中华脑科疾病与康复杂志(电子版)
中華腦科疾病與康複雜誌(電子版)
중화뇌과질병여강복잡지(전자판)
CHINESE JOURNAL OF BRAIN DI8SEASES AND REHABILITATIN(ELECTRONIC EDITION)
2014年
6期
49-53
,共5页
经颅磁刺激%卒中%失语
經顱磁刺激%卒中%失語
경로자자격%졸중%실어
Transcranial magnetic stimulation%Stroke%Aphasia
失语是脑卒中后常见的并发症,严重影响患者的生活质量。通常卒中后失语的治疗以药物、语言康复训练和中医理疗为主,但疗效不佳或个体差异大。越来越多的研究证实作为一种非侵入性大脑刺激技术———重复性经颅磁刺激技术( rTMS)可为卒中后失语患者语言功能的康复提供一种新的治疗手段。本文就rTMS治疗卒中后失语的可能性,rTMS治疗卒中后失语的现状以及rTMS治疗卒中后失语的可能机制展开综述。着重阐述了目前国内外开展rTMS治疗卒中后失语的治疗模式、刺激参数和治疗效果,并从神经重塑的角度探讨了双侧半球,特别是非优势半球在接受rTMS治疗后发生的变化及其对卒中后失语患者语言能力的影响。旨在为rTMS治疗卒中后失语的进一步应用及对其作用机制的进一步研究提供参考。
失語是腦卒中後常見的併髮癥,嚴重影響患者的生活質量。通常卒中後失語的治療以藥物、語言康複訓練和中醫理療為主,但療效不佳或箇體差異大。越來越多的研究證實作為一種非侵入性大腦刺激技術———重複性經顱磁刺激技術( rTMS)可為卒中後失語患者語言功能的康複提供一種新的治療手段。本文就rTMS治療卒中後失語的可能性,rTMS治療卒中後失語的現狀以及rTMS治療卒中後失語的可能機製展開綜述。著重闡述瞭目前國內外開展rTMS治療卒中後失語的治療模式、刺激參數和治療效果,併從神經重塑的角度探討瞭雙側半毬,特彆是非優勢半毬在接受rTMS治療後髮生的變化及其對卒中後失語患者語言能力的影響。旨在為rTMS治療卒中後失語的進一步應用及對其作用機製的進一步研究提供參攷。
실어시뇌졸중후상견적병발증,엄중영향환자적생활질량。통상졸중후실어적치료이약물、어언강복훈련화중의리료위주,단료효불가혹개체차이대。월래월다적연구증실작위일충비침입성대뇌자격기술———중복성경로자자격기술( rTMS)가위졸중후실어환자어언공능적강복제공일충신적치료수단。본문취rTMS치료졸중후실어적가능성,rTMS치료졸중후실어적현상이급rTMS치료졸중후실어적가능궤제전개종술。착중천술료목전국내외개전rTMS치료졸중후실어적치료모식、자격삼수화치료효과,병종신경중소적각도탐토료쌍측반구,특별시비우세반구재접수rTMS치료후발생적변화급기대졸중후실어환자어언능력적영향。지재위rTMS치료졸중후실어적진일보응용급대기작용궤제적진일보연구제공삼고。
Aphasia is a common complication of stroke , which affects a person′s quality of life devastatingly .While pharmacological treatments , professionally administered speech-language therapy and physical therapy of traditional Chinese medicine are commonly employed treatment of stroke induced aphasia , their therapeutic effects are quite variable and are generally modest .Increasing evidences suggest that repetitive transcranial magnetic stimulation ( rTMS) as a non-invasive brain stimulation technique has shown promise as potential approaches for enhancing aphasia recovery .In this review, we first examined the possibility of employing rTMS to post-stroke language recovery .Then,we discussed the current state and the possible mechanism of employing rTMS as research tools in patients who experienced post -stroke aphasia .We reviewed the therapeutic protocol ,stimulation parameters and the therapeutic result in papers detailedly .We also discussed the contributions from the dominant and non-dominant hemispheres after rTMS .This paper aimed to provide a reference to a further application and its mechanism of rTMS to post -stroke language recovery.