rTMS配合语言分级训练在脑梗死后失语症患者中的应用效果

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Application Effect of rTMS Combined with Graded Language Training in Patients with Aphasia after Cerebral Infarction/YAO Lei， MOU Yuhao， xU Ying， MlAO Ziying.//Medical Innovation of China， 2025， 22（10）： 037-041

[Abstract]Objective： To investigate the application efect of repetitive transcranial magnetic stimulation （rTMS）combined with graded language training in patients with aphasia after cerebral infarction.Method： From January2023to June2024，80 patients withaphasia after cerebralinfarctionwho receivedrehabilitation treatment at theHongqi Hospitalof Mudanjiang Medical University were selected.Using random number table method， they were grouped.The control group （40cases）received gradedlanguage training，and the experimental group （40 cases） receivedrTMSonthis basis.After 6weeks of treatment，thetwo groups were compared intermsofefficacy，aphasia battery of chinese （ABC）scores，chinese functional communication profile （CFCP）scores，communication activities of daily living（CADL）scores，national institutesof health stroke scale（NIHSS）scores and36-item shortform health survey （SF-36）scores beforeand after treatment.Result：Thetotal effectiverates in the experimental group and the control group were 92.50% and 75.00% ， with a significant difference （ P <0.05）. After treatment， both groups showed significant increases in ABC， CFCP， CADL and SF-36 scores， moreover， above scores of the experimental group were significantly higher than those of the control group （P<0.05） . Both groups showed significant decreases

基金项目：黑龙江省省属高等学校基本科研业务费科研项目（2021-KYYWF-0498 ① 牡丹江医科大学附属红旗医院康复医学科黑龙江牡丹江157000 通信作者：苗自颖

in NIHSS scores，and NIHSS score of theexperimental group was significantly lowerthan thatof the control group （P<0.05）.Conclusion： rTMS combined with graded language training can efectively improves relevant symptoms in patients with aphasiaafter cerebral infarction，promote therecovery of neurological function， and improve communication activities of daily living and the quality of life.

[Key words] Repetitive transcranial magnetic stimulation Graded language training Aphasia after cerebral infarction

First-author's address： Department of Rehabilitation Medicine， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157ooo， China doi： 10.3969/j.issn.1674-4985.2025.10.009

脑梗死通常是由于大脑某一部分的血液供应中断，导致该区域的脑细胞受损，若涉及大脑的语言中枢（如布洛卡区和韦尼克区），则可能导致不同类型的失语症。（剩余5866字）