摘要
目的 观察经颅直流电刺激联合计算机辅助综合训练对脑梗死后非流畅性失语症患者语言功能的改善效果。方法 选取2019年6月至2021年5月浙江省人民医院收治的脑梗死后非流畅性失语症患者60例,随机分为治疗组(30例),对照组(30例),治疗组采用经颅直流电刺激联合计算机辅助综合训练,对照组采用计算机辅助综合训练,分别于治疗前与治疗4周后对患者进行西方失语成套量表测验(WAB)和洛文斯顿认知评定量表(LOTCA)评估。结果 治疗1个月后,患者语言功能有不同程度的改善,治疗组疗效优于对照组,两组WAB比较自发言语、复述、命名及失语商评分比较,差异有统计学意义(P<0.05),两组LOTCA比较定向力、知觉、视运动组织、思维运作及总评分差异有统计学意义(P<0.05)。结论 经颅直流电刺激联合计算机辅助综合训练对脑梗死后非流畅性失语症患者语言康复效果明显。
Objective To observe the effect of transcranial direct current stimulation combined with computer-assisted comprehensive training on improving the speech function of patients with non-fluency aphasia after cerebral infarction.Methods A total of 60 patients with non-fluency aphasia after cerebral infarction admitted to Zhejiang Provincial People′s Hospital from June 2019 to May 2021 were randomly divided into the treatment group(n=30) and the control group(n=30). The treatment group were given transcranial direct current stimulation combined with computer-assisted comprehensive training, and the control group were given computer-assisted comprehensive training. Western Aphasia Battery(WAB) and Loeweistein Occupational Therapy Cognitive Assessment(LOTCA) were performed before treatment and 4 weeks after treatment. Results After 1 month of treatment, the speech function improved to varying degrees. The therapeutic effect in the treatment group was better than that in the control group. There were statistically significant differences in WAB self-speaking, retelling, naming and aphasia quotient scores between the two groups(P <0.05).There were statistically significant differences in LOTCA orientation, perception, visual movement organization, and thinking operation scores and total score(P<0.05). Conclusion Transcranial direct current stimulation combined with computer-assisted comprehensive training has a significant effect on speech rehabilitation in patients with non-fluency aphasia after cerebral infarction.
作者
夏思颖
章丽雅
叶靓
过秀秀
崔璨
叶祥明
XIA Siying;ZHANG Liya;YE Jing;GUO Xiuxiu;CUI Can;YE Xiangming(Graduate School,Zhejiang Chinese Medical University,Hangzhou310053,China;Department of Rehabilitation Medicine,Zhejiang Provincial People′s Hospital,People′s Hospital of Hangzhou Medical College,Hangzhou310014,China)
出处
《中国现代医生》
2022年第10期111-114,共4页
China Modern Doctor
基金
浙江省卫生健康科技计划项目(2021KY518)。
关键词
经颅直流电刺激
计算机辅助
综合训练
非流畅性失语
Transcranial direct current stimulation
Computer-assisted
Comprehensive training
Non-fluency aphasia
