语音和语言治疗加上电针或非侵入性脑刺激用于中风后失语症:系统性审查和网络元分析
Lanlan Zhang1, Bingbing Lin1,2, Yunshi Huang1
1Fujian University of Traditional Chinese Medicine, Fuzhou, China.
NeuroRehabilitation
|April 2, 2025
概括
结合语音和语言治疗 (SLT) 和其他治疗方法,可显著改善中风后失语症 (PSA) 患者的语言功能. 具体的组合,如SLT加电 ?? 治疗,显示了最有前途的语音和重复恢复.
科学领域:
- 神经学 神经学
- 语音语言病理学 语言病理学
- 康复医学 康复医学 康复医学
背景情况:
- 脑卒中后失言症 (PSA) 显著影响沟通能力.
- 语音语言治疗 (SLT) 是PSA的基石治疗.
- 结合疗法,包括针和大脑刺激,正在越来越多地与SLT一起探索.
研究的目的:
- 评估基于SLT的组合疗法的治疗疗效,以改善PSA患者的语言功能.
- 为了比较各种SLT组合干预措施与单独SLT的有效性.
主要方法:
- 在多个数据库中进行了系统的文献搜索,截至2024年12月2日.
- 包括随机对照试验 (RCT),比较基于SLT的组合治疗与PSA的对照.
- 使用随机效应网络元分析 (NMA) 来合成数据.
主要成果:
- 66项研究被纳入了NMA.
- 与单独的SLT相比,组合疗法通常在语音,重复和听力理解方面表现出更好的结果.
- SLT + 电治疗显示了提高说话技能的可能性最高 (SUCRA=84.6) 和重复 (SUCRA=92.0).
- SLT + 跨直流刺激 (tDCS) 显示了改善听力理解的最大潜力 (SUCRA=89.8).
结论:
- 所有基于SLT的组合干预措施都被发现在治疗PSA方面比单独使用SLT更有效.
- 特定的组合疗法,如SLT与电针或tDCS,为不同的语言领域提供有针对性的好处.
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