摘要
目的:探讨高频重复经颅磁刺激联合认知干预在脑卒中后失语症患者临床治疗中的应用效果。方法:选取医院收治的84例脑卒中失语症患者,将其按数字随机表法均分为观察组和对照组,每组42例。对照组患者给予常规语言训练措施干预,观察组患者给予高频重复经颅磁刺激联合认知干预进行治疗,对比两组患者治疗后波士顿诊断性失语症检查(BDAE)中的语言功能评分、汉密尔顿焦虑量表(HAMA)焦虑症状评分、生活质量及满意程度等指标。结果:两组患者治疗后,观察组患者BDAE评分中的理解力、复述能力、阅读能力及书写能力比较,两组比较差异具有统计学意义(t=3.572,t=4.482,t=6.238,t=3.013;P<0.05)、HAMA评分明显高于对照组患者,两组比较差异有统计学意义(t=3.472,P<0.05);经不同措施干预后,观察组患者生活质量明显优于对照组患者,两组在躯体功能、心里功能、社会功能及物质功能方面的比较,两组比较差异具有统计学意义(t=4.513,t=3.923,t=4.473,t=4.033;P<0.05);观察组患者满意度调查明显高于对照组患者,两组比较差异具有统计学意义(x2=5.233,P<0.05)。结论:高频重复经颅磁刺激联合认知干预对脑卒中失语症患者的治疗效果良好,能够提高患者的生活质量及对治疗的满意度,可极大减少医患纠纷,提升医院对脑卒中后失语症的治疗水平。
Objective： To discuss the applied effect of high frequency repetitive transcranial magnetic stimulation combined with cognitive intervention for stroke patients with aphasia. Methods： 84 stroke patients with aphasia were divided into observation group（42 cases）and control group（42 cases）. Patients of control group were treated by routine intervention of language training, while patients of observation group were treated by high frequency repetitive transcranial magnetic stimulation combined with cognitive intervention. A series of evaluated indicators, such as the language function score of Boston diagnostic aphasia examination（BDAE）, the anxiety symptom score of Hamilton anxiety scale（HAMA）, the quality of life and degree of satisfaction, were adopted to compare the posttreatment effect for the two groups. Results： After the treatment, there were statistical significance in the difference of understanding, retelling ability, reading ability and writing ability about BDAE scores between the two groups（t=3.572, t=4.482, t=6.238, t=3.013; P〈0.05）, and the HAMA scores of observation group was significant higher than those of control group（t=3.472, P〈0.05）. Besides, through different interventions, the series of indicators about quality of life, such as physical function, mental function, social function and material function, of observation group were higher than those of control group（t=4.513, t=3.923, t=4.473, t=4.033; P〈0.05）. And the satisfaction of observation group was significant higher than that of control group（x^2=5.233, P〈0.05）. Conclusion： The clinical effect of high frequency repetitive transcranial magnetic stimulation combined with cognitive intervention for stroke patients with aphasia is favorable. And this method can increase quality of life and satisfaction for patients, and can extremely reduce medical dispute and improve the therapeutic level of hospital for stroke patients with aphasia.
出处
《中国医学装备》
2017年第4期117-120,共4页
China Medical Equipment
关键词
高频重复经颅磁刺激
认知干预
脑卒中
失语症
磁刺激器
High frequency repetitive transcranial magnetic stimulation
Cognitive intervention
Stroke
Aphasia
Magnetic stimulator
