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目的观察经颅磁刺激结合针灸在早期脑梗死后运动性失语患者功能恢复效果。方法将早期脑梗死后运动性失语患者84例随机分为2组,每组42例,2组患者均给予常规药物治疗和言语训练,观察组给予经颅磁刺激结合针灸康复治疗,对照组给予经颅磁刺激康复治疗,比较2组的言语功能恢复效果。结果 2组治疗前失语指数比较差异无统计学意义(P>0.05);2组治疗后失语指数均明显升高,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组治疗后自发言语、复述、命名三项功能评分均高于对照组,差异均有统计学意义(P<0.05);2组理解功能评分比较差异无统计学意义(P>0.05)。结论经颅磁刺激结合针灸有助于促进早期脑梗死运动性失语患者功能恢复,值得临床推广应用。
Objective To observe the functional recovery effect of transcranial magnetic stimulation combined with acupuncture in patients with motor aphasia after early cerebral infarction. Methods 84 patients with motor aphasia after early cerebral infarction were randomly divided into 2 groups, 42 patients in each group. The patients in both groups were given routine medication and speech training. The patients in the observation group were given transcranial magnetic stimulation combined with acupuncture and rehabilitation therapy, Transcranial magnetic stimulation rehabilitation treatment, the two groups of speech function recovery effect. Results There was no significant difference in the aphasia index between the two groups before treatment (P> 0.05). The aphasia index of the two groups were significantly increased after treatment, and the difference between the two groups was statistically significant (P <0.05). The scores of spontaneous speech, repetition and naming in the observation group after treatment were all higher than those in the control group (P <0.05). There was no significant difference between the two groups in understanding functional scores (P> 0.05). Conclusion Transcranial magnetic stimulation combined with acupuncture can promote the functional recovery of patients with motor aphasia in early stage of cerebral infarction, which is worthy of clinical application.