【用戶】terminator812
【年級】研一下
【評論內容】認識失語症-高點醫護網 (get.com.tw)失語症類型(Type)覆誦能力受損程度(Repetition)命名能力受損程度(Naming)聽覺理解受損程度(Auditory comprehension)口語表達流暢程度(Fluency)臨床表現Wernickes aphasia輕 ~ 中度(Mild~ mod)輕 ~ 重度(mild– severe)缺失(defective)語句流利，辭不達意(fluent paraphasic)患者可以說一長串無意義的句子，句子中有許多贅字，甚至創造新字，也就是說，患者說話的語句流利，滔滔不絕，且發音清晰，但是他們的說話幾乎沒有內容，且辭不達意。不能理解別人的話語，也無法聽懂自己所說的話(Individuals with Wernicke s aphasia may speak in long sentences that have no meaning, add unnecessary words, and create new words ( neologisms ) .Patients have great difficulty understanding the speech of both themselves and others and are therefore often unaware of their mistakes)。此外，患者書寫和閱讀能力都會受到影響Brocas aphasia中 ~ 重度中 ~ 重度輕度困難說話慢，不流利(non-fluent, effortful, slow)患者說每個句子很短，常常停頓、猶豫，發音不清晰；對於形容詞、副詞和冠詞常會省略不說，缺乏文法結構；但語言內容和語意均屬正常，但容易受挫折(frequently speak short, meaningful phrases that are produced with great effort ,a nonfluent aphasia, and often omit small words such as "is", "and", and "the". Individuals with Broca s aphasia are able to understand the speech of others to varying degrees. Because of this, they are often aware of their difficulties and can become easily frustratedNominal or Anomic aphasia輕度中 ~ 重度輕度流暢(fluent)無法正確說出一個物品的名稱，稱為 anomia(essentially a difficulty with naming)。“語意錯誤”是指雖然患者說錯物品名稱，但在分類上和正確物品名稱是同一類，比如將椅子說成桌子。“語音錯誤”則是把正確的語音用別的語音代替了，比如將房屋說成房家Conduction aphasia差差near normal流暢(fluent)可能是由於弓狀束(Arcuate fasciculus)部位損傷，導致語言理解與語言產生之間連結的缺失所致(Conduction aphasia is caused by deficits in the connections between the speech- comprehension and speech- production areas. This might be caused by damage to the arcuate fasciculus)。主要特徵是明顯的複誦障礙及命名上的困難，但卻有不錯的聽覺和閱讀理解能力Global aphasia差差差差