摘要
目的探讨重复经颅磁刺激(rTMS)在脑卒中后非流畅性失语患者中的应用价值。方法选取2021年10月—2023年10月我院收治的84例脑卒中后非流畅性失语患者为研究对象,按随机数字表法将其分为对照组和观察组,各42例。对照组采取言语训练,观察组在对照组基础上加用rTMS治疗。对比两组的言语功能、神经功能、认知功能。结果干预后,观察组西方失语症成套测验中的听理解评分为(166.68±10.11)分,复述评分为(70.44±4.08)分、命名评分为(74.38±4.59)分,自发言语评分为(14.75±1.50)分,简易精神状态量表评分为(23.18±3.24)分,蒙特利尔认知功能评估量表评分为(21.87±2.02)分,均高于对照组的(158.03±9.29)分、(63.14±5.58)分、(66.97±4.42)分、(11.83±2.26)分、(18.59±3.32)分、(17.75±3.13)分,美国国立卫生研究院卒中量表评分为(8.13±1.70)分,低于对照组的(10.67±2.05)分,组间差异有统计学意义(P<0.05)。结论rTMS在脑卒中后非流畅性失语患者中的应用价值高,可改善其认知功能与神经功能、减轻语言障碍。
Objective To explore the application value of repetitive transcranial magnetic stimulation(rTMS)in patients with non fluent aphasia after cerebral apoplexy.Methods 84 patients with non fluent aphasia after stroke treated in our hospital from October 2021 to October 2023 were selected as the research objects and were randomly divided into a control group and an observation group,42 cases in each group.The control group received speech training,and the observation group received rTMS treatment on the basis of the control group.The speech function,neurological function and cognitive function of the two groups were compared.Results After intervention,the listening comprehension score was(166.68±10.11)points,retelling score was(70.44±4.08)points,naming score was(74.38±4.59)points,self speaking score was(14.75±1.50)points,Mini Mental State Examination score was(23.18±3.24)points and Montreal Cognitive Function Assessment score was(21.87±2.02)points in the observation group were higher than(158.03±9.29)points,(63.14±5.58)points,(66.97±4.42)points,(66.97±4.42)points,(11.83±2.26)points,(18.59±3.32)points,(17.75±3.13)points in the control group,the National Institutes of Health Stroke Scale score was(8.13±1.70)points,which was lower than(10.67±2.05)points in the control group,and the differences between groups were statistically significant(P<0.05).Conclusion The application value of rTMS in patients with non fluent aphasia after cerebral apoplexy is high,which can improve cognitive function and neurological function,and reduce language impairment.
作者
陈颂玲
胡荣亮
邓筱燕
CHEN Songling;HU Rongliang;DENG Xiaoyan(Department of Rehabilitation Medicine,Jiangmen Central Hospital,Jiangmen Guangdong,529000,China)
出处
《反射疗法与康复医学》
2024年第7期43-45,共3页
Reflexology And Rehabilitation Medicine
基金
2023年度江门市医疗卫生领域科技计划项目(2023YL01050)
关键词
脑卒中
非流畅性失语
重复经颅磁刺激
言语功能
神经功能
认知功能
Cerebral apoplexy
Non fluent aphasia
Repetitive transcranial magnetic stimulation
Speech function
Neurological function
Cognitive function
