低频重复经颅磁刺激联合言语康复训练治疗脑卒中失语的临床疗效  

Clinical efficacy of low frequency repetitive transcranial magnetic stimulation combined with speech rehabilitation training in the treatment of patients with post-stroke aphasia

作　　者：吴玮 袁建 樊琼 WU Wei;YUAN Jian;FAN Qiong(Department of Pain Rehabilitation,Xinyu People's Hospital,Xinyu,Jiangxi,338099,China)

机构地区：[1]新余市人民医院疼痛康复科,江西新余338099

出　　处：《当代医学》2024年第36期34-38,共5页Contemporary Medicine

摘　　要：目的探讨低频重复经颅刺激(repetitive transcranial magnetic stimulation,rTMS)联合言语康复训练治疗脑卒中失语症(poststroke aphasis,PSA)患者的临床疗效。方法选取2019年1月至2021年12月于新余市人民医院就诊的80例PSA患者作为研究对象,按照摸球法分为对照组与观察组,每组40例。对照组采用言语康复训练,观察组采用言语康复训练联合低频rTMS治疗,比较两组临床疗效、失语程度[西方失语成套测验(Western aphasia battery,WAB)]、精神状态[简易精神状态量表(mini-mental state examination,MMSE)]、语言交流能力[功能独立性量表(function independent measure,FIM)]及生命质量[世界卫生组织生命质量-100量表(WHO quality of life-100,WHOQOL-100)]。结果观察组治疗总有效率为100.00%,高于对照组的82.50%,差异有统计学意义(P<0.05)。治疗后,两组自发语言、听理解、复述、命名评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。治疗后,两组定向力、即刻记忆、注意和计算、语言能力、回忆能力评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。治疗后,两组运动功能、认知功能评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。治疗后,两组生理、心理、独立性、社会关系、环境、精神支柱/宗教/个人信仰评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论低频rTMS联合言语康复训练治疗PSA的效果显著,可快速改善患者失语症状,提高运动功能和认知功能,改善精力状态,帮助患者快速恢复正常生活。Objective To investigate the clinical efficacy of low frequency repetitive transcranial magnetic stimulation(rTMS)combined with speech rehabilitation training in the treatment of patients with post-stroke aphasia(PSA).Methods 80 PSA patients who were treated in Xinyu People's Hospital from January 2019 to December 2021 were selected as the research subjects,they were divided into the control group and the observation group according to the ball-touching method,with 40 cases in each group.The control group was treated with speech rehabilitation training,and the observation group was treated with speech rehabilitation training combined with low frequency rTMS,the clinical efficacy,aphasia degree(western aphasia battery[WAB]),mental state(mini-mental state examination[MMSE]),language communication ability(function independent measure[FIM])and quality of life(WHO quality of life-100[WHOQOL-100])were compared between the two groups.Results The total effective rate of treatment in the observation group was 100.00%,which was higher than 82.50%in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of spontaneous language,listening comprehension,retelling and naming of the two groups were higher than those before treatment,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).After treatment,the scores of orientation,immediate memory,attention and calculation,language ability and recall ability of the two groups were higher than those before treatment,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).After treatment,the scores of motor function and cognitive function of the two groups were higher than those before treatment,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).After treatment,the scores of physiology,psychology,independence,social relations,environment,spiritual pillar/rel

关 键 词：脑卒中失语 言语康复训练 低频重复经颅刺激 语言能力 失语症状 

分 类 号：R74[医药卫生—神经病学与精神病学]