持续短阵快速脉冲刺激联合语言康复训练在神经内科语言功能障碍患者康复中的应用价值

doi:10.3969/j.issn.1671-7171.2026.03.014

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摘要 【目的】探讨持续短阵快速脉冲刺激联合语言康复训练在神经内科语言功能障碍患者康复中的应用价值。【方法】选取2023年2月至2024年12月在本院诊治的90例因脑血管意外导致语言功能障碍的患者,采用便利抽样法分成观察组和对照组,每组45例。对照组采用语言康复训练,观察组采用持续短阵快速脉冲刺激联合语言康复训练,两组均干预3个月。比较两组波士顿诊断性失语检查(BDAE)分级、频闪喉镜指标(黏膜波、声带闭合、对称性、周期性评分)、发音障碍状况[嗓音障碍指数量表(VHI)评分]、语言功能状况[汉语标准失语症检查量表(CRRCAE)评分]、生活质量[世界卫生组织生存质量测定量表(WHOQOL)评分]。【结果】观察组BDAE分级优于对照组(P<0.05)。干预后,观察组黏膜波、声带闭合、对称性、周期性评分及VHI评分低于对照组(P<0.05);观察组CRRCAE各项评分、WHOQOL各项评分均高于对照组(P<0.05)。【结论】持续短阵快速脉冲刺激联合语言康复训练能够有效促进神经内科语言功能障碍患者的康复,改善患者语言功能和发音状况,提升患者生活质量,可作为语言功能障碍患者的辅助康复方法。

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	周秀娟
	刘茹

关键词 ：言语障碍, 脉冲疗法, 语言疗法

Abstract：【Objective】 To investigate the application value of continuous theta burst stimulation combined with language rehabilitation training in the rehabilitation of patients with language dysfunction in the neurology department. 【Methods】 A total of 90 patients with language dysfunction caused by cerebrovascular accidents admitted to our hospital from February 2023 to December 2024 were selected and divided into an observation group and a control group using convenience sampling method, with 45 cases in each group. The control group received language rehabilitation training alone, while the observation group received continuous theta burst stimulation combined with language rehabilitation training. Both groups were intervened for 3 months. The Boston Diagnostic Aphasia Examination (BDAE) grading, stroboscopic laryngoscopy indicators (mucosal wave, vocal cord closure, symmetry, and periodicity scores), speech disorder status [Voice Handicap Index (VHI) score], language function status [Chinese Rehabilitation Research Center Aphasia Examination (CRRCAE) score], and quality of life [World Health Organization Quality of Life Scale (WHOQOL) score] were compared between the two groups. 【Results】 The BDAE grading in the observation group was better than that in the control group (P<0.05). After intervention, the mucosal wave, vocal cord closure, symmetry, periodicity, and VHI scores in the observation group were lower than those in the control group (P< 0.05). The CRRCAE scores and WHOQOL scores in the observation group were higher than those in the control group (P< 0.05). 【Conclusion】 Continuous theta burst stimulation combined with language rehabilitation training can effectively promote the rehabilitation of patients with language dysfunction in the neurology department, improve patients' language function and speech status, and enhance patients' quality of life. It can be used as an auxiliary rehabilitation method for patients with language dysfunction.

Key words： Speech Disorders Pulse Therapy Language Therapy

收稿日期: 2025-12-22

中图分类号:

R493.23

引用本文:

周秀娟, 刘茹. 持续短阵快速脉冲刺激联合语言康复训练在神经内科语言功能障碍患者康复中的应用价值[J]. 医学临床研究, 2026, 43(3): 403-406.
ZHOU Xiujuan, LIU Ru. Application Value of Continuous Theta Burst Stimulation Combined with Language Rehabilitation Training in the Rehabilitation of Patients with Language Dysfunction in Neurology Department. JOURNAL OF CLINICAL RESEARCH, 2026, 43(3): 403-406.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2026.03.014 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2026/V43/I3/403

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