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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Recovery process and prognosis of aphasic patients with left putaminal hemorrhage: Relationship between hematoma type and language modalities
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Recovery process and prognosis of aphasic patients with left putaminal hemorrhage: Relationship between hematoma type and language modalities

机译：失语症患者左put门出血的恢复过程和预后：血肿类型与语言方式的关系

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摘要

To elucidate the precise recovery process and prognosis of language functions in aphasic patients with left putaminal hemorrhage, we investigated 48 aphasic patients classified into 4 groups according to the location and extent of hematoma. The hematoma extended to the corona radiata in all patients, extracapsular in type I (12 cases), to the anterior limb in type II (10 cases), to the posterior limb in type III (12 cases), and to both limbs in type IV (14 cases). The Standard Language Test for Aphasia was performed at 1 month, 3 months, and 6 months after the attack. The type II, III, and IV patients were divided into 2 groups, with and without ventricular rupture of the hemorrhage. At 3 and 6 months after the attack, the type I, II, and III patients showed significant improvement (P <.05) in all language modalities compared with the type IV patients. Most improvement in language modalities occurred in the first 3 months. The evaluation of patients with ventricular rupture after 6 months revealed poor recovery (P <.05) in oral commands, visual commands, confrontation naming, sentence repetition, narratives, verbal fluency, and writing in type II and III patients. In type IV patients, this evaluation showed poor recovery (P <.05) only in oral and written naming (kanji words). No significant difference in prognostic outcome was observed between the surgical treatment group and the nonsurgical treatment group. The classification of hemorrhage may be useful in predicting the outcome of aphasia with putaminal hemorrhage and in guiding clinicians in providing effective instructions to patients and their relatives.
机译：为了阐明失语症患者的准确恢复过程和语言功能的预后，我们根据血肿的位置和程度，将48名失语症患者分为4组。血肿在所有患者中均扩散至电晕放射线，I型囊外（12例），II型前肢（10例），III型后肢（12例），以及2型双肢IV（14例）。失语症的标准语言测验于发作后1个月，3个月和6个月进行。 II型，III型和IV型患者分为两组，有和无心室破裂性出血。发作后3个月和6个月，与IV型患者相比，I，II和III型患者在所有语言方式上均表现出显着改善（P <.05）。语言形式方面的最大改善发生在前三个月。对6个月后发生室破裂的患者进行的评估显示，II型和III型患者的口头命令，视觉命令，对抗命名，句子重复，叙述，口语流利度和书写能力较差（P <.05）。在IV型患者中，该评估结果表明仅在口头和书面命名（汉字单词）方面恢复较差（P <0.05）。手术治疗组与非手术治疗组之间的预后没有显着差异。出血的分类可能有助于预测因腹泻性出血导致的失语症，并指导临床医生向患者及其亲属提供有效的指导。

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