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经颅直流电刺激联合常规言语训练治疗卒中后失语症患者的疗效观察
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Abstract:
目的：观察经颅直流电刺激(tDCS)联合常规言语训练在卒中后非流畅性失语症患者治疗中的疗效。方法：纳入脑卒中后非流畅性失语症患者30例，将患者分为试验组和对照组，每组15例，在常规言语康复训练的基础上，试验组给予Broca区阳极tDCS，对照组给予假刺激。在治疗前和治疗三周后均采用西方失语症成套测验(Western aphasia battery, WAB)、波士顿诊断性失语症检查量表(Boston diagnostic aphasia scale, BDAE)、中国式功能性言语沟通能力判定法(Chinese functional communi-cation profile, CFCP)对患者进行评估。结果：治疗后，2组患者的自发言语、听理解、复述、命名、失语商AQ、CFCP评分均较治疗前提高，差异有统计学意义(P < 0.05)，其中，自发言语、命名、失语商AQ、CFCP评分四个方面，试验组较对照组评分显著提高(P < 0.05)。结论：经颅直流电刺激联合常规言语康复治疗可以更好的改善脑卒中后失语症患者的言语功能及沟通能力。
Objective: To observe the efficacy of transcranial direct current stimulation (tDCS) combined with conventional speech training in the treatment of patients with post-stroke non-fluent aphasia. Methods: Thirty patients with post-stroke non-fluent aphasia were included, and the patients were divided into a test group and a control group, with 15 cases in each group. On the basis of conven-tional speech rehabilitation training, the test group was given anodal tDCS in Broca’s area, and the control group was given sham stimulation. The Western aphasia battery (WAB), Boston diagnostic aphasia examination scale (BDAE), Chinese functional communication profile (CFCP), and the Chi-nese functional communication profile (CFCP) were used before and after three weeks of treatment. Functional communication profile (CFCP) patients were evaluated. Results: After treatment, the spontaneous speech, listening comprehension, repetition, naming, aphasia quotient AQ, and CFCP scores of the patients in the 2 groups were improved compared with those of the patients before treatment, and the differences were statistically significant (P < 0.05), among which, in four aspects of spontaneous speech, naming, aphasia quotient AQ, and CFCP scores, the scores of the experi-mental group were significantly improved compared with those of the control group (P < 0.05). Con-clusion: Transcranial direct current stimulation combined with conventional speech rehabilitation therapy can better improve the speech function and communication ability of post-stroke aphasia patients.
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