低频脉冲电刺激治疗卒中后失语症患者41例临床分析

Application of Electric Stimulation in the Rehabilitation Treatment of Patients with Post-stroke Aphasia

【目的】探讨低频脉冲电刺激治疗卒中后失语症的临床疗效。【方法】自2005年10月至2007年9月采用Vocastim-Master言语治疗仪进行低频脉冲电刺激治疗卒中后失语症患者41例,以功能恢复训练法(Schuell刺激疗法和构音训练)为对照,采用中国康复研究中心失语症检查法(CR-RCAE)在治疗前后对患者的语言功能进行评定。【结果】治疗前功能训练组与电刺激组间CR-RCAE评分无显著差异(P>0.05)。治疗后两组患者的CR-RCAE分值均较治疗前明显改善,差异有显著性(P<0.01);其中电刺激组患者的康复效果明显优于功能训练组(P<0.05)。【结论】低频脉冲电刺激能有效地促进卒中后失语症患者语言功能的恢复。

[Objective]To explore the efficacy of electric stimulation on the rehabilitation treatment of patients with post-stroke aphasia. [Methods] Forty-one patients suffering from post-stroke aphasia were divided randomly into two groups to receive speech training or speech training plus electric stimulation for a month, respectively. Chinese rehabilitation research center aphasia examination （CR-RCAE） was used for assessment. [Results]There was no significant difference in CR-RACE scores between two groups before treatment（ P〉 0.05）. CR-RACE scores were improved significantly in both groups after therapy（ P 〈0.01）. Compared with speech training group, the clinic outcome was much better in electric stimulation group（ P 〈0.05）. [Conclusion] Electric stimulation has therapeutic value in the speech recovery of patients with post-stroke aphasia.