中国卒中杂志
中國卒中雜誌
중국졸중잡지
CHINESE JOURNAL OF STROKE
2013年
9期
723-728
,共6页
姚婧璠%宋彦丽%李磊%周筠%王春雪%王拥军%张玉梅
姚婧璠%宋彥麗%李磊%週筠%王春雪%王擁軍%張玉梅
요청번%송언려%리뢰%주균%왕춘설%왕옹군%장옥매
卒中%失语症类型%性别%年龄%卒中类型
卒中%失語癥類型%性彆%年齡%卒中類型
졸중%실어증류형%성별%년령%졸중류형
Stroke%Type of aphasia%Sex%Age%Type of stroke
目的本文旨在探讨性别、年龄、卒中类型和卒中后失语症分类间的关系。<br> 方法回顾性分析2005年7月~2012年7月首都医科大学附属北京天坛医院收治的符合病例入排标准的421例急性卒中患者,应用北京大学第一医院神经内科汉语失语检查法中的利手评定标准进行利手判定、西部失语成套测验进行失语症的分类及失语指数(Aphasia Quotient,AQ)评分,按照年龄不同分为青、中、老年三组,按卒中类型分为脑梗死及脑出血,结合不同性别观察失语症类型的分布情况,比较不同年龄、性别以及卒中类型间失语症类型分布有无差异。<br> 结果入选患者均为右利手,男性占69.60%,女性占30.40%。失语症类型如下:运动性失语116例(男85例,女31例),感觉性失语35例(男20例,女15例),传导性失语15例(男10例,女5例),经皮质运动性失语63例(男50例,女13例),经皮质感觉性失语11例(男8例,女3例),经皮质混合性失语27例(男13例,女14例),命名性失语73例(男47例,女26例),完全性失语81例(男60例,女21例),经统计学分析,男性卒中后失语症发生率(69.60%)明显高于女性(30.40%)(χ2=11.57,P=0.003),尤以青中年(≤65岁)为主(73.38%),老年期(>65岁)女性发生率逐渐升高(42.97%),与男性差异逐渐缩小(26.28%);性别对失语症类型无明显影响(χ2=13.84,P=0.054),男女患者均以运动性失语最常见(分别为29.01%、24.22%);各年龄组患者失语类型分布无明显差异(χ2=14.94, P=0.382)。脑梗死所致失语症患者较脑出血所致者更为多见(分别为306例和115例),但在失语症类型分布上差异无显著性(χ2=13.23,P=0.067),除女性脑出血患者外,均以运动性失语最为常见(分别为29.82%,29.55%,26.67%)。<br> 结论年龄、性别及卒中类型对卒中后失语症类型分布均无明显影响,男性卒中后失语发生率明显高于女性且患病平均年龄小于女性,两性中均以运动性失语最常见;除去女性脑出血患者外,均以运动性、完全性及命名性失语最常见。
目的本文旨在探討性彆、年齡、卒中類型和卒中後失語癥分類間的關繫。<br> 方法迴顧性分析2005年7月~2012年7月首都醫科大學附屬北京天罈醫院收治的符閤病例入排標準的421例急性卒中患者,應用北京大學第一醫院神經內科漢語失語檢查法中的利手評定標準進行利手判定、西部失語成套測驗進行失語癥的分類及失語指數(Aphasia Quotient,AQ)評分,按照年齡不同分為青、中、老年三組,按卒中類型分為腦梗死及腦齣血,結閤不同性彆觀察失語癥類型的分佈情況,比較不同年齡、性彆以及卒中類型間失語癥類型分佈有無差異。<br> 結果入選患者均為右利手,男性佔69.60%,女性佔30.40%。失語癥類型如下:運動性失語116例(男85例,女31例),感覺性失語35例(男20例,女15例),傳導性失語15例(男10例,女5例),經皮質運動性失語63例(男50例,女13例),經皮質感覺性失語11例(男8例,女3例),經皮質混閤性失語27例(男13例,女14例),命名性失語73例(男47例,女26例),完全性失語81例(男60例,女21例),經統計學分析,男性卒中後失語癥髮生率(69.60%)明顯高于女性(30.40%)(χ2=11.57,P=0.003),尤以青中年(≤65歲)為主(73.38%),老年期(>65歲)女性髮生率逐漸升高(42.97%),與男性差異逐漸縮小(26.28%);性彆對失語癥類型無明顯影響(χ2=13.84,P=0.054),男女患者均以運動性失語最常見(分彆為29.01%、24.22%);各年齡組患者失語類型分佈無明顯差異(χ2=14.94, P=0.382)。腦梗死所緻失語癥患者較腦齣血所緻者更為多見(分彆為306例和115例),但在失語癥類型分佈上差異無顯著性(χ2=13.23,P=0.067),除女性腦齣血患者外,均以運動性失語最為常見(分彆為29.82%,29.55%,26.67%)。<br> 結論年齡、性彆及卒中類型對卒中後失語癥類型分佈均無明顯影響,男性卒中後失語髮生率明顯高于女性且患病平均年齡小于女性,兩性中均以運動性失語最常見;除去女性腦齣血患者外,均以運動性、完全性及命名性失語最常見。
목적본문지재탐토성별、년령、졸중류형화졸중후실어증분류간적관계。<br> 방법회고성분석2005년7월~2012년7월수도의과대학부속북경천단의원수치적부합병례입배표준적421례급성졸중환자,응용북경대학제일의원신경내과한어실어검사법중적리수평정표준진행리수판정、서부실어성투측험진행실어증적분류급실어지수(Aphasia Quotient,AQ)평분,안조년령불동분위청、중、노년삼조,안졸중류형분위뇌경사급뇌출혈,결합불동성별관찰실어증류형적분포정황,비교불동년령、성별이급졸중류형간실어증류형분포유무차이。<br> 결과입선환자균위우리수,남성점69.60%,녀성점30.40%。실어증류형여하:운동성실어116례(남85례,녀31례),감각성실어35례(남20례,녀15례),전도성실어15례(남10례,녀5례),경피질운동성실어63례(남50례,녀13례),경피질감각성실어11례(남8례,녀3례),경피질혼합성실어27례(남13례,녀14례),명명성실어73례(남47례,녀26례),완전성실어81례(남60례,녀21례),경통계학분석,남성졸중후실어증발생솔(69.60%)명현고우녀성(30.40%)(χ2=11.57,P=0.003),우이청중년(≤65세)위주(73.38%),노년기(>65세)녀성발생솔축점승고(42.97%),여남성차이축점축소(26.28%);성별대실어증류형무명현영향(χ2=13.84,P=0.054),남녀환자균이운동성실어최상견(분별위29.01%、24.22%);각년령조환자실어류형분포무명현차이(χ2=14.94, P=0.382)。뇌경사소치실어증환자교뇌출혈소치자경위다견(분별위306례화115례),단재실어증류형분포상차이무현저성(χ2=13.23,P=0.067),제녀성뇌출혈환자외,균이운동성실어최위상견(분별위29.82%,29.55%,26.67%)。<br> 결론년령、성별급졸중류형대졸중후실어증류형분포균무명현영향,남성졸중후실어발생솔명현고우녀성차환병평균년령소우녀성,량성중균이운동성실어최상견;제거녀성뇌출혈환자외,균이운동성、완전성급명명성실어최상견。
Objective To explore the association between the types of aphasia and sex, age and stroke types. <br> Methods Four hundred and twenty-one aphasiacs after stroke who met the inclusion and exclusion criteria and were admitted to Department of Neurology of Beijing Tiantan Hospital, Capital Medical University from July 2005 to July 2012 were restrospectively analyzed. The criteria of handedness instituted by Peking University First Hospital was used to judge patients' handedness. Western battery aphasia was used to assess the aphasiac type and calculate Aphasia Quotient (AQ) score. Patients were divided into youth, middle-aged and elderly groups, and stroke types include cerebral infraction (CI) and intracerebral hemorrhage (ICH). Finally we analyzed the types of aphasia in different ages, sex and stoke types. <br> Results All subjects were dextromanual, in whom males and females accounted for 69.60%and 30.40%, respectively. The types of aphasia included Broca's aphasia (male 85, female 31), Wernicke's aphasia (male 20, female 15), conductive aphasia (male 10, female 5), transcortical motor aphasia (male 50, female 13), transcortical sensory aphasia (male 8, female 3), transcortical combined aphasia (male 13, female 14), anomic aphasia (male 47, female 26) and global aphasia (male 60, female 21). Male patients (69.60%) have a signiifcantly higher level of morbidity of aphasia than females (30.40%) after stroke (χ2=11.57, P=0.003), especially those under 65 years old (73.38%). After 65 years old, the morbidity of female tends to increase with age (42.97%). Sex has no remarkable effect on the types of aphasia (χ2=13.84, P=0.054), Broca's aphasia is the most common types in both males and females (29.01%, 24.22%, respectively). The distribution of aphasic types has no obvious difference among three age groups (χ2=14.94, P=0.382). Aphasia induced by CI (306 cases) is more common than by ICH (115 cases), but the distribution of types of aphasia has no difference (χ2=13.23, P=0.067). Broca's aphasia is the most common aphasic type in both CI and ICH patients (29.82%, 29.55%, 26.67%, respectively), except the females with ICH. <br> Conclusion Age, sex and stroke types have no signiifcant inlfuence on the types of aphasia. Male patients have a signiifcantly higher level of morbidity of aphasia than females after stroke as well as the average age of onset is younger than females. Broca's aphasia is the most common one in both males and females. Broca's aphasia, global and anomic aphasia are the most aphasic types in both CI and ICH patients, except the females with ICH.