运动性失语

Results Primary clinical manifestation of 9 patients were abulia,behavior disorders,thalamic aphasia,left spatial neglect,visual space function disorders,memory disorders.

结果9例患者主要临床表现为：意志缺乏和行为障碍、丘脑性失语和左侧空间忽视及视空间功能障碍、记忆障碍，而均无脑神经损害及运动、感觉障碍。

Objective To investigate the clinical efficacy of Jin's tongue three needles in treating apoplectic motor aphasia.

目的观察靳氏舌三针对中风运动性失语症的临床疗效。

The functional connectivity of LIFG in aphasia patients is different with that in normal subjects, because of the infarction,the left fusiform gyrus,bilateral medial frontal gyrus and right anterior cingulum in aphasia patients showed low degree correlation.

脑梗死运动性失语患者组与LIFG的功能连接与正常对照组不同，由于患者组中脑梗死病灶的影响，左侧梭状回、双侧额叶内侧回、右侧前扣带与LIFG的连接程度减低。

1、Neural network correlated with LIFG and RIFG exists in normal subjects in resting-state,which might be the neural foundation in retaining the normal language function;2、The left fusiform gyrus,bilateral medial frontal gyrus and right anterior cingulum in aphasia patients after stroke showed low degree correlation,that might be one of the mechanisms of aphasia;3、The brain regions showed positive correlation with RIFG in aphasia patients only exist in right hemisphere in resting-state as well as which exist in bilateral hemisphere in normal subjects,suggested that RIFG is out of correlation with the left hemisphere in aphasia patients;4、The left thalamus showed positive correlation with RIFG only in normal subjects, inferred that the left thalamus might be an important mesomerism structure in the correlation of bilateral hemisphere;5、Left insula showed stronger positive correlation with RIFG in normal subjects than that in aphasia patients,suggested that dominant hemisphere insula is important in retaining in normal language function.

1、正常人在静息状态下即存在与LIFG和RIFG具有相关性的神经网络，该网络可能是维持正常语言功能的神经基础；2、脑梗死后运动性失语患者左侧梭状回、双侧额叶内侧回、右侧前扣带与LIFG的连接程度的减低可能是运动性失语的发生机制之一；3、与RIFG正相关的脑区在对照组为双侧半球分布，而在患者组仅出现在右侧半球，说明患者组RIFG与左侧半球的连接中断；4、RIFG与左侧丘脑的正相关性仅出现在正常对照组中，推测左侧丘脑可能是联系两侧半球功能区的重要中介结构；5、对照组与RIFG正相关性明显高于患者组的脑区位于左侧岛叶，说明优势半球岛叶对维持正常语言功能具有重要作用；第二部分脑梗死运动性失语患者语言恢复机制的静息态fMRI初步探讨目的：运用fMRI技术，采用种子点方法在静息状态下分析脑梗死运动性失语患者不同的恢复阶段语言功能连接方式。

The symptoms of limb paralysis of all the patients were slight and the muscular strengths were all above grade IV,which were improved obviously within one week.Then all the 186 cases were measured with adult intelligence table and multiple correlation analysis was done according to sex,age,job and education extent of patients and image characteristics.

方法广东医学院附属湛江中心医院神经内科住院的各类腔隙性脑梗死患者 186例， 51例伴有轻度运动性失语，入院 1周内明显改善；肢体瘫痪症状较轻，肌力 IV级左右，并在 1周内明显好转。

In the whole process of clinical observation, poor memory appeared the highest incidence, and hemiplegia, numbness and slightly purplish tongue were presented all the way round. 7. It was shown in the results of MRI data for the 23 cases in preserved Dongzhimen hospital that the brain lesions were distributed in cortex and the extensive structure of subcortex in the cases of motor aphasia after stroke.

7东直门医院留存的23例MRI图像数据叠加结果显示：卒中后运动性失语的脑损伤部位涉及到皮层及皮层下的广泛结构，以左侧基底节出现的频次最高，其次是颞叶皮质，再次是额、顶叶皮质，右侧基底节区也有损伤。

Cases of good therapeutic efficacy . 1 case of temporary motility aphasia after operation . 6 cases with hemianopsia before operation were same as before .

疗效优7例。术后1例出现暂时性运动性失语。6例术前偏盲，术后无加重。3例术前有癫痫，术后随访中，其症状已减轻。

Three weeks later, his right hemiparesis worsened and motor aphasia developed.

三星期以后右侧偏瘫恶化並发生运动性失语症。

Results:Eleven subjects were recruited in each group according to the affected factors (head motion,behavioral performance and machine noise) were ruled out.

结果：在严格控制被试头动、行为学表现及机械噪声等因素影响后，最终符合实验要求的被试为脑梗死运动性失语患者和正常人各11例，均为男性。

Lacunar infarction in patients with hypertension is also common cerebrovascular disease, clinical manifestations of light, many people without clinical symptoms, and in nuclear magnetic resonance, CT examination or autopsy, was found when more specific clinical symptoms are: a simple movement obstacles, mild hemiplegia, aphasia or without sensory disturbance; pure sensory disturbance, migraine paresthesia or loss of body; dysphonia - clumsy hand syndrome, manifested as paresis and paralysis of tongue, speaking clearly, swallowing difficulties, fine motor hand and foot less flexible; ataxia and hemiparesis, inability to break limbs and lower limbs than upper limbs, uncoordinated movements, these symptoms often disappear in two weeks.

腔隙性脑梗塞也是高血压患者中常见的脑血管病，临床表现较轻，很多人无临床症状，而在核磁共振，CT检查或尸体解剖时才被发现，较为特殊的临床症状有：单纯运动障碍、轻度偏瘫，不伴失语或感觉障碍；单纯感觉障碍、偏身感觉异常或丧失；发音障碍-手笨拙综合征，表现为轻瘫和舌瘫、说话不清、吞咽困难、手脚精细运动欠灵活；共济失调性轻偏瘫，肢休无力、下肢重于上肢，运动不协调，这些症状常可在2周内消失。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。