| 樊影娜,赵佳.低频rTMS对急性脑梗死后运动性失语的疗效观察[J].中国康复,2016,31(1):28-30 |
| 低频rTMS对急性脑梗死后运动性失语的疗效观察 |
| Therapeutic effect of low-frequency repetitive transcranial magnetic stimulation on motor aphasia after acute cerebral infarction |
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| DOI： |
| 中文关键词: 脑梗死 运动性失语 低频 重复经颅磁刺激 |
| 英文关键词: Cerebral infarction Motor aphasia Low-frequency repetitive transcranial magnetic stimulation |
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| 中文摘要: |
| 目的：观察低频重复经颅磁刺激（rTMS）对急性脑梗死后运动性失语的临床治疗效果。方法：将116例急性脑梗死后运动性失语患者随机分为对照组和rTMS组各58例，对照组实施常规药物治疗及语言训练，rTMS组在此基础上采用低频rTMS和语言训练同步交叉的方法来进行康复。采用西方失语症成套测验(WAB )评价失语指数（AQ)及理解、复述、命名、自发言语等成分的得分情况。采用北京医科大学第一医院的汉语失语成套测验语言功能评分百分率提高程度和语言交流障碍好转程度进行疗效评定。结果：治疗30d后，2组AQ评分及理解、复述、命名、自发言语4项评分均高于治疗前(P＜0.05)，且rTMS组提高幅度更高于对照组(P＜0.05)；rTMS组的总有效率明显高于对照组(P＜0.05)。结论：早期低频rTMS治疗对急性脑梗死后运动性失语患者具有较好的疗效。 |
| 英文摘要: |
| Objective：To observe the therapeutic effect of low-frequency repetitive transcranial magnetic stimulation (rTMS) on motor aphasia after acute cerebral infarction. Method:116 cases of acute cerebral infarction suffering from motor aphasia were divided into the control group and rTMS group, 58 cases in each group. Routine drug treatment and language training were implemented in the control group, and low-frequency rTMS and language training were implemented synchronously besides drug treatment in rTMS group. Aphasia Quotient (AQ) and the scores of composition such as comprehension, repetition, naming, spontaneous speech were evaluated by using the Western Aphasia Battery (WAB). The curative effects were evaluated by the scores of increasing degree of language function and improving degree of communication obstacle. Results:After treatment for 30 days, the scores of AQ and the scores of comprehension, repetition, naming, spontaneous speech were significantly higher than those before treatment in two groups (P<0.05), and the scores in rTMS group were higher than those in the control group (P<0.05). The total effective rate in rTMS group was significantly higher than that in control group (P<0.05). Conclusion:Low-frequency rTMS can improve language function of patients with acute cerebral infarction suffering from motor aphasia. |
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