rTMS配合語言分級訓(xùn)練在腦梗死后失語癥患者中的應(yīng)用效果

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Application Effect of rTMS Combined with Graded Language Training in Patients with Aphasia after Cerebral Infarction/YAO Lei， MOU Yuhao， xU Ying， MlAO Ziying.//Medical Innovation of China， 2025， 22（10）： 037-041

[Abstract]Objective： To investigate the application efect of repetitive transcranial magnetic stimulation （rTMS）combined with graded language training in patients with aphasia after cerebral infarction.Method： From January2023to June2024，80 patients withaphasia after cerebralinfarctionwho receivedrehabilitation treatment at theHongqi Hospitalof Mudanjiang Medical University were selected.Using random number table method， they were grouped.The control group （40cases）received gradedlanguage training，and the experimental group （40 cases） receivedrTMSonthis basis.After 6weeks of treatment，thetwo groups were compared intermsofefficacy，aphasia battery of chinese （ABC）scores，chinese functional communication profile （CFCP）scores，communication activities of daily living（CADL）scores，national institutesof health stroke scale（NIHSS）scores and36-item shortform health survey （SF-36）scores beforeand after treatment.Result：Thetotal effectiverates in the experimental group and the control group were 92.50% and 75.00% ， with a significant difference （ P <0.05）. After treatment， both groups showed significant increases in ABC， CFCP， CADL and SF-36 scores， moreover， above scores of the experimental group were significantly higher than those of the control group （P<0.05） . Both groups showed significant decreases

基金項目：黑龍江省省屬高等學(xué)校基本科研業(yè)務(wù)費科研項目（2021-KYYWF-0498 ① 牡丹江醫(yī)科大學(xué)附屬紅旗醫(yī)院康復(fù)醫(yī)學(xué)科黑龍江牡丹江157000 通信作者：苗自穎

in NIHSS scores，and NIHSS score of theexperimental group was significantly lowerthan thatof the control group （P<0.05）.Conclusion： rTMS combined with graded language training can efectively improves relevant symptoms in patients with aphasiaafter cerebral infarction，promote therecovery of neurological function， and improve communication activities of daily living and the quality of life.

[Key words] Repetitive transcranial magnetic stimulation Graded language training Aphasia after cerebral infarction

First-author's address： Department of Rehabilitation Medicine， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157ooo， China doi： 10.3969/j.issn.1674-4985.2025.10.009

腦梗死通常是由于大腦某一部分的血液供應(yīng)中斷，導(dǎo)致該區(qū)域的腦細胞受損，若涉及大腦的語言中樞（如布洛卡區(qū)和韋尼克區(qū)），則可能導(dǎo)致不同類型的失語癥。（剩余5866字）