低频交变电磁疗法配合语言训练治疗脑梗死后运动性失语症的临床分析-神经病学专业论文.docxVIP

宁夏医科大 宁夏医科大学硕士研究生学位论文 中文摘要 II II 计学意义（P0.05）。④BDAE 严重程度分级的比较：治疗组严重程度较对照组减轻， 且差异具有统计学意义（P0.05）。 （3）影响因素分析： ①文化程度：治疗后,小学文化程度总有效率 50.0%，中学及以上学历总有效率 93.55%，两组比较，差异具有显著统计学意义（P0.01）。 ②年龄：小于 65 岁的患者经治疗后总有效率 90.90%，等于大于 65 岁患者总有效 率 71.43%，但两组比较，差异无统计学意义（P0.05）。 ③性别：男性患者治疗后总有效率 83.87%，女性患者总有效率 75%，两组比较差 异无统计学意义（P0.05）。 结论 1. 低频交变电磁疗法配合 Schuell 刺激法治疗脑梗死后运动性失语症的疗效 优于单纯 Schuell 刺激疗法，特别在谈话、复述、命名方面；对改善患者失语严重程度 也有重要意义。 2. 影响运动性失语症康复的因素分析中，表明较高的学历，对失语症的预后更好； 与性别、年龄无显著关系。 关键词 低频交变电磁疗法，Schuell 刺激疗法，脑梗死，运动性失语，康复 宁夏医科大 宁夏医科大学硕士研究生学位论文 英文摘要 III III Clinica research on Broca aphasia after Cerebral Infarction by Low Electromagenetic Therapy associated with language training ABSTRACT Objective To analyse factors affecting motor aphasia rehabilitation,explore the efficacy of low electromagenetic therapy for motor aphasia after cerebral infarction through clinical research;Observe differences in efficacy between motor aphasia rehabilitation and single Schuell Stimulation;Investigate the low electromagenetic therapy on the clinical value of motor aphasia,in order to seek a safe and effective method for patients with motor aphasia. Methods Select the diagnosis of 43 cases by the Aphasia Battery of Chinese (ABC) for motor aphasia patients after acute cerebral infarction in the Ningxia Hui Autonomous Region Peoples Hospital, Department of Neurology. 43 cases were randomly divided into treatment group 23 cases(low electromagenetic therapy +Schuell Stimulation)and control group of 20 cases(Schuell Stimulation).Oral expression,comprehension,reading and writing score are determinated by ABC.Aphasia severity assessed by Boston diagnostic aphasia examination(BDAE).Efficacy was assessed by the BDAE severity classification to improve the rating.After one month,the above-mentioned indicators were again assessed,then analy changes before and after treatment in case-control study. Results (1)Baseline analysis: ①Treatment and control groups in gender,age,education level were no significant diffe