tDCS联合常规语言训练对脑卒中后失语症患者语言能力恢复的影响  

The Effect of tDCS Combined with Conventional Language Training on the Recovery of Language Ability in Patients with Aphasia after Stroke

作　　者：黄晓煌[1] 凌水桥 罗卫欢 HUANG Xiaohuang;LING Shuiqiao;LUO Weihuan(Department of Rehabilitation,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan,Guangdong Province,528400 China)

机构地区：[1]广东省中山市中医院康复科,广东中山528400

出　　处：《中外医疗》2021年第15期54-56,共3页China & Foreign Medical Treatment

摘　　要：目的给予脑卒中后失语症患者经颅直流电刺激(tDCS)联合常规语言训练,探讨其对患者语言恢复能力的影响。方法该次研究对象为方便选取该院2018年1月—2019年12月收治的脑卒中后失语症患者40例。按照自愿原则,其中20例患者接受常规语言训练方法,视为参照组;另外20例患者接受常规语言训练+tDCS康复治疗方法,视为研究组。比较观察两组患者治疗前后失语商(AQ)评分和语言功能评分变化。结果经过治疗干预后,研究组患者治疗后4周AQ评分(63.54±8.61)分、8周(74.29±9.58)分以及治疗后3个月AQ评分(85.29±9.69)分同参照组(55.41±7.29)分、(62.17±8.41)分和(72.31±9.42)分相比较高,差异有统计学意义(t=3.223、4.252、4.295,P<0.05);研究组患者接受治疗后,各项语言功能指标评分分别为命名能力(76.54±3.28)分,自发语言(50.26±5.48)分,复述能力(82.47±4.06)分,口语理解(190.26±16.27)分。参照组为命名能力(60.16±3.61)分,自发语言(37.26±5.61)分,复述能力(70.23±3.24)分,口语理解(166.54±15.28)分,数据表明,同参照组相比,研究组语言功能指标较好,差异有统计学意义(t=15.019、7.413、10.538、4.753,P<0.05)。结论从康复角度出发,相比于单一的常规语言训练方法,在此基础上应用tDCS治疗方法更具有显著效果,可有效改善脑卒中后失语症患者的语言功能障碍问题,利于提高患者的生活质量,值得推广。Objective To give transcranial direct current stimulation(tDCS)combined with conventional language training to patients with post-stroke aphasia to explore its effect on patients'language recovery ability.Methods The subjects of this study were convenient selected 40 patients with post-stroke aphasia admitted to the hospital from January 2018 to December 2019.According to the principle of voluntary,20 patients received conventional language training and were regarded as the reference group.The other 20 patients received conventional language training+TDCS rehabilitation therapy and were regarded as the study group.The changes of aphasia quotient(AQ)score and language function score were observed before and after treatment.Results After a therapeutic intervention,AQ scores of the study group(63.54±8.61)points at 4 weeks,(74.29±9.58)points at 8 weeks and(85.29±9.69)points at 3 months after treatment were higher than those of the control group(55.41±7.29)points,(62.17±8.41)points and(72.31±9.42)points.The difference was statistically significant(t=3.223,4.252,4.295,P<0.05).After treatment,the scores of each language function index in the study group were as follows:naming ability(76.54±3.28)points,spontaneous language ability(50.26±5.48)points,retelling ability(82.47±4.06)points and oral comprehension(190.26±16.27)points.The reference group was Naming ability(60.16±3.61)points,spontaneous language(37.26±5.61)points,retelling ability(70.23±3.24)points and oral comprehension(166.54±15.28)points were scored.The language function indexes of the study group were better,the difference was statistically significant(t=15.019,7.413,10.538,4.753,P<0.05).Conclusion From the perspective of rehabilitation,compared with a single conventional language training method,the application of tDCS therapy on this basis is more effective.It can effectively improve the language dysfunction of patients with aphasia after stroke and help improve the lives quality of patients,which is worth promoting.

关 键 词：脑卒中 失语症 语言能力 经颅直流电刺激 

分 类 号：R49[医药卫生—康复医学]