言语康复联合经颅直流电刺激对失语症的临床疗效观察

Clinical Effect of Speech Rehabilitation Combined with Transcranial Direct Current Stimulation on Aphasia

目的:探讨言语康复联合经颅直流电刺激对失语症的临床疗效。方法:将某院2019年2月~2021年2月收治的100例失语症患者,按随机数字表法分为对照组和观察组各50例,对照组给予言语康复治疗,观察组给予言语康复联合经颅直流电刺激治疗,两组患者均治疗30次。采用西方失语成套量表测验(WAB)评估两组患者干预前后的自发言语、听理解、复述、命名评分,采用失语商(AQ)评估两组患者干预前后的失语症严重程度,评估两组患者干预前后焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分。结果:与干预前相比,干预后两组患者自发言语、听理解、复述、命名评分均升高,观察组高于对照组(P<0.05);与干预前相比,干预后两组患者AQ评分均升高,观察组高于对照组(P<0.05);与干预前相比,干预后两组患者SAS评分、SDS评分均降低,观察组低于对照组(P<0.05)。结论:言语康复联合经颅直流电刺激可有效改善失语症患者语言功能和心理状态,提高言语流畅度和命名能力,降低失语症严重程度。

Objective:To investigate the clinical effect of speech rehabilitation combined with transcranial direct current stimulation on aphasia.Methods:A total of 100 patients with aphasia admitted to a hospital from February 2019 to February 2021 were divided into control group and observation group according to random number table method,with 50 patients in each group.The two groups were given speech rehabilitation therapy and speech rehabilitation combined with transcranial direct current stimulation therapy,and treated 30 times.Spontaneous speech,listening comprehension,retelling,and naming scores were assessed by western Aphasia Suite Test(WAB)before and after intervention,and the aphasia quotient(AQ)was used to assess aphasia severity before and after intervention.The anxiety self-assessment scale(SAS)score and the depression self-assessment scale(SDS)score in the two groups before and after intervention were assessed.Results:Compared with before intervention,the scores of spontaneous speech,listening comprehension,retelling and naming in the two groups were increased after intervention,and those in observation group were higher than those in control group(P<0.05).Compared with before intervention,AQ score in the two groups was increased after intervention,and the observation group was higher than the control group(P<0.05).Compared with before intervention,the SAS score and SDS score of the two groups were decreased after the intervention,and the observation group was lower than the control group(P<0.05).Conclusion:Speech rehabilitation combined with transcranial direct current stimulation can effectively improve the language function of patients with aphasia and mental state,improve speech fluency and naming ability,and reduce the severity of aphasia.