哑门刺血结合语言康复治疗脑梗死单纯性运动性失语

Simple motor aphasia caused by cerebral infarction treated with blood-pricking at Yamen(GV 15) combined with language training

目的:探寻治疗脑梗死后单纯性运动性失语的有效疗法。方法:将96例患者随机分为刺康组、刺血组、康复组,每组32例。在常规治疗原发病的基础上,刺康组予哑门刺血结合语言康复训练,刺血组予单纯哑门刺血,康复组予单纯语言康复训练。分别采用《言语治疗学》中"说话能力分级表"和北京医科大学"汉语标准失语症成套测验(ABC)"法,对各组患者言语表达能力的临床疗效和失语症的信息量、流利性、复述、命名4个亚项进行评定。结果:治疗30天后,3组患者的言语表达能力明显改善,刺康组总有效率为90.6%(29/32),优于刺血组的84.4%(27/32)、康复组的75.0%(24/32)(均P<0.01),刺血组优于康复组(P<0.05)。刺康组的言语信息量和流利性评分明显高于刺血组、康复组(均P<0.01),复述、命名评分高于刺血组、康复组(均P<0.05);刺血组的信息量、流利性评分高于康复组(均P<0.05)。结论:哑门刺血结合语言康复训练治疗脑梗死单纯性运动性失语疗效显著,优于单纯刺血与单纯康复,特别是在言语信息量和流利度两个方面表现得更为明显。

Objective To explore an effective method for pure motor aphasia caused by cerebral infarction. Methods Ninety-six cases were randomized into a blood-pricking therapy combined with rehabilitation group （comprehensive group）, a blood-pricking therapy group and a rehabilitation group, 30 cases in each group. Based on the routine therapy of primary disease, blood-pricking at Yamen （GV 15） combined with language rehabilitation training was applied in comprehensive group, blood-pricking at Yamen （GV 15） was applied only in blood-pricking therapy group, and language rehabilitation training was applied in rehabilitation group. The classification table of speech ability in Speech Therapy and Chinese Standard Aphasia Test Battery by Beijing Medical University were adopted to evaluate the clinical effects of speaking functions and words information, fluency, retelling, and naming of aphasia. Results After 30 days treatment, the speaking functions of 3 groups were all significantly improved. The total effective rate was 90. 6% （29/32） in comprehensive group, which was superior to that of 84. 4% （27/32） in blood-pricking therapy group and 75.0% （24/32） in rehabilitation group （both P〈0.01）, and it in blood-pricking therapy group was superior to that ~n rehabilitation group （P〈0.05）. The scores of words infor- mation and fluency in comprehensive group were much more higher than those in blood-pricking therapy group and rehabilitation group （both P^0.01） ; retelling and naming in comprehensive group were higher than those in other two groups （both P〈0.05）; the scores of words information and fluency in blood-pricking therapy group were higher than those in rehabilitation group （both P〈0.05）. Conclusion The curative effect of simple motor aphasia caused by cerebral infarction treated with blood-pricking at Yamen （GV 15） combined with language training was significantly, superior to that with either blood-pricking therapy or rehabilitation, especially in words information and fluency aspects.