电针结合不同频率重复经颅磁刺激治疗脑卒中后运动性失语临床研究  

Clinical Investigation of Electroacupuncture Combined with Repetitive Transcranial Magnetic Stimulation at Different Frequencies in the Treatment of Aphasia After Stroke

作　　者：彭拥军[1] 吕鹤群 乔玉 潘琳钐 吴旭[1] 胡津丽[1] PENG Yongjun;LYU Hequn;QIAO Yu;PAN Linshan;WU Xu;HU Jinli(Jiangsu Province Hospital of Chinese Medicine,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,Jiangsu,China;Yancheng Hospital of Traditional Chinese Medicine,Yancheng 224001,Jiangsu,China)

机构地区：[1]南京中医药大学附属医院,江苏南京210029 [2]盐城市中医院,江苏盐城224001

出　　处：《辽宁中医药大学学报》2020年第11期4-7,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家自然科学基金(81973932,81574060,81001556);江苏省中医院2018年度院级课题省级康复中心建设专项项目(Y17kf02-5);中国博士后科学基金项目(2015M571790);江苏省研究生实践创新计划项目(SJCX19-0395);第六批全国老中医药专家学术经验继承人项目(国中医药人教发[2017]29号)。

摘　　要：目的探讨使用电针并使用不同频率重复经颅磁刺激方法治疗中风后患有运动性失语的患者治疗效果。方法采用随机数字表法,将符合标准的中风后失语症患者随机分为高频组、低频组、对照组。在常规治疗的基础上,高频组患者进行左侧半球Broca区高频刺激(5 Hz)+电针+语言康复治疗;低频组患者进行右侧半球Broca对应区低频刺激(1 Hz)+电针+语言康复治疗;对照组进行电针+语言康复治疗。各组治疗均每日1次,每周5次,共20次,总疗程共4周。治疗前后采用日常生活活动能力量表(ADL)、汉密尔顿抑郁量表(HAMD)进行评分对比3组治疗效果。结果高频组、低频组总有效率(80.00%)显高于对照组总有效率(63.63%)(P<0.05);ADL评分与HAMD评分,高频组、低频组分别与对照组相比差异有统计学意义(P<0.05),高频组与低频组组间相比差异无统计学意义(P>0.05)。结论电针结合高频重复经颅磁刺激或低频重复经颅磁刺激治疗中风后运动性失语具有良好的疗效,两种治疗方法均能提高中风后失语的言语功能状态,改善患者的临床症状。Objective To research the clinical result of electroacupuncture combined with repetitive transcranial magnetic stimulation at different frequencies in the treatment of aphasia after stroke.Methods Patients with aphasia after stroke were randomly divided into high frequency group,low frequency group and control group.On the basis of conventional treatment,patients in the high-frequency group received high-frequency stimulation(5 Hz)+electroacupuncture+speech rehabilitation in the Broca area of the left hemisphere.The low-frequency group received low-frequency stimulation(1 Hz)+electroacupuncture+speech rehabilitation in the corresponding region of Broca in the right hemisphere.The control group received electroacupuncture plus speech rehabilitation.Each group was treated once a day,5 times a week,a total of 20 times,a total of 4 weeks.Activity of daily life(ADL)scale and Hamilton depression scale(HAMD)were used to compare the treatment effect of the three groups before and after treatment.Results Total effective rate(80.00%)of the high frequency group and the low frequency group was obviously higher than that of the control group(63.63%,P<0.05).The ADL score and HAMD score of the high frequency group and the low frequency group were statistically different from the control group(P<0.05),while there was no significant difference between the high frequency group and the low frequency group(P>0.05).Conclusion Electroacupuncture combined with high-frequency repetitive transcranial magnetic stimulation or low-frequency repetitive transcranial magnetic stimulation has a good effect in the treatment of motor aphasia after stroke.Both methods can improve the speech function state of aphasia after stroke and improve the clinical symptoms of patients.

关 键 词：中风 卒中后失语 针灸 电针 重复经颅磁刺激 

分 类 号：R743.3[医药卫生—神经病学与精神病学]