Clinical Observation On Acupuncture Combined With Repetitive Transcranial Magnetic Stimulation In The Treatment Of Post-stroke Motor Aphasi

Objective: To observe the clinical effect of acupuncture combined with repetitive transcranial magnetic stimulation on motor aphasia after stroke,and provide more new ideas for clinical treatment of this disease.Material and method: 105 eligible patients were randomly divided into acupuncture group(35 cases),r TMS group(35 cases)and combination group(35 cases)by random number table.Due to the existence of exfoliation cases after treatment,the final number of cases studied was acupuncture group(34 cases),r TMS group(33 cases)and combination group(34 cases).On the premise of daily basic treatment,the acupuncture group selected Baihui point,Yamen point,sublingual three needles and speech area one for acupuncture treatment;In the r TMS group,a frequency of 5 Hz was selected to treat the Broca area of the contralateral hemisphere of the patients;The joint group combined the two treatment methods for treatment.The three groups were treated once a day,five times a week,a total of 40 times in 8 weeks.Before and after treatment,the simplified Chinese aphasia test kit was used to count the scores of conversation,retelling,understanding,naming,total score and total effective rate of the patients,and the Boston Aphasia Diagnostic Test was used to grade the patients,and a comparative analysis was performed before and after treatment.Result:1.Baseline comparison: There was no statistically significant difference in gender,age and course of disease among the three groups before treatment(p>0.05).2.ABC scale score analysis: There was no significant difference in the total score of ABC before treatment among the three groups.After treatment,the total score of ABC in the three groups was higher than that before treatment(p<0.05).The score of the combined group after treatment was significantly higher than that of the acupuncture group and the r TMS group.There was no statistical difference between the acupuncture group and the r TMS group.The scores of ABC scale were analyzed,and the combined group was better than the acupuncture group and r TMS group;In terms of conversation and retelling,the acupuncture group was better than the r TMS group;In terms of understanding,the r TMS group was better than the acupuncture group.3.Evaluation of ABC improvement rate: After treatment,the three groups can significantly increase the ABC score and improve the speech dysfunction of patients.The treatment effective rate of acupuncture group was 82.35%,the treatment effective rate of r TMS group was 78.79%,and the treatment effective rate of combination group was 91.18%.The combination group had the best effect in improving motor aphasia.There was no significant difference between acupuncture group and r TMS group.4.BDAE grade evaluation analysis: There was no significant difference in the evaluation of BDAE grade before treatment among the three groups.The evaluation of BDAE grade after treatment in the three groups was higher than that before treatment(p<0.05).The evaluation of BDAE grade after treatment in the combination group was significantly higher than that in the acupuncture group and r TMS group.There was no statistical difference between the acupuncture group and r TMS group.Conclusion:1.Acupuncture group,r TMS group and combination group can significantly improve the aphasia degree of patients with motor aphasia after stroke,and the treatment process is relatively safe.2.The treatment group was superior to the acupuncture and moxibustion group and the RTMS group in speaking,narration,understanding and naming.In the treatment of motor aphasia,the acupuncture and moxibustion group showed better clinical efficacy than the r TMS group in patient consultation and narration.As far as patients’ understanding is concerned,the clinical efficacy of r TMS group is better than that of acupuncture and moxibustion group.3.The combination of acupuncture and moxibustion and repetitive transcranial magnetic stimulation can make up for the shortcomings of acupuncture and moxibustion alone and repetitive transcranial magnetic stimulation.Finally,we can observe the improvement of different scores,overall scores and effectiveness of the simplified ABC scale,as well as the improvement of the BDAE scale level.