经颅磁刺激结合针灸治疗早期脑梗死运动性失语的效果

Effect of transcranial magnetic stimulation combined with acupuncture on motor aphasia caused by early cerebral infarction

目的探讨经颅磁刺激结合针灸治疗早期脑梗死运动性失语的临床效果。方法选取我院收治的早期脑梗死运动性失语患者60例作为研究对象,分为观察组和对照组,各30例。两组均接受常规西药治疗和言语训练;对照组在此基础上实施经颅磁刺激,观察组在对照组基础上联合使用针灸治疗。比较两组治疗前、后失语指数及言语功能各指标评分。结果治疗后,两组失语指数评分均升高,且观察组明显高于对照组(P<0.05)。观察组治疗后自发言语、复述、命名的言语功能评分明显高于对照组(P<0.05);两组理解言语功能评分无明显差异(P>0.05)。结论对早期脑梗死运动性失语患者实施经颅磁刺激结合针灸治疗可有效提高失语指数评分,改善失语症状,可在临床进行大力推广。

Objective To explore the clinical effect of transcranial magnetic stimulation combined with acupuncture on motor aphasia caused by early cerebral infarction. Methods Sixty patients with motor aphasia caused by early cerebral infarction in our hospital were selected and divided into observation group and control group, with 30 cases in each group.Both groups received conventional western medicine treatment and speech training, based on which the control group was given transcranial magnetic stimulation, and the observation group was treated with transcranial magnetic stimulation combined with acupuncture. The aphasia index before and after treatment and speech function scores were compared between the two groups. Results After treatment, the aphasia index scores of the two groups increased, and the aphasia index score of the observation group was higher than that of the control group（P〈0.05）. The scores of spontaneous speech,retelling and naming speech function in the observation group were significantly higher than those in the control group after treatment（P〈0.05）, but there was no significant difference in understanding speech function score between the two groups（P〉0.05）. Conclusion Transcranial magnetic stimulation combined with acupuncture can effectively improve aphasia index score and the symptom of aphasia in patients with motor aphasia caused by early cerebral infarction, which is worthy of clinical promotion.