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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

马凯敏 俞坤强 徐日 唐冬梅 吴李秀 王红梅 周敏亚

中国康复2024,Vol.39Issue(4):195-199,5.
中国康复2024,Vol.39Issue(4):195-199,5.DOI:10.3870/zgkf.2024.04.001

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

Efficacy of transcranial direct current stimulation on left dorsolateral prefrontal combined with scalp acupuncture for motor aphasia in stroke patients

马凯敏 1俞坤强 1徐日 1唐冬梅 1吴李秀 1王红梅 1周敏亚1

作者信息

  • 1. 丽水市第二人民医院康复医学科,浙江 丽水 323000
  • 折叠

摘要

Abstract

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.

关键词

头皮针/经颅磁刺激/脑卒中/运动性失语

Key words

scalp acupuncture/transcranial direct current stimulation/stroke/motor aphasia

分类

医药卫生

引用本文复制引用

马凯敏,俞坤强,徐日,唐冬梅,吴李秀,王红梅,周敏亚..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[J].中国康复,2024,39(4):195-199,5.

基金项目

浙江省基础公益研究计划(LGF20H170013) (LGF20H170013)

中国康复

OACSTPCD

1001-2001

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