头电针疗法联合言语康复训练治疗脑卒中后运动性失语临床研究
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R743.3

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Clinical Study on Electrocephalic Acupuncture Combined with Speech Rehabilitation Training for Post-Stroke Motor Aphasia
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    摘要:

    目的:观察头电针疗法配合言语康复训练治疗脑卒中后运动性失语的临床疗效及对患者言语功 能、失语程度的影响。方法:采用随机数字表法将70 例脑卒中后运动性失语患者分为对照组及观察组各 35 例。对照组给予言语康复训练治疗,观察组在对照组基础上给予头电针疗法治疗。比较2 组临床疗效及治 疗前后中医证候评分、中国康复研究中心汉语标准失语症检查量表(CRRCAE) 评分、波士顿诊断性失语症检 查(BDAE)、中文版脑卒中失语症生活质量量表(SAQOL-39g)。结果:观察组总有效率88.57%,高于对照组 68.57% (P<0.05)。治疗后,2 组偏瘫、痰多头晕、口舌歪斜、不语或言语謇涩中医证候评分较治疗前降 低(P<0.05),失语程度减轻(P<0.05),且观察组治疗后中医证候评分低于对照组(P<0.05),失语程度轻 于对照组(P<0.05)。治疗后,2 组CRRCAE 维度(阅读理解、复述、流利性、书写) 评分及SAQOL-39g 评 分较治疗前升高(P<0.05),且观察组治疗后CRRCAE 评分、SAQOL-39g 评分高于对照组(P<0.05)。结 论:头电针疗法联合言语康复训练治疗脑卒中后运动性失语疗效显著,能够有效提高患者言语功能,改善失语 严重程度,提高患者生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of electrocephalic acupuncture combined with speech rehabilitation training on patients with post-stroke motor aphasia and its influence on their speech function and degree of aphasia. Methods: A total of 70 patients with post- stroke motor aphasia were divided into the control group and the observation group by random number table method, with 35 cases in each group. The control group was treated with speech rehabilitation training, and the observation group was additionally given electrocephalic acupuncture based on the treatment of the control group. The clinical effects and the scores of traditional Chinese medicine (TCM) syndromes, China Rehabilitation Research Center Aphasia Examination (CRRCAE), Boston Diagnostic Aphasia Examination (BDAE) and Chinese version of Stroke Aphasia Quality of Life Scale (SAQOL-39g) were compared between the two groups before and after treatment. Results:The total effective rate was 88.57% in the observation group, higher than that of 68.57% in the control group (P<0.05). After treatment, the TCM syndrome scores of hemiplegia, abundant phlegm and dizziness, deviated mouth and tongue, and aphasia or sluggish speech in the two groups were decreased when compared with those before treatment (P<0.05), and the degree of aphasia was relieved (P<0.05). After treatment, the TCM syndrome scores in the observation group were lower than those in the control group (P<0.05), and the degree of aphasia was less than that in the control group (P<0.05). After treatment, the scores of reading comprehension, retelling, fluency and writing in CRRCAE and SAQOL- 39g were increased in the two groups when compared with those before treatment (P<0.05), and the CRRCAE and SAQOL- 39g scores in the observation group were higher than those in the control group after treatment (P<0.05). Conclusion:The therapy of electrocephalic acupuncture combined with speech rehabilitation training has a significant therapeutic effect on the treatment of post- stroke motor aphasia patients,which can effectively improve their speech function,lessen the severity of aphasia,and enhance the quality of life.

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许彦臣,于远东,王阳,李喜梅,杜昊.头电针疗法联合言语康复训练治疗脑卒中后运动性失语临床研究[J].新中医,2023,55(7):194-198

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  • 在线发布日期: 2023-04-12
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