经颅重复磁刺激治疗脑血管病后经皮质混合性失语的效果观察  

Observation on the effect of repetitive transcranial magnetic stimulation in the treatment of mixed transcortical aphasia after cerebrovascular disease

作　　者：高英杰 孙显东[1] GAO Ying-jie;SUN Xian-dong(Department of Rehabilitation Medicine,Chifeng Hospital of Inner Mongolia Autonomous Region,Chifeng 024000,China)

机构地区：[1]内蒙古自治区赤峰市医院康复医学科,024000

出　　处：《中国实用医药》2025年第6期163-166,共4页China Practical Medicine

基　　金：任务导向性训练联合心理干预对脑卒中偏瘫患者的应用(项目编号:202201544)。

摘　　要：目的 观察脑血管病后经皮质混合性失语患者给予经颅重复磁刺激治疗的有效性。方法 以30例脑血管病后经皮质混合性失语患者为观察对象,根据患者入院顺序分为A组和B组,每组15例。B组给予常规失语症训练,A组给予常规失语症训练联合经颅重复磁刺激治疗。比较两组西方失语成套测验-失语商(WAB-AQ)评分、改良巴氏(Barthel)指数、治疗效果、美国国立卫生研究院卒中量表(NIHSS)评分。结果 两组治疗前WAB-AQ评分比较无统计学差别(P>0.05);A组治疗后WAB-AQ评分(30.43±5.89)分明显高于B组的(21.62±5.06)分(P<0.05)。两组治疗前改良Barthel指数比较无统计学差别(P>0.05);治疗后,A组改良Barthel指数(36.52±4.25)分明显高于B组的(26.4±73.16)分(P<0.05)。A组患者治疗总有效率80.00%明显比B组的40.00%高(P<0.05)。两组治疗前NIHSS评分比较无统计学差别(P>0.05);A组患者治疗后NIHSS评分(8.16±3.20)分低于B组的(11.34±4.12)分(P<0.05)。结论 脑血管病后经皮质混合性失语患者行经颅重复磁刺激治疗效果明显,不仅可以改善患者的生活质量,还能提升患者的语言功能,对于改善患者神经功能缺损情况具有重要的意义。Objective To observe the effectiveness of repetitive transcranial magnetic stimulation in the treatment of patients with mixed transcortical aphasia after cerebrovascular disease.Methods 30 patients with mixed transcortical aphasia after cerebrovascular disease were divided into group A and group B according to the order of admission,with 15 cases in each group.Group B was given routine aphasia training,and group A was given routine aphasia training combined with repetitive transcranial magnetic stimulation.The Western Aphasia Battery-Aphasia Quotients(WAB-AQ) score,modified Barthel index,treatment effect,and National Institutes of Health Stroke Scale(NIHSS) score were compared between the two groups.Results Before treatment,there was no significant difference in WAB-AQ score between the two groups(P>0.05).After treatment,WAB-AQ score of(30.43±5.89) points in group A was significantly higher than(21.62±5.06) points in group B(P<0.05).Before treatment,there was no significant difference in modified Barthel index between the two groups(P>0.05).After treatment,the modified Barthel index of(36.52±4.25) points in group A was significantly higher than(26.4±73.16) points in group B(P<0.05).The total effective rate of group A(80.00%) was significantly higher than that of group B(40.00%)(P<0.05).Before treatment,there was no significant difference in NIHSS score between the two groups(P>0.05).After treatment,NIHSS score of(8.16±3.20) points in group A was lower than(11.34±4.12) points in group B(P<0.05).Conclusion The effect of repetitive transcranial magnetic stimulation on patients with mixed transcortical aphasia after cerebrovascular disease is obvious,which can not only improve the quality of life of patients,but also improve the language function of patients.It is of great significance for improving the neurological deficit of patients.

关 键 词：经颅重复磁刺激 经皮质混合性失语 脑血管病 日常生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]