摘要
目的探讨针灸结合低频重复经颅磁刺激(rTMS)治疗脑梗死运动性失语的临床效果。方法选取2018年1月~2019年6月我院收治的40例脑梗死运动性失语患者作为研究对象(病程2~24周),采用随机数字表法将其分为观察组和对照组,每组各20例。两组均接受常规西药治疗和言语训练,对照组患者在此基础上实施针灸治疗,并进行假rTMS治疗,观察组患者在针灸的基础上进行低频rTMS治疗。比较两组患者治疗前后失语指数、言语功能及中国康复研究中心汉语标准失语症检查量表(CRRCAE)评分。结果治疗后,观察组患者的失语指数评分高于对照组,差异有统计学意义(P<0.05)。观察组患者治疗后的自发言语、复述、命名评分均高于对照组,差异有统计学意义(P<0.05);两组患者治疗后的听理解评分比较,差异无统计学意义(P>0.05)。治疗后,观察组患者的CRRCAE评分高于对照组,差异有统计学意义(P<0.05)。结论对脑梗死运动性失语患者实施针灸结合低频rTMS可有效提高失语指数评分,改善失语症状,可在临床进行大力推广。
Objective To explore the clinical effect of acupuncture combined with low frequency repetitive transcranial magnetic stimulation(rTMS)in the treatment of motor aphasia of cerebral infarction.Methods A total of 40 patients with motor aphasia of cerebral infarction admitted to our hospital from January 2018 to June 2019 were selected as the study subjects(course of disease 2 to 24 weeks).They were divided into observation group and control group according to the random number table method,20 cases in each group.Both groups received routine Western medicine treatment and speech training,while the control group received acupuncture and moxibustion treatment on this basis and pseudo-low frequency rTMS.The patients in the observation group were treated with low frequency rTMS on the basis of the acupuncture and moxibustion.The scores of aphasia index,speech function and China Rehabilitation Research Center aphasia examination(CRRCAE)before and after treatment were compared between the two groups.Results After treatment,the aphasia index score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The self-speech,retelling and naming scores of the observation group after treatment were higher than those of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in listening comprehension score between the two groups after treatment(P>0.05).After treatment,the CRRCAE score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Acupuncture and moxibustion combined with low frequency rTMS can effectively increase the aphasia index score and improve the symptoms of aphasia in cerebral infarction patients with motor aphasia,which can be promoted in the clinic.
作者
杨泉
陈敬君
鲍晓
马贤聪
朱艳英
王日升
刘惠宇
YANG Quan;CHEN Jing-jun;BAO Xiao;MA Xian-cong;ZHU Yan-ying;WANG Ri-sheng;LIU Hui-yu(Department of Rehabilitation Medicine,Yuebei People′s Hospital,Guangdong Province,Shaoguan 512026,China)
出处
《中国当代医药》
2020年第12期49-52,共4页
China Modern Medicine
关键词
脑梗死运动性失语
言语训练
针灸
低频重复经颅磁刺激
Cerebral infarction motor aphasia
Speech training
Acupuncture and moxibustion
Low frequency repetitive transcranial magnetic stimulation
