目的探讨语言认知功能训练联合经颅直流电刺激(tDCS) 治疗脑卒中失语症患者的临床效果。方法选取2019年7月至2020年1月我院收治的脑卒中失语症患者86例为研究对象,采用信封法分为观察组与对照 组,每组43例。两组患者都给予脑卒中常规治疗和护理。在此基础上,对照组患者给予语言认知功能训练;观察组患者在对照组患者训练的基础上给 予tDCS治疗,疗程6周。比较两组患者治疗前后的听理解、复述、谈话和阅读能力评分和失语商(AQ)评分;比较两组患者治疗过程中的不良反应 发生情况。结果治疗前,两组患者的听理解、复述、谈话、阅读能力评分以及AQ评分比较,差异无统计学意义(P>0.05);治疗6周后,观察组患 者的听理解、复述、谈话和阅读能力评分以及AQ评分均显著高于对照组,差异有统计学意义(P<0.05)。治疗期间,观察组患者出现头痛2例、轻 微针刺感1例、麻木感1例,但均可自行缓解;对照组患者无明显的不良反应发生。结论在常规治疗护理的基础上,语言认知功能训练联合经颅直流电 刺激治疗能显著提高脑卒中失语症患者的临床治疗效果,有效改善患者的语言障碍状况,不良反应轻微,临床上可根据具体情况选择应用。
ObjectiveTo explore the clinical effect of language cognitive function training combined with transcranial direct current stimulation (tDCS) in the treatment of patients with aphasia after stroke. MethodsA total of 86 patients with aphasia after stroke admitted to our hospital form July 2019 to January 2020 were selected as the research subjects, and they were divided into observation group and control group by the envelop method, with 43 cases in each group. Patients in both groups were given routine treatment and nursing. On the basis of the routine treatment, patients in the control group were given language cognitive function training, based on which patients in the observation group were treated with tDCS, for a six-week course of treatment. The pre- and post-treatment scores of listening comprehension, rehearsal, conversation, reading ability, and the aphasia quotient (AQ) were compared between the two groups. The adverse reactions of the two groups were compared during the treatment. ResultsBefore treatment, there were no statistically significant differences in the scores of listening comprehension, rehearsal, conversation, reading ability and AQ between the two groups (P>0.05). After 6 weeks of treatment, the observation group yielded higher scores of the indicators mentioned above as compared with the control group, with statistically significant differences (P<0.05). During the treatment, headache occurred in 2 cases, slight acupuncture sensation in 1 case and numbness in 1 case in the observation group, all of which were relieved by themselves. There was no obvious adverse reaction in the control group. ConclusionOn the basis of routine treatment and nursing, language cognitive function training combined with tDCS can prominently improve the clinical effect of stroke patients with aphasia, effectively improve the status of patients with language disorders, with mild adverse reactions, and thus it can be applied according to the specific conditions.