《中国康复理论与实践》

《中国康复理论与实践》

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语言半球优势与Theta 爆发式经颅磁刺激治疗卒中后失语①

何维佳1，李月裳2，梁慧康1，梁浩云1，黄家星1   

  1. 1. 香港中文大学内科及药物治疗学系，香港；2. 香港中文大学耳鼻咽喉-头颈外科学系，香港。
  • 出版日期:2016-03-25 发布日期:2016-06-01

Language Lateralization and Theta Burst Stimulation in Post-stroke Aphasia (review)

Weijia HE1, Kathy Y.S. LEE2, Thomas W.H. LEUNG1, Howan LEUNG1, Lawrence K.S. WONG1   

  1. 1. Department of Medicine and Therapeutics, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, China; 2. Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, China
  • Published:2016-03-25 Online:2016-06-01

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摘要： 语言的大脑半球优势影响卒中后失语症的恢复。在语言功能重建过程中，半球优势呈动态变化。Theta 爆发式经颅磁刺激治疗耗时更短，强度更大，已证实有利于卒中后失语症的恢复。本文还结合语言的半球优势，对theta 爆发式经颅磁刺激临床应用中的刺激模式、治疗时机、语言区的定位方法进行讨论，并探讨相关的评定方法和随访时间。

关键词: 脑卒中, 失语症, theta爆发式经颅磁刺激, 康复, 综述

Abstract: Post-stroke aphasia recovery is affected by the hemispheric dominance of language lateralization and the dynamic changes after stroke. Theta burst stimulation is a novel model of repetitive transcranial magnetic stimulation, which has a shorter treatment time and a stronger treatment effect. It has been proven as a beneficial method to aphasia recovery after stroke. The mode, timing and location of the stimulation were introduced, and assessments and the follow-up timing were discussed, based on the potential mechanisms of aphasia recovery in the filed of hemispheric dominance.

Key words: stroke, aphasia, theta burst stimulation, rehabilitation, review