目的 观察脑卒中后命名性失语病灶部位分布及失语恢复情况。方法 收集2011-01至2012-07在垂杨柳医院神经内科住院存在失语症的脑卒中患者93例，9例为命名性失语，对其中6例发病后1、2、4、6个月的失语恢复情况进行随访观察，采用西部失语症成套检查(Western Aphasia Battery， WAB)进行语言评价，计算出失语商(aphasia quotient， AQ)，根据AQ值的变化，判断失语恢复的程度。结果 命名性失语患者病灶的部位不仅位于左侧颞枕交界区、左侧颞叶，而且还可发生于左侧基底节区、放射冠。命名性失语失语程度较轻，患者在前2个月内恢复显著，第4个月时AQ值为94.42±2.30，已完全恢复。结论 命名性失语发生的部位存在多样性，命名性失语程度较轻，恢复较好。

Objective To observe and evaluate the site of anomic aphasia after stroke and language rehabilitation. Methods Totally 93 patients admitted to the Department of Neurology, Chuiyangliu Hospital for aphasia after stroke between January 2011 and July 2012 were enrolled in this study, including 9 cases of anomic aphasia. The language rehabilitation of six patients of anomic aphasia was followed up for 1, 2, 4, 6 month. The evaluation was performed using the WAB. The aphasia quotient (AQ) was used to evaluate the language rehabilitation. Results The diseased regions of anomic aphasia were not only in the left side temporal-occipital border area, left basal ganglion and left temporal lobe, but also in the left corona radiata. The anomic aphasia was serious to a lesser degree. Patients recovered obviously in the second month. Conclusions The lesion locations of anomic aphasia are diverse. The patients with anomic aphasia have a good recovery.