电针联合康复训练治疗颅脑损伤后失语症临床观察

Clinical Observation of Electroacupuncture Combined with Rehabilitation Training for Aphasia After Craniocerebral Injury

目的观察电针联合康复训练治疗颅脑损伤后失语症的临床疗效。方法将132例颅脑损伤后失语症患者随机分为对照组和观察组,每组66例。对照组采用常规康复训练,观察组在对照组治疗基础上采用电针治疗。比较两组患者治疗前后简易精神状态评价(MMSE)量表、日常生活交流能力(CADL)、中国康复研究中心汉语标准失语症检查表(CRRCAE)评分变化。结果两组治疗后MMSE、CADL、CRRCAE评分均升高(P<0.05),且观察组高于对照组(P<0.05)。观察组治疗前后CADL、CRRCAE评分差值大于对照组(P<0.05)。结论电针联合康复训练较单纯康复训练能够有效改善颅脑损伤后失语症患者言语能力、日常生活交流能力和认知功能。

Objective To observe the clinical efficacy of electroacupuncture plus rehabilitation training in treating aphasia after craniocerebral injury.Method A total of 132 patients with aphasia after craniocerebral injury were randomized into a control group and an observation group,with 66 cases in each group.The control group was intervened by conventional rehabilitation training,while the observation group was given additional electroacupuncture treatment.Mini-mental State Examination(MMSE),communication activities of daily living(CADL)and China Rehabilitation Research Center Aphasia Examination(CRRCAE)were compared before and after treatment in the two groups.Result The scores of MMSE,CADL and CRRCAE increased after treatment in both groups(P<0.05),and were higher in the observation group than in the control group(P<0.05).The post-treatment changes in the CADL and CRRCAE scores were more significant in the observation group than in the control group(P<0.05).Conclusion Compared with rehabilitation training alone,electroacupuncture plus rehabilitation training can more effectively improve the verbal ability,CADL and cognitive function in patients with aphasia after craniocerebral injury.