头穴丛刺结合言语康复治疗脑卒中运动性失语临床研究

Clinical Treatment of Apoplectic Aphemia with Multi-needle Puncture of Scalp-points in Combination with Visual-Listening-Speech Training

目的:研究头穴丛刺方法结合言语康复技术对脑卒中运动性失语患者语言功能的影响。方法:56例患者随机分为头穴丛刺结合言语康复技术组、康复组及对照组,观察各种治疗方法对脑卒中运动性失语的作用,并分别采用北京医院汉语失语检查法、失语商、功能性语言沟通能力检查法、失语症严重程度分级标准评定患者语言功能。结果:头穴丛刺结合言语康复技术能够提高脑卒中运动性失语患者的语言功能,总有效率达85.00%,其疗效优于康复组及对照组(P<0.05)。在语言功能的评分、失语商指数、功能性语言沟通能力评分及失语严重程度分级方面,针康组均不同程度地优于康复组和对照组。结论:头穴丛刺结合言语康复技术是一种积极有效的治疗脑卒中运动性失语的方法。

Objective： To observe the therapeutic effect of cluster-needle stimulation of scalp-points combined with rehabilitation training for apoplectic aphemia. Methods： A total of 56 outpatients were randomized into control （medication, manicol/ beronald, Ca^2＋ antagonist, citicoline, etc. ） group, rehabilitation （Rehab, visual-listening, articulation and speech training） group and acupuncture [Dingqu; 1 cun and 2 cun parallel to the line joining Baihui （GV 20） and Qianding （GV 21 ） respectively on the bilateral sides, Dingqianqu： 1 cun and 2 cun parallel to the line joining GV21 and Xinghui （GV 22） separately on both sides, etc] combined with rehabilitation （Acup＋ Rehab） group. Aphasia Battery of Chinese （ABC） was used to assess the patient＇s speech ability, i.e., aphasia quocient （AQ） ; The Chinese functional communication （CFCP） test was used to evaluate the patient＇s daily life speech communication ability, and Boston Diagnostic Aphasia Examination （BDAE） was also conducted to assess the severity of aphasia. Results： After the treatment, the speech ability, oral presentation, listening comprehension, writing ability, AQ index and CFCP were all improved significantly in 3 groups （P〈0.05, 0.01 ）~the total effective rate （85.00 % ） of Acup ＋ Rehab group was significantly higher than those of Rehab group （77.78%） and control group （64.71%, P〈0.05, 0.01 ）. The scores of ABC, AQ index, CFCP and BDAE grade in Acup＋ Rehab group were significantly higher than those of Rehab and control groups （ P〈0.05, 0.01 ）, and those scores of Rehab group were also significantly higher than those of control group （ P〈0.05, 0.01 ）. Conclusion： The cluster-needle puncture of scalp-points combined with rehabilitation training is an effective therapy for improving apoplectic aphemia.