《中国康复理论与实践》

《中国康复理论与实践》

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经颅直流电刺激对脑卒中患者失语症恢复的影响①

槐雅萍1，左秀芹2，尹昱1，段冉冉1，刘玲娜1，闫彦宁1，徐金秀1，贾子善2   

  1. 1. 河北省人民医院康复科，河北石家庄市050051；2. 中国人民解放军总医院康复医学中心，北京市100853。
    作者简介：槐雅萍
  • 出版日期:2016-10-25 发布日期:2016-12-05

Effects of Transcranial Direct Current Stimulation on Aphasia after Stroke

HUAI Ya-ping1, ZUO Xiu-qin2, YIN Yu1, DUAN Ran-ran1, LIU Ling-na1, YAN Yan-ning1, XU Jin-xiu1, JIA Zi-shan2   

  1. 1. Department of Rehabilitation Medicine, Hebei Provincial People's Hospital, Shijiazhuang, Hebei 050051, China; 2. Centre of Rehabilitation, Chinese PLA General Hospital, Beijing 100853, China
  • Published:2016-10-25 Online:2016-12-05

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摘要： 目的探讨经颅直流电刺激(tDCS)对脑卒中后失语症恢复的影响。方法选取2012 年4 月~2013 年1 月本科脑卒中失语症患者20 例。采用A-B设计，A期行tDCS 假刺激+语言治疗10 次(每周5 次)，B期为阳极tDCS+语言治疗10 次(每周5 次)，共4周。B期给予左侧Broca 或Wernicke 区阳极tDCS刺激。在A期、B期前后进行治疗项和非治疗项图命名评价。结果B期治疗项和非治疗项图命名评分差值高于A期(t>3.030, P<0.05)。结论tDCS能够改善脑卒中失语症患者图命名的准确率。

关键词: 脑卒中, 失语症, 经颅直流电刺激, 康复

Abstract: Objective To investigate the effect of transcranial direct current stimulation (tDCS) on aphasia recovery after stroke. Methods From April, 2012 to January, 2013, 20 aphasic patients after stroke were enrolled in an A-B experiment design. During phase A, ten times of sham tDCS and language training (five days a week) were implemented, then ten times language training combined with tDCS (five days a week) were implemented in phase B. The treatment lasted for four weeks. Picture naming was measured for all patients before and after treatment both in phase A and phase B. Results The D-value scores of picture naming before and after treatment were significantly more in phase B than in phase A in both treatment items and non-treatment items (t>3.030, P<0.05). Conclusion tDCS could raise the accuracy of picture naming in patients with aphasia after stroke.

Key words: stroke, aphasia, transcranial direct current stimulation, rehabilitation