针刺结合言语康复训练治疗脑卒中后构音障碍的临床研究

Clinical study on acupuncture combined with speech rehabilitation training in the treatment of post-stroke dysarthria

目的:观察针刺结合言语康复训练治疗脑卒中后构音障碍的临床疗效,为针刺治疗脑卒中后构音障碍提供高质量的临床证据。方法:采用随机、对照临床试验方法,将270例脑卒中后构音障碍患者随机分成针刺结合言语康复训练组(A组),单纯针刺组(B组)和言语康复训练组(C组),每组90例,各组均每日治疗1次,每周5次,治疗4周,以Frenchay构音障碍评价量表作为疗效评价指标,评价3组治疗后组间的疗效差异。结果:A组总有效率(94.4%)明显优于B组(81.4%)和C组(61.2%)。结论:针刺结合言语康复训练的综合治疗方法安全有效,对脑卒中后构音障碍的临床疗效要优于单纯针刺或单纯言语康复训练。

Objective： To observe the clinical curative effect of acupuncture and speech rehabilitation training in the treatment of post-stroke dysarthria, in order to provide high quality clinical evidence for treating post-stroke dysarthria with acupuncture. Methods： This study adopted the randomized and controlled clinical trial methods. 270 patients with post-stroke dysarthria were randomly divided into acupuncture and speech rehabilitation training group（Group A）, acupuncture group（Group B） and speech rehabilitation training group（Group C）, 90 cases in each group. Patients in each group were treated once a day, 5 times a week totally. Frenchay dysarthria assessment scale was used to evaluate the difference of curative effect among the three groups. Results： The total effective rate in Group A（94.4%） was significantly superior to that in Group B（81.4%） and Group C（61.2%）. Conclusion： Acupuncture and speech rehabilitation training therapy is safe and effective, and the curative effect is better than that of single acupuncture or single speech rehabili tation training in treatment of post-stroke dysarthria.