针药结合治疗急性期缺血性脑卒中失语症的临床研究

Effect of the Combination of Acupuncture and Chinese Medicine in Treating Aphasla in Pstients of Acute Ischemic Stroke

目的观察针药结合治疗急性期缺血性脑卒中失语症的疗效。方法急性期脑卒中失语症患者63例,按就诊先后顺序随机分为观察组(针灸+中药+常规西药)和对照组(常规西药治疗),其中观察组32例,对照组31例.观察比较2组病例治疗前后自发谈话、理解、复述、命名4项言语功能的得分和患者神经功能(NIHSS)积分变化,以及中医证候学和构音器官的症状变化。结果观察组临床疗效、自发言语和复述两项语言功能的改善情况显著高于对照组,证候学及构音器官症状的改善率观察组也有更好的变化趋势。结论针药结合治疗急性期缺血性脑卒中失语症可明显改善患者的言语功能和临床症状,明显提高临床疗效。

Objective To observe the effect of the combination of acupuncture and Chinese medicine in treating aphasia in patients of acute ischemic stroke. Metheds 63 patients of aphasia after acute ischemic stroke were randomly divided into observation group （32 patients receiving combining treatment of acupuncture ＋ Chinese medicine ＋ routine western drug treatment） and control group （31 patients receiving routine western drug treatment）. Comparison between patients of two groups was made including the speech functions of spontaneous talk, comprehension, repeat and denomination, the integral calculus of Neurological functions （NIHSS）, Chinese medicine syndromes and the symptoms of sounding organs. Results The clinical efficacy, improvement of spontaneous talk and repeat of the speech ability in observation group were significantly better than those in control group. In Chinese medicine syndromes and the symptoms of sounding organs, the combining therapy also showed the tendency of better improvement. Conclusions The combining therapy of acupuncture and Chinese medicine can effectively improve the speech ability and clinical symptoms of patients of acute ischemic stroke aphasia.