability of words and sentences of position and time were examined among 45 normal adults, 31 cases of right hemisphere cerebral vascular accident (CVA), 20 cases of left hemisphere CVA without aphasia and 20 cases of left hemisphere CVA with aphasia.The results showed there were differences in comprehension of position among aphasia group, right hemisphere CVA group and control group. The difference also existed between aphasia group and right hemisphere CVA group. The aphasia group had the auditory comprehension impairment of words and sentences of position and time. There were no differences between comprehension of yes no questions and paragraphes and between reversile passive voice sentences, position and time sentences, But there was significant difference between yes-no questions, paragraphes and reversible passive voice sentences, position and time sentences. Therefore, the aphasia group had more difficulty in comprehension of reversible passive voice sentences, position and time sentences than yes-no questions and paragraphes. The aphasics had a tendency of comprehension of time sentences according to time sequence of events. Author's address:(Rehabilitation Center, Hebei Provincial People's Hospital, 050071)