摘要
目的:观察电针结合低频重复经颅磁刺激(rTMS)治疗中风后运动性失语的临床疗效,形成治疗运动性失语规范化中医康复诊疗技术方案。方法:选择符合纳入标准的脑卒中后运动性失语患者,采用随机数字表法分为治疗组和对照组。治疗组采用电针结合低频r TMS治疗,对照组采用电针治疗。各组治疗均每日1次,每周5次,总疗程共4周,4周后根据简化版《汉语失语成套测验》量表(ABC)、日常生活活动能力(ADL)量表、汉密尔顿抑郁量表(HAMD)进行评分,比较各组的临床疗效差异。结果:两组简化版《汉语失语成套测验》评分比较在自发谈话、复述、命名、理解方面均明显改善。治疗组总有效率为80.0%,对照组总有效率68.18%,两组差异具有统计学意义(P<0.05)。两组生活能力评分量表(ADL)比较均提高,且治疗组优于对照组(P<0.05);两组汉密尔顿抑郁量表评分(HAMD)比较均改善,且治疗组优于对照组(P<0.05)。结论:电针结合低频r TMS治疗中风后运动性失语能有效提高患者的谈话、理解、复述、命名等能力,改善患者语言沟通能力,提高患者日常生活能力,改善患者的生活质量,减缓患者的抑郁情绪,对改善中风后失语患者的抑郁情绪有重要意义。
Objective:To observe the clinical effect of electro-acupuncture combined with low-frequency repetitive transranial magnetic stimulation(r TMS)in the treatment of motor aphasia after stroke,and to form a standardized TCM rehabilitation diagnosis and treatment scheme for motor aphasia.Methods:Patients with motor aphasia after stroke who met the inclusion criteria were randomly divided into the treatment group and the control group.The treatment group was treated with electro-acupuncture combined with low-frequency r TMS,whereas the control group was only treated with electro-acupuncture.Each group was treated once a day,five times a week.After four weeks of treatment,the clinical efficacy of each group was compared by the scores of the simplified Chinese Aphasia Examination Scale,Activity of Daily Life Scale(ADL)and Hamilton Depression Scale(HAMD).Results:In terms of the scores of the simplified Chinese Aphasia Examination Methods,the two groups improved significantly in spontaneous conversation,retelling,naming and comprehension.The total effective rate was 80.0%in the treatment group,which was significantly higher than 68.18%in the control group(P<0.05).In terms of the scores of ADL,the two groups were improved,and the treatment group was better than the control group(P<0.05).The scores of HAMD were both improved in the two groups,and the improvements in the treatment group were more significant(P<0.05).Conclusion:Electro-acupuncture combined with low-frequency r TMS can effectively improving the patients’ability of conversation,understanding,retelling and naming,language communication ability,it can improve their daily living ability and quality of life,as well as alleviate the depressive mood of the patients in the treatment of aphasia after stroke.
作者
乔玉
马继红
彭拥军
孙建华
朱冰梅
QIAO Yu;MA Jihong;PENG Yongjun;SUN Jianhua;ZHU Bingmei(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;West China Hospital of Sichuan University,Chengdu 610041,China)
出处
《针灸临床杂志》
2019年第10期15-19,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
国家自然科学基金，编号:81574060
中国博士后科学基金，编号:2015M571790
2018年度院级课题省级康复中心建设专项项目，编号:Y17kf02-5
江苏省研究生实践创新计划，编号:SJCX19_0395
关键词
中风
运动性失语
针灸
电针
重复经颅磁刺激
Stroke
Motor aphasia
Acupuncture
Electro-acupuncture
Repetitive transcranial magnetic stimulation
