摘要
目的:观察针灸联合经颅磁刺激辅治脑卒中后认知障碍及言语障碍的效果.方法:98例分为观察组和对照组各49例,两组均给予常规治疗联合针灸,观察组加用经颅磁刺激治疗.结果:治疗后两组《蒙特利尔认知评估量表(MoCA)》和《简易精神状态检查量表(MMSE)》评分均升高,且观察组较对照组更高(P＜0.05).治疗后两组听语理解、复述以及自发言语评分均升高,且观察组较对照组高(P＜0.05).治疗后两组口舌歪斜、半身不遂、面色淡白以及气短乏力积分均降低,且观察组低于对照组(P＜0.05).结论:经颅磁刺激联合针灸治疗可改善脑卒中后认知障碍及言语障碍,效果较好.
Abstract
Objective:To observe the effect of acupuncture combined with transcranial magnetic stimulation on cognitive impairment and speech disorder after stroke.Methods:Ninety-eight cases were divided into the observation group and the control group,with 49 cases in each group.The two groups were treated with routine treatment combined with acupuncture,and the observation group were treated with transcranial magnetic stimulation.Results:After treatment,the scores of Montreal Cognitive Assessment Scale(MoCA)and Mini Mental State Examination Scale(MMSE)in the two groups increased,and those in the observation group were higher than the control group(P<0.05).After treatment,the scores of listening comprehension,retelling and spontaneous speech in the two groups increased,and those in the observation group were higher than the control group(P<0.05).After treatment,the scores of tongue skew,hemiplegia,pale complexion,shortness of breath and fatigue in the two groups decreased,and those in the observation group were lower than the control group(P<0.05).Conclusion:Transcranial magnetic stimulation combined with acupuncture could improve cognitive impairment and speech disorder after stroke,with good effect.
基金项目
河南省医学科技攻关计划(2018)(2018020857)
维普
万方数据