摘要
目的:探讨经颅直流电刺激(tDCS)治疗脑卒中后运动性失语疗效及对抑郁状态的影响。方法:将96例脑卒中后运动性失语患者随机分为观察组和对照组各48例,对照组给予神经内科的常规治疗并给予失语症刺激疗法(Schuell刺激法),观察组在此基础上给予tDCS,共治疗6周。治疗前后用语言功能评分(包括言语表达、听理解力、阅读能力和文字书写)、波士顿诊断性失语症检查量表(BDAE)、功能性言语沟通能力评分(CFCP)、失语患者抑郁量表(ADRS)和卒中后失语抑郁问卷量表(SADQ-H)对2组患者进行评定,并比较2组临床疗效。结果:治疗6周后,2组言语表达、听理解力、阅读能力、书写能力、CFCP评分较治疗前均显著提高(均P<0.05),且观察组以上各项评分均高于对照组(均P<0.05);2组ADRS、SADQ-H评分较治疗前均显著降低(均P<0.05),且观察组均更低于对照组(均P<0.05);2组BDAE分级较治疗前均明显改善(均P<0.05),且观察组更优于对照组(P<0.05);观察组总有效率明显高于对照组(P<0.05)。结论:tDCS有利于促进患者语言功能的恢复,改善患者的抑郁情绪,治疗脑卒中后运动性失语效果显著。
Objective:To investigate the curative effectiveness of transcranial direct current stimulation(tDCS)for motor aphasia after stroke and its effect on depression.Methods:Totally,96 stroke patients with motor aphasia were selected and divided into 2 groups by the random number table method,48 cases in each group.The control group received routine treatment in the department of neurology and was given aphasia stimulation therapy(Schuell stimulation).The treatment group was given tDCS on the basis of treatment in the control group.Both groups were treated for 6 weeks.The language function score before and after the treatment(including speech expressing ability,comprehension,reading and writing),Boston diagnostic aphasia examination classification(BDAE),functional speech communication skills(CFCP)score,aphasia depression scale(ADRS)and aphasia after stroke depression questionnaire scale(SADQ-H)were compared between two groups.The clinical efficacy of the two groups was also compared.Results:After 6 weeks of treatment,the scores of speech expression,comprehension,reading ability,writing ability and CFCP in the two groups were significantly improved as compared with those before treatment(all P<0.05),and those in the treatment group were significantly higher than those in the control group(all P<0.05);the scores of ADRs and SADQ-H in the two groups were significantly decreased(all P<0.05),and those in the treatment group were lower than those in the control group(both P<0.05);the BDAE grade in the two groups was significantly higher than that before treatment(both P<0.05),and that in the treatment group was significantly higher than that in the control group(P<0.05).The total effective rate in the treatment group was significantly higher than that in the control group(P<0.05).Conclusion:The tDCS is conducive to promoting the recovery of language function,improving the depression of patients,and treating motor aphasia after stroke.
作者
潘巍一
葛俊胜
张捷洪
谷涛
王玉龙
Pan Weiyi;Ge Junsheng;Zhang Jiehong(Department of Rehabilitation,Nanao People's Hospital,Dapeng New District,Shenzhen 518121,China)
出处
《中国康复》
2021年第3期150-153,共4页
Chinese Journal of Rehabilitation
关键词
脑卒中
运动性失语
经颅直流电刺激
抑郁
stroke
motor aphasia
transcranial direct current stimulation
depression
