| 赵勇勇,吴松,刘思,李晓雯.反应扩充疗法联合rTMS对脑卒中后非流畅性失语症患者的语言疗效分析[J].中国康复,2022,37(6):341-345 |
| 反应扩充疗法联合rTMS对脑卒中后非流畅性失语症患者的语言疗效分析 |
| Effect of Response Elaboration Training Combined with Repetitive Transcranial Magnetic Stimulation on Language in Patients with Non-Fluent Aphasia After Stroke |
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| DOI： |
| 中文关键词: 脑卒中 非流畅性失语 反应扩充疗法 重复经颅磁刺激 |
| 英文关键词: Stroke Non-fluent aphasia Response expansion therapy Repetitive transcranial magnetic stimulation |
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| 中文摘要: |
| 目的：探讨反应扩充疗法(RET)联合重复经颅磁刺激（rTMS）治疗脑卒中后非流畅性失语的临床疗效。方法：选取脑卒中后非流畅性失语患者90例随机分为2组各45例，对照组予以常规语言训练和低频rTMS治疗；联合组在对照组治疗基础上予以反应扩充疗法训练，疗程均为4周。比较2组治疗前后西方失语症成套测验（WAB）评分、汉语标准失语症检查工具（CRRCAE）中动作说明评分、画面说明评分和日常生活交流能力量表（CADL）评分及波士顿失语诊断测验（BDAE）分级。结果：治疗后，2组自发言语、听理解、复述、命名及AQ评分较治疗前增加（P<0.01），CRRCAE动作说明评分、画面说明评分和CADL评分均较治疗前增加（均P<0.01），BDAE分级显著改善（P<0.01）。治疗后联合组自发言语、听理解、复述、命名及AQ评分均高于对照组（P<0.01）；CRRCAE动作说明评分、画面说明评分和CADL评分均高于对照组（P<0.01），BDAE分级优于对照组（P<0.05），结论：rTMS是非流畅性失语有效的康复治疗方法，RET联合rTMS有利于增加WAB评分、RRCAE动作说明、画面说明评分和CADL评分，改善BDAE分级，治疗脑卒中后非流畅性失语效果显著。 |
| 英文摘要: |
| Objective: To investigate the clinical efficacy of response elaboration training (RET) combined with repetitive transcranial magnetic stimulation (rTMS) in the treatment of non-fluent aphasia after stroke. Methods: A total of 90 patients with non-fluent aphasia after stroke admitted to the Rehabilitation Department of our hospital from June, 2018 to December, 2020 were randomly divided into control group and combined group. The control group was given conventional language training and low frequency rTMS treatment. On the basis of the treatment of the control group, the combined group was given RET, and the course of treatment was 4 weeks. Before and after treatment, the scores of Western Aphasia Battery (WAB), Chinese Standard Aphasia Examination tool (CRRCAE) action description score, picture description score and daily life Communication Ability Scale (CADL) were compared between the two groups, and the Boston aphasia diagnostic test (BDAE) grading before and after treatment was compared between the two groups. Results: After treatment, the scores of speech, listening comprehension, retelling, naming and AQ in the two groups increased (P<0.01); the CRRCAE scores of action description, picture description and CADL score in the two groups increased (P<0.01); and the grades of BDAE in the two groups had significant improvement (P<0.01). The scores of speech, listening comprehension, retelling, naming and AQ in the combined group after treatment were higher than those in the control group (P<0.01); the CRRCAE scores of action description, picture description and CADL score in the combined group were higher than those in the control group (P<0.01), and the grades of BDAE in the combined group were better than those in the control group (P<0.05). The differences were statistically significant. Conclusion: The rTMS is an effective rehabilitation treatment for non-fluent aphasia. The RET combined with rTMS can increase the WAB score, RRCAE action description score, picture description score and CADL score, improve the BDAE grade, and it has a significant efficacy in the treatment of non-fluent aphasia after stroke. |
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