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目的观察头针联合语言康复训练对脑卒中后运动性失语症患者疗效,为临床治疗提供理论依据。方法符合入组标准的患者随机分为试验组(40例)和对照组(39例),对照组常规治疗配合Schuell刺激法进行语言康复训练;试验组在对照组的基础上增加头针针刺。治疗期共4w,随访期12w。结果对照组和试验组语言功能评分,在治疗结束时分别为(74.44±12.33)分和(89.64±12.46)分,在随访结束时别为(82.38±16.87)分和(97.53±20.22)分,两组在治疗结束和随访结束时,与治疗前比较差异均具有统计学意义(P <0.05),试验组与对照组组间比较差异也具有统计学意义(P <0.05)。在治疗结束和随访结束时,与对照组比较,治疗组各级别的BDAE-C评分差异具有统计学意义(P <0.05)。在治疗结束时,对照组的显效率为41.0%,试验组的显效率为65.0%,两组显效率差异有统计学意义(P <0.05)。结论头针联合语言康复训练对脑卒中后运动性失语症患者有较好的疗效,且这种效果具有持续性的特点。
Abstract：Objective To observe the effects of scalp acupuncture combined with language rehabilitation training on patients with motor aphasia after stroke,and to provide the theoretical basis for clinical treatment.Methods Patients,tataling 79 cases,who met the inclusion criteria were randomly divided into experimental group (40 cases) and control group (39 cases).In the control group,the language rehabilitation training was performed with the Schuell stimulation method on the basis of routine treatment.The test group added the scalp acupuncture on the basis of the control group.Both groups were treated for 4 weeks,followed by 12 weeks of follow-up.Results The language function scores of the control group and the experimental group were (74.44±12.33) and (89.64±12.46),respectively at the end of treatment,and (82.38±16.87) and (97.53±20.22) at the end of follow-up.At the end of treatment and the end of follow-up,There was statistical significance when compared the two groups (P <0.05).The comparison between theexperimental group and the control group also showed statistical significance (P <0.05).At the end of treatment and the end of follow-up,the BDAE-C score at all levels of the treatment group was statistically significant compared with that the control group(P <0.05).At the end of treatment,the apparent efficiency of the control group was 41.0%,and that of the experimental group was 65.0%,with statistically significant difference between the two groups (P <0.05).Conclusion Scalp acupuncture combined with language rehabilitation training was shown to have a good effect on the patients with motor aphasia after stroke,and the effect is persistent.
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基本信息:
中图分类号:R743.3
引用信息:
[1]金荣祥,张成,倪红雷,等.头针联合语言康复训练对脑卒中后运动性失语症患者的疗效研究[J].新疆医科大学学报,2018,41(12):1503-1507.
基金信息:
上海市卫计委中医药科研基金(2014LP051A)
2018-12-15
2018-12-15