| ObjectiveTo investigate naming, related symptoms and the response to cues of aphasic patients in Chinese. Discuss the mechanism related to naming. Determine the effected cues for aphasic patients.Materials and Methods17 aphasic patients were selected who were treated in the Hearing and Speech Department of China Rehabilitation Research Center from August 2006 to April 2007. There were 13 males and 4 females, aged from 32 to 74 years old. The average age is 53.8 years old. All the patients are right-handed. Thereinto, 1 patient graduate from elementary school, 7 patients graduated from senior high school, 7 patients graduated from junior college, and 2 patients graduated from college or university. All the patients were damaged in the left hemisphere approved by CT or MRI. 1 patient suffered traumatic brain injury, 3 patients suffered cerebral infarction and 13 patients suffered cerebral hemorrhage.(1)Select isolation booth about 10 square meters so as to exclude the interference of vision and hearing. Present picture to patients in turn and ask"what is it?"Meanwhile, note the patients'response and interval which allowed patients to response is 15 seconds. If the answer is wrong, or there is no response in allowed time, or patients express definitely"I don't know"in allowed time, cues should be given. Note the response after cues.(2)Semantic cues, phonetic cues and word selection cues were offered orderly. Only previous cues were useless, the next one should be given. Complementary cueswere for part of the pictures.Results(1)According to the classified diagnosis of aphasia and imaging examination, there were 14 patients suffered basal ganglion aphasia. The focus were all located in the area of basal ganglion. Internal capsule, subcortical white matter, paraventricle white matter were involved in most patients. 1 patient suffered motor aphasia, the location of focus was Broca area, anterior part of temporal lobe, subcortical white matter and the area of basal ganglion. 1 patient suffered conductive aphasia, the focus was in supramarginal gyrus and its subcortical. 1 patient suffered anomia aphasia, the focus was in the junction of temporal lobe, parietal lobe and occipital lobe.(2)The average score of high frequency objects were higher prevalent than that of low frequency objects, but there was no significant differences between them. Category-specific anomia was not found in this article. There were 3 patients suffered noun specific deficit and 1 patient suffered verb specific deficit. The average score of numbers category was prevalent higher than that of other categories.(3)Semantic paraphasias were seen mostly in 14 basal ganglion aphasic patients, accounting for 87.5 percent of all paraphasia. Secondly, it was phonological paraphasia, accounting for 7.5 percent. Phonological paraphasia is main symptom in the conductive aphasia of this article. Mainly, the initial consonant is substituted. We didn't find the paraphasia of the motor aphasia and the anomia aphasia in this article because there was no response of the motor aphasic patient and the anomia aphasic patient refused to accept cues.(4)14 basal ganglion aphasic patients accepted 97 phonetic cues, 32 semantic cues and 16 complimentary cues. 1 motor aphasic patient accepted 26 phonetic cues, there was no semantic cues. 1 conductive aphasic patient accepted 5 word selection cues, other kinds of cues were useless. 1 anomia aphasic patient accepted 10 phoneticcues, there were no other kinds of cues.Conclusions(1)The main symptoms of naming in basal ganglion aphasic patients were semantic paraphasia which were correlative highly to presented picture. The damage level was semantic representation. The effect of phonetic cues was better than that of semantic cues.(2)There were more phonological paraphasias in 14 basal ganglion aphasic patients whose oral speech was partial to nonfluent. The number of them was much more than the patients whose oral speech was partial to fluent. Most phonological paraphasias resulted from articulation difficulty.(3)The paraphasias in conductive aphasic patient in this article were mostly phonological paraphasia. The substitution was mainly taken place in the initial consonant. One of the focus was supramarginal gyrus and its subcortical. Word selection cues were the only useful cues. (5)This article didn't find the effect of word frequency on naming and category-specific anomia. However, the effect of wore frequency on naming couldn't be excluded. There existed category-specific grammatical deficit.(6)The ability of naming on numbers was easily saved compared to the other categories.(7)Complimentary cues may be a useful method of cues for the patients who name actions more easily than objects. However, it was likely useless for anomia aphasic patients, conductive aphasic patients and the patients that verb specific deficit.
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