针刺结合低频重复经颅磁刺激治疗脑卒中后运动性失语的效果观察  

Observation on the Effect of Acupuncture Combined with Low-frequency Repetitive Transcranial Magnetic Stimulation in the Treatment of Motor Aphasia after Stroke

作　　者：汪婷婷 崔晓 周翠侠 史骏超 樊文朝 陈悦琦 WANG Tingting;CUI Xiao;ZHOU Cuixia;SHI Junchao;FAN Wenchao;CHEN Yueqi(Shanghai Changning Tianshan Traditional Chinese Medicine Hospital,Shanghai 200051,China;不详)

机构地区：[1]上海市长宁区天山中医医院,上海200051

出　　处：《中国医学创新》2023年第26期58-63,共6页Medical Innovation of China

基　　金：上海市长宁区卫生健康委员会项目(20194Z007)。

摘　　要：目的:观察针刺结合低频重复经颅磁刺激治疗脑卒中后运动性失语的临床效果。方法:将2020年5月—2022年9月在上海市长宁区天山中医医院康复一科住院治疗的60例脑卒中后运动性失语患者随机分为试验组和对照组,每组30例。对照组采用基础治疗,试验组在对照组的基础上采取针刺结合低频重复经颅磁刺激治疗。两组治疗前后采用简化版的汉语失语成套测验(aphasia battery in Chinese,ABC)、日常生活活动能力(改良Barthel指数)及汉密尔顿抑郁量表(Hamilton depression scale,HAMD)对患者疗效进行分析。结果:试验组的临床疗效优于对照组(P<0.05)。两组患者治疗后语言功能各项(谈话、理解、复述、命名)评分均较治疗前显著升高(P<0.05),除理解外,试验组其余3项语言功能均高于对照组(P<0.05)。治疗后,两组改良Barthel指数均较治疗前明显升高(P<0.05),且试验组高于对照组(P<0.05),另外,治疗后两组患者HAMD分值均较治疗前明显降低(P<0.05),且试验组低于对照组(P<0.05)。结论:针刺结合低频重复经颅磁刺激可提高脑卒中后运动性失语患者的语言功能,并改善患者日常生活自理能力及抑郁状态,疗效优于单纯的基础治疗。Objective:To observe the clinical effect of acupuncture combined with low frequency repetitive transcranial magnetic stimulation in the treatment of motor aphasia after stroke.Method:Sixty patients with poststroke motor aphasia hospitalized in the Rehabilitation Department of Shanghai Changning Tianshan Traditional Chinese Medicine Hospital from May 2020 to September 2022 were randomly divided into experimental group and control group,with 30 cases in each group.The control group received basic treatment,and the experimental group received acupuncture combined with low-frequency repetitive transcranial magnetic stimulation on the basis of the control group.A simplified version of aphasia battery in Chinese(ABC),activities of daily living(modified Barthel index)and Hamilton depression scale(HAMD)before and after treatment were used to analyze the efficacy of the patients.Result:The clinical effect of experimental group was better than that of control group(P<0.05).After treatment,the scores of speech function(speech,comprehension,repetition,naming)in both groups were significantly higher than those before treatment(P<0.05),except for comprehension,the other three language functions in the experimental group were higher than those in the control group(P<0.05).After treatment,the modified Barthel index in both groups were significantly higher than those before treatment(P<0.05),and that of the experimental group was higher than that of the control group(P<0.05);in addition,the HAMD scores in both groups after treatment were significantly lower than those before treatment(P<0.05),and that of the experimental group was lower than that of the control group(P<0.05).Conclusion:Acupuncture combined with low-frequency repetitive transcranial magnetic stimulation can improve the language function of patients with motor aphasia after stroke,and improve their ability to take care of themselves in daily life as well as their depression,the effect is better than that of simple basic treatment.

关 键 词：脑卒中 运动性失语 针刺 重复经颅磁刺激 语言功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]