Schuell语言康复疗法联合rTMS治疗高龄脑卒中失语症患者的临床效果观察  

Effect of Schuell Language Rehabilitation Therapy Combined with rTMS on Poststroke Aphasia of Elderly Patients

作　　者：温之羚 伊桂叶 郭金兰 WEN Zhi-ling;YI Gui-ye;GUO Jin-lan(Department of Geriatric Rehabilitation,Shanghai First Rehabilitation Hospital,Shanghai 200090)

机构地区：[1]上海市第一康复医院老年康复科,上海200090

出　　处：《医学临床研究》2021年第12期1857-1859,共3页Journal of Clinical Research

摘　　要：【目的】探讨Schuell语言康复疗法联合重复经颅磁刺激(rTMs)治疗高龄脑卒中失语症患者的临床效果。【方法】选取2017年8月至2020年8月本院收治的70例患者,根据随机数表法将其分为对照组和观察组,每组35例。对照组给予Schuell语言康复疗法,观察组在对照组的基础上给予rTMS。比较两组患者临床疗效、语言功能(命名、听理解、自发言语及复述四项)、失语商(AQ)、蒙特利尔认知评估量表(MoCA)评分、日常生活交流能力量表(CADL)评分。【结果】治疗后,观察组总有效率为91.43%(32/35),高于对照组的65.71%(23/35),差异有统计学意义(P<0.05)。治疗后,两组患者语言功能(命名、听理解、复述、自发言语)评分均显著升高,且观察组高于对照组,差异有统计学意义(P<0.05);两组患者AQ、MoCA、CADL评分均显著升高,且观察组高于对照组,差异有统计学意义(P<0.05)。【结论】Schuell语言康复疗法联合rTMS治疗卒中后失语症具有良好的临床疗效,可改善患者的语言功能,提高患者的日常交流能力及认知功能。【Objective】To explore the effect of Schuell language rehabilitation therapy combined with repetitive transcranial magnetic stimulation(rTMS)in the treatment of aphasia in elderly stroke patients.【Methods】A total of 70 patients with poststroke aphasia who were treated in our hospital from August 2017 to August 2020 were selected in the study.According to random digital table,patients were divided into the control group and the observation group,with 35 cases in each group.The control group was given Schuell language rehabilitation therapy,while the observation group was given rTMS in addition to Schuell language rehabilitation therapy.The clinical efficacy,language function(naming,auditory comprehension,spontaneous speech and retelling),aphasia quotient(AQ),Montreal Cognitive Assessment Scale(MoCA score)and communication ability of daily language scale(CADL)score were compared between the two groups.【Results】After treatment,the total effective rate in the observation group was 91.43%(32/35),which was higher than 65.71%(23/35)in the control group;And the difference was statistically significant(P<0.05).Compared to before treatment,patients in both groups had higher scores of language function(naming,listening comprehension,retelling,spontaneous speech),AQ score,MoCA score and CADL score after treatment(P>0.05).After treatment,the scores of language function(naming,listening comprehension,retelling,spontaneous speech),AQ score,MoCA score and CADL score in the observation group were significantly higher than those in the control group(P<0.05).【Conclusion】Schuell language rehabilitation therapy combined with rTMS in the treatment of aphasia after stroke has a good clinical effect,can improve the language function of patients,improve the ability of daily communication and cognitive function of patients.

关 键 词：卒中 命名障碍/治疗 中风康复 经颅磁刺激 老年人 治疗结果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]