Article(id=1317125537244500507, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1317125500041015883, articleNumber=null, orderNo=null, doi=10.13193/j.issn.1673-7717.2026.02.011, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1791956799087, onlineDateStr=2026-10-14, pubDate=1770652800000, pubDateStr=2026-02-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1791956799087, onlineIssueDateStr=2026-10-14, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1791956799087, creator=13701087609, updateTime=1791956799087, updator=13701087609, issue=Issue{id=1317125500041015883, tenantId=1146029695717560320, journalId=1255847919539208197, year='2026', volume='44', issue='2', pageStart='1', pageEnd='258', issueExtLink='null', onlineDate='null', pubDate='1770652800000', pubDateStr='2026-02-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1791956790217, creator='13701087609', updateTime=1791958795145, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1317133909368877755, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1317125500041015883, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1317133909373072060, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1317125500041015883, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=62, endPage=65, ext={EN=ArticleExt(id=1317125537441632796, articleId=1317125537244500507, tenantId=1146029695717560320, journalId=1255847919539208197, language=EN, title=Mechanism of Acupuncture Combined with Repetitive Transcranial Magnetic Stimulation in Treating Post-Stroke Non-Fluent Aphasia Using Near-Infrared Brain Functional Imaging, columnId=1256183361521967297, journalTitle=Chinese Archives of Traditional Chinese Medicine, columnName=Target on National Project, runingTitle=null, highlight=null, articleAbstract=
Objective To investigate the clinical efficacy mechanisms of acupuncture combined with repetitive transcranial magnetic stimulation（rTMS）in treating post-stroke non-fluent aphasia using near-infrared brain functional imaging.
Methods A total of 104 patients diagnosed with stroke and non-fluent aphasia at the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from June 2022 to March 2024 were randomly divided into an observation group and a control group，with 52 patients in each. All subjects underwent assessments using near-infrared brain functional imaging techniques. The control group received rTMS，while the observation group was treated with a combination of acupuncture and rTMS. Clinical outcomes，speech function，acoustic levels and aphasia scoring were compared between the two groups，along with brain activity assessments through near-infrared imaging.
Results The total effective rate was significantly higher in the observation group（98.00%，49/50）compared to that in the control group（70.00%，35/50）（P<0.05）. Post-treatment，both groups showed improved speech function scores，with the scores of the observation group exceeding those of the control group（P<0.05）. Additionally，the scores on the Communication Activities of Daily Living（CADL），Nonverbal Cognitive Assessment（NLCA）and the Barthel Index improved post-treatment，with the scores of the observation group outperforming those of the control group（P<0.05）. The changes in brain activity，specifically in the PMC，SMC and SMA，were statistically significant between two groups post-treatment（P<0.05）.
Conclusion The treatment of post-stroke non-fluent aphasia with acupuncture combined with rTMS，followed by brain activation using near-infrared brain functional imaging，significantly enhances therapeutic outcomes and speech function，promotes patient recovery and demonstrates high clinical value.
, authors=Lin WANG, Ping ZHOU, authorsList=Lin WANG, Ping ZHOU, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1317125537651347997, articleId=1317125537244500507, tenantId=1146029695717560320, journalId=1255847919539208197, language=CN, title=基于近红外脑功能成像探讨针刺结合重复经颅磁刺激治疗卒中后非流利性失语的临床效应机制, columnId=1256183362172142382, journalTitle=中华中医药学刊, columnName=国家项目点击, runingTitle=null, highlight=null, articleAbstract=
目的 研究基于近红外脑功能成像探讨针刺结合重复经颅磁刺激治疗卒中后非流利性失语的临床效应机制。
方法 选取2022年6月—2024年3月天津中医药大学第一附属医院收治的104例被诊断为脑卒中并伴有非流利性失语的患者作为研究对象，采取随机数字表法分为观察组和对照组，每组52例，所有患者均基于近红外脑功能成像技术进行探讨。对照组采用重复经颅磁刺激治疗，观察组采用针刺结合重复经颅磁刺激治疗。比较两组患者的临床效果、言语功能、声学水平以及失语症评分情况，并采取近红外脑功能成像技术检测其脑活动情况。
结果 观察组总有效率为98.00%（49/50），明显高于对照组的70.00%（35/50）（P<0.05）。治疗后，两组言语功能评分均高于治疗前，且观察组高于对照组（P<0.05）。治疗后，两组语言交流能力检查量表（Communicative abilities in daily living，CADL）、非语言认知评估量表（Non-linguistic cognitive assessment，NLCA）均高于治疗前，且观察组高于对照组（P<0.05）。治疗后，两组预运动皮质（Pre-motor cortex，PMC）、感觉运动皮质（Sensory motor cortex，SMC）、运动补充区（Supplementary motor area，SMA）均低于/高于治疗前，且观察组低于/高于对照组，差异有统计学意义（P<0.05）。
结论 卒中后非流利性失语患者采取针刺结合重复经颅磁刺激治疗，并予以近红外脑功能成像技术监测大脑后，可有效提升治疗效果，改善患者的语言功能，促进患者恢复，具有较高的临床应用价值。
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