经颅直流电刺激结合头皮针治疗脑卒中运动性失语患者的疗效观察

目的：探讨经颅直流电刺激（tDCS）左背外侧前额叶结合头皮针对脑卒中运动性失语患者的临床疗效。方法：选取74例脑卒中运动性失语患者，随机分为观察组和对照组，每组各37例。对照组给予言语训练及头针治疗，同时给予tDCS伪刺激治疗，观察组在给予言语训练及头针治疗的同时联合tDCS治疗，共治疗4周。2组患者于治疗前后采用中国康复研究中心汉语标准失语症检查量表（CRRCAE）、波士顿诊断性失语症测验（BDAE）评估患者的语言功能，采用采用日常生活交流能力量表（CADL）评定患者语言交流能力，采用简明健康调查量表（SF-36）评定患者的生存质量。结果：2组患者治疗前CRRCAE评分、BDAE等级、CADL评分、SF-36评分比较差异无统计学意义。治疗4周后，2组患者的CRRCAE评分、CADL评分、SF-36评分均较治疗前升高（P＜0.05），BDAE等级较前改善（P＜0.05）；治疗后观察组CRRCAE评分、CADL评分、SF-36评分均较对照组升高（P＜0.05），BDAE等级较对照组改善（P＜0.05）。结论：tDCS刺激左背外侧前额叶结合头皮针可以更好的改善脑卒中运动性失语症的语言功能、日常交流能力及生活质量。

Efficacy of transcranial direct current stimulation on left dorsolateral prefrontal combined with scalp acupuncture for motor aphasia in stroke patients

Objective: To explore the clinical efficacy of transcranial direct current stimulation (tDCS) on left dorsolateral prefrontal combined with scalp acupuncture for motor aphasia in stroke patient. Methods: Totally, 74 patients with motor aphasia after stroke were randomly divided into observation group and control group, 37 cases in each group. The control group was given speech training and scalp acupuncture therapy, and tDCS pseudo-stimulation therapy at the same time; the observation group was given speech training and scalp acupuncture therapy combined with tDCS therapy, a total of 4 weeks of treatment. The Chinese Rehabilitation Research Center Standard Aphasia Test Scale (CRRCAE) and Boston Diagnostic Aphasia Test (BDAE) were used to evaluate the language function of the patients in the 2 groups before and after treatment, and the communication ability of daily living scale (CADL) was used to evaluate the language communication ability of the patients. The quality of life of the patients was assessed by the Concise Health Survey Scale (SF-36). Results: There was no significant difference in CRRCAE score, BDAE grade, CADL score and SF-36 score between 2 groups before treatment. After 4 weeks of treatment, the CRRCAE score, CADL score and SF-36 score of 2 groups were higher than before treatment, and the BDAE grade was improved. After treatment, CRRCAE score, CADL score and SF-36 score in the observation group were increased as compared with those in the control group, and BDAE grade was improved in the observation group as compared with that in the control group. Conclusion: tDCS on left dorsolateral prefrontal combined with scalp acupuncture can better improve the language function, daily communication ability and quality of life in patients with post-stroke motor aphasia.