经颅直流电刺激结合头皮针治疗脑卒中运动性失语患者的疗效观察OACSTPCD

Objective:To explore the clinical efficacy of transcranial direct current stimulation(tDCS)on left dor-solateral prefrontal combined with scalp acupuncture for motor aphasia in stroke patient.Methods:Totally,74 pa-tients with motor aphasia after stroke were randomly divided into observation group and control group,37 cases in each group.The control group was given speech training and scalp acupuncture therapy,and tDCS pseudo-stimula-tion therapy at the same time;the observation group was given speech training and scalp acupuncture therapy com-bined with tDCS therapy,a total of 4 weeks of treatment.The Chinese Rehabilitation Research Center Standard A-phasia Test Scale(CRRCAE)and Boston Diagnostic Aphasia Test(BDAE)were used to evaluate the language function of the patients in the 2 groups before and after treatment,and the communication ability of daily living scale(CADL)was used to evaluate the language communication ability of the patients.The quality of life of the patients was assessed by the Concise Health Survey Scale(SF-36).Results:There was no significant difference in CRRCAE score,BDAE grade,CADL score and SF-36 score between 2 groups before treatment.After 4 weeks of treatment,the CRRCAE score,CADL score and SF-36 score of 2 groups were higher than before treatment,and the BDAE grade was improved.After treatment,CRRCAE score,CADL score and SF-36 score in the observation group were increased as compared with those in the control group,and BDAE grade was improved in the observation group as compared with that in the control group.Conclusion:tDCS on left dorsolateral prefrontal combined with scalp acu-puncture can better improve the language function,daily communication ability and quality of life in patients with post-stroke motor aphasia.