Abstract：【Objective】To explore the effect of Schuell language rehabilitation therapy combined with repetitive transcranial magnetic stimulation (rTMS) in the treatment of aphasia in elderly stroke patients. 【Methods】A total of 70 patients with poststroke aphasia who were treated in our hospital from August 2017 to August 2020 were selected in the study. According to random digital table, patients were divided into the control group and the observation group, with 35 cases in each group. The control group was given Schuell language rehabilitation therapy, while the observation group was given rTMS in addition to Schuell language rehabilitation therapy. The clinical efficacy, language function (naming, auditory comprehension, spontaneous speech and retelling), aphasia quotient (AQ), Montreal Cognitive Assessment Scale (MoCA score) and communication ability of daily language scale (CADL) score were compared between the two groups. 【Results】After treatment, the total effective rate in the observation group was 91.43% (32/35),which was higher than 65.71% (23/35) in the control group; And the difference was statistically significant(P<0.05).Compared to before treatment, patients in both groups had higher scores of language function (naming, listening comprehension, retelling, spontaneous speech), AQ score, MoCA score and CADL score after treatment(P>0.05).After treatment, the scores of language function (naming, listening comprehension, retelling, spontaneous speech), AQ score, MoCA score and CADL score in the observation group were significantly higher than those in the control group(P<0.05). 【Conclusion】Schuell language rehabilitation therapy combined with rTMS in the treatment of aphasia after stroke has a good clinical effect, can improve the language function of patients, improve the ability of daily communication and cognitive function of patients.
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2021, Vol. 38 
