|
|
|
| Effect of Schuell Language Rehabilitation Therapy Combined with rTMS on Poststroke Aphasia of Elderly Patients |
| WEN Zhi-ling, YI Gui-ye, GUO Jin-lan |
| Department of Geriatric Rehabilitation, Shanghai First Rehabilitation Hospital, Shanghai 200090 |
|
|
|
|
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.
|
|
Received: 23 February 2021
|
|
|
|
|
|
[1] FREIRE A, GAGLIARDI R J, SANTOS M . Effect of speech therapy intervention program for non-fluent aphasic patients after stroke[J].CoDAS,2020, 32(6):12-15.
[2] SHAO Y, WANG P, WANG Q, et al. Eye-acupuncture with rehabilitation therapy for stroke[J].Medicine,2020, 99(18):e20096.
[3] 尹明宇. 高频重复经颅磁刺激对脑卒中后认知功能障碍的影响[J].中国康复医学杂志, 2018, 33(7):763-769.
[4] 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组, 彭斌,等. 中国急性缺血性脑卒中诊治指南2018 [J].中华神经科杂志, 2018, 51(9):666-682.
[5] 张庆苏,纪树荣,李胜利,等.中国康复研究中心汉语标准失语症检查量表的信度与效度分析[J].中国康复理论与实践,2005,11(9):703-705.
[6] 张丽曼. 益气活血开窍方治疗急性缺血性脑卒中疗效观察[J].现代中西医结合杂志, 2020, 29(13):1387-1390.
[7] GIL-SIERRA M D.Checklist for clinical applicability of subgroup analysis[J].J Clin Pharm Ther,2020, 45(3):530-538.
[8] 樊瑞文, 常静玲. 脑卒中后失语事件相关电位N400语言任务范式探讨[J].中国康复医学杂志, 2018, 33(7):123-127.
[9] VAN OERS C A M M, BART V D W H, KAPPELLE L J, et al. Etiology of language network changes during recovery of aphasia after stroke[J].Sci Rep,2018, 8(1):856.
[10] 吴野, 巩尊科, 李新剑,等. 不同模式经颅磁刺激对痉挛型偏瘫脑性瘫痪患儿上肢运动功能的影响[J].中国康复医学杂志, 2019, 34(11):108-110.
[11] 刘湘敏, 李光宁, 陈伟英,等. 低频重复经颅磁刺激对脑卒中后手部运动功能康复的疗效[J].中国慢性病预防与控制, 2018, 26(12):933-935.
[12] 冯阳, 唐自强, 杨莉. 血清YKL-40,RANTES,SSA水平和帕金森病患者Mo CA评分的关系[J].卒中与神经疾病, 2019, 26(5):595-598. |
|
|
|
2021, Vol. 38 
