ABSTRACT
Objective To explore the therapeutic effect of transcranial electrical stimulation (tDCS) on verbal dysfunction after stroke.Methods 86 patients with stroke aphasia were included in the study.They were divided into two groups according to the time of treatment and single and double numbers.43 patients in the control group received language rehabilitation training,43 cases in the observation group were given tDCS combined with language rehabilitation training.The clinical treatment effect was compared between the two groups.Results The effective rates of the observation group and the control group were 93.02％ and 62.79％ respectively,the difference between the two groups was statistically significant (χ2=7.667,P＜0.05).The language proficiency scores of the observation group and the control group were (176.60±13.23) and (144.62±10.29),respectively,which were significantly higher than pre-treatment (t=6.553,7.919,all P＜0.05),which of the observation group was superior to the control group,the difference between the two groups was statistically significant (t=6.830,P＜0.05).The CADL scores of the observation group and the control group were (85.86±6.87)points and (68.76±5.88)points,respectively,which were significantly higher than pre-treatment (t=6.879,8.472,all P＜0.05),which of the observation group was better than the control group,the difference was statistically significant (t=6.692,P＜0.05).ConclusiontDCS combined with language rehabilitation training can improve the verbal function of patients and improve their daily communication ability,which is beneficial to the rehabilitation of patients,and it is worth to learn.
ABSTRACT
Objective To explore the clinical curative effect and nursing measures of damaged skin and ganglion radiofrequency thermal condensation in the treatment of elderly primary trigeminal neuralgia.Methods 144 elderly patients with trigeminal neuralgia were randomly divided into observation group and control group,72 cases in each group.The control group was given percutaneous and ganglion radiofrequency thermal condensation damage to surgical treatment,the observation group was given in combination with the comprehensive nursing intervention.The clinical treatments of the two groups were observed.Results After the intervention,the anxiety self -assessment rating scale, depression self rating scale score of the observation group were (41.88 ±1.04)points,(44.19 ±2.15)points which of the control group after the intervention were (45.86 ±2.47)points,(51.08 ±3.97)points,the differences between the two groups were statistically significant (t =12.601,12.949,all P <0.05).In observation group,the length of hospital stay,visual analog pain score,nursing satisfaction score were (16.71 ±1.64)d,(1.48 ± 0.51)points,(94.58 ±2.43)points,which of the control group were (23.86 ±2.96)d,(3.26 ±1.14)points, (88.17 ±5.87)points,the differences between the two groups were statistically significant (t =17.928,12.093, 8.561,all P <0.05).The incidence rate of postoperative complications of the observation group was 5.56%,which of the control group was 16.67%,the difference between the two groups was statistically significant (χ2 =4.500,P <0.05).Conclusion Damaged on percutaneous and ganglion radiofrequency thermal condensation in treatment of elderly patients of primary trigeminal neuralgia with comprehensive nursing intervention can effectively relieve psycho-logical negative emotions,shorten hospitalization time,the patients'pain score,reduce the postoperative complications, it is worthy of popularization and application in clinic.