高频重复经颅磁刺激联合语言康复训练治疗脑梗死后运动性失语症的临床效果观察

Clinical Outcomes of High Frequency Repetitive Transcranial Magnetic Stimulation Combined with Speech Rehabilitation Training for Motor Aphasia after Cerebral Infarction

目的分析脑梗死并运动性失语患者治疗中,语言训练+高频重复经颅刺激的实施效果。方法2019年2月至2020年8月以我院60例脑梗死并发运动性失语患者为对象,根据随机摸球的方式,分为对照组、观察组,每组各30例。对照组仅进行语言康复训练,观察组实施高频重复经颅磁刺激联合语言康复训练。评估两组治疗前后的失语症CRRCAE评分、治疗效果。结果观察组脑梗死后运动性失语症患者治疗后的CRRCAE评分(听理解、复述、说、出声读、阅读)以及临床总有效率均高于对照组,差异具有统计学意义(P<0.05)。结论对脑梗死后运动性失语症患者实施高频重复经颅磁刺激联合语言康复训练治疗能够有效改善患者的失语症状,具有较高的临床应用价值。

Objective To analyze the effect of language training+high frequency repetitive transcranial stimulation in the treatment of patients with cerebral infarction and motor aphasia.Methods 60 patients with cerebral infarction complicated with motor aphasia in our hospital from February 2019 to August 2020 were taken as the object.According to random touch ball group,30 cases each in the control group and the observation group.30 patients in the control group only received language rehabilitation training,and 30 patients in the observation group received high-frequency repetitive transcranial magnetic stimulation combined with language rehabilitation training.The CRRCAE score of aphasia and the treatment effect of the two groups before and after treatment were evaluated.Results The treatment CRRCAE scores(auditory comprehension,repetition,speaking,word reading,word reading out,and reading)as well as the clinical overall response rate of the observation group were higher than those of the control group after cerebral infarction,with statistically significant differences(P<0.05).Conclusion The implementation of high-frequency repetitive transcranial magnetic stimulation combined with language rehabilitation training for motor aphasia patients after cerebral infarction can effectively improve the aphasia symptoms of patients,and it has a high clinical application value.