内科理论与实践2024，Vol.19Issue(4)：231-235,5.DOI:10.16138/j.1673-6087.2024.04.03
θ爆发式经颅磁刺激联合言语训练对脑卒中失语症的疗效
Therapeutic effect of theta burst transcranial magnetic stimulation combined with speech training on aphasia after stroke
摘要
Abstract
Objective Analyzing the clinical treatment efficacy of continuous theta burst stimulation(cTBS),theta burst stimulation(TBS)combined with speech training on post stroke aphasia(PSA).Methods In this study,90 PSA patients admitted to our hospital from February 2022 to January 2023 were divided into three groups according to different treatment methods,each 30 cases in each group.The basic group was given speech training,the observation group 1 was given cTBS combined speech training,and the observation group 2 was given iTBS combined speech training.The clinical efficacy,western aphasia battery(WAB)score,view naming test results,Boston diagnostic aphasia examination(BDAE)rating,stroke aphasia quality of life scale(SAQOL-39g)score were compared among the three groups.Results The total clinical effective rate(96.67%,93.33%)in observation group 1 and observation group 2 were higher than that in basic group(60.00%)(P＜0.05).After treatment,WAB score and correct number of view naming test in observation group 1 and observation group 2 were higher than those in basic group(P＜0.05).The reaction time of view naming test in observation group 1 and observation group 2 were shorter than that in basic group(P＜0.05).The improvement degree of BDAE grade in observation group 1 and observation group 2 after treatment were better than that in basic group(P＜0.05).The SAQOL-39g score in observation group 1 and observation group 2 after treatment was higher than that in basic group(P＜0.05).The total clinical response rate,WAB score after treatment,correct number of view naming tests,response time,improvement effect of BDAE classification,and SAQOL-39g score didn't show significant difference between observation group 1 and group 2(P＞0.05).Conclusions Both cTBS and iTBS combined speech training can improve aphasia symptoms,view naming ability and quality of life in PSA patients.The clinical efficacy of them is comparable,and both are better than single speech training.关键词
持续短阵脉冲刺激/间歇性爆发式脉冲刺激/言语训练/脑卒中失语症/经颅磁刺激Key words
Sustained short burst stimulation/Intermittent burst mode pulse stimulation/Speech training/Stroke aphasia/Clinical effect分类
医药卫生引用本文复制引用
曾贞,陆春华,王凯,张琴..θ爆发式经颅磁刺激联合言语训练对脑卒中失语症的疗效[J].内科理论与实践,2024,19(4):231-235,5.基金项目
上海市静安区卫生科研课题(2023MS13) （2023MS13）
