词联导航训练法联合经颅直流电刺激改善失语症言语流畅度及命名能力的临床观察

发布时间：2018-01-21 11:17

  本文关键词： 词联导航训练法 经颅直流电刺激 慢性非流畅性失语症 言语流畅度 命名能力　出处：《中国康复医学杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的:探讨词联导航训练法(word association navigation training,WANT)结合经颅直流电刺激(tDCS)改善慢性非流畅性失语症患者言语功能的治疗方案。方法:16例非流畅性失语症患者随机分为真刺激组(8例)和伪刺激组(8例)。真刺激组tDCS阳极置于左侧Broca区,阴极置于对侧肩部,电流强度为1.0mA,2次/天,20min/次,连续10d。伪刺激组每次tDCS刺激30s后停止。两组同时实施WANT训练。治疗前后进行西方失语症成套测试(WAB)、训练图片和未训练图片命名测试。结果:治疗前后两组WAB失语商(WAB-AQ)和图片命名测试得分均有显著提高(P0.05)。治疗后真刺激组训练图片命名得分和WAB中言语流畅度得分显著提高(P0.01)。未训练图片命名测试得分和WAB-AQ较伪刺激组改善明显(P0.05)。结论:词联导航训练法结合tDCS能更显著地改善慢性非流畅性失语症患者的言语流畅度和命名能力。
[Abstract]:Objective: To investigate the effect of word association navigation training (word association navigation training, WANT) combined with transcranial direct current stimulation (tDCS) therapy on improvement of speech function in patients with chronic non fluent aphasia. Methods: 16 cases of non fluent aphasia patients were randomly divided into true stimulation group (8 cases) and pseudo stimulation group (8 cases). It stimulated tDCS anode is arranged in the left Broca, placed on the cathode side shoulder, current intensity is 1.0mA, 20min/ times, 2 times / day, stop the continuous sham 10d. group tDCS each time after 30s stimulation. Two groups of WANT. At the same time the implementation of training before and after the treatment of Western aphasia test (WAB), training. And no training picture naming test. Results: the two groups before and after treatment of WAB (WAB-AQ) and aphasia quotient picture naming test scores were significantly improved after treatment (P0.05). It stimulated group training scores of verbal fluency scores of picture naming and WAB significantly increased (P0.01) without training. The scores and WAB-AQ of training naming test improved significantly compared with the pseudo stimulation group (P0.05). Conclusion: word linking navigation training combined with tDCS can significantly improve verbal fluency and naming ability of chronic non fluent aphasic patients.

【作者单位】： 南京医科大学第一附属医院康复医学中心;宜兴市九如城康复医院;南京朝天宫社区卫生服务中心;
【基金】：国家自然科学基金资助项目(81171854);国家自然科学基金面上项目(81672255) 江苏省科技支撑计划BE2012675
【分类号】：R493;R743.3
【正文快照】： 经颅直流电刺激(transcranial direct current区卫生服务院和宜兴市九如城康复医院接受住院治stimulation,t DCS)是一种非侵入性的脑刺激技术,疗的慢性非流畅性失语症患者16例。纳入标准:(1)主要通过恒定、低强度直流电(0—2m A)调节大脑皮经CT或MRI扫描有明确病灶;(2)病程2个，

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