言语训练配合太极针法治疗中风后失语的临床研究

Clinical Study of Speech Training with Taiji Acupuncture on Patients with Aphasia after Wind Stroke

目的:探讨言语训练配合太极针法治疗中风后失语的疗效。方法:收集2015年6月1日至2016年8月31日我院收治的中风后失语患者共90例,采用分层随机的方法将患者分为3组,康复针刺组、单纯康复对照组、单纯针刺对照组,每组30例,在基础治疗上,单纯康复对照组实施康复训练,单纯针刺对照组实施针刺治疗,针刺康复组用言语康复训练配合太极针法。结果:治疗后10 d,康复针刺组及单纯针刺对照组的总有效率高于单纯康复对照组,波士顿失语症严重程度分级标准(BDAE)失语症严重程度分级标准评分优于单纯康复对照组(P<0.05),康复针刺组及单纯针刺对照组比较差异无统计学意义(P>0.05);治疗后20 d,康复针刺组总有效率高于其他2组,BDAE严重程度优于其他2组(P<0.05),单纯针刺组总有效率、BDAE严重程度优于单纯康复对照组(P<0.05)。结论:个性化的康复训练、针刺、言语训练配合太极针三种不同的方法均可有效促进中风后失语患者的康复,言语训练配合太极针治疗方法效果更好,可在临床推广使用。

Objective： To investigate the effect of speech training with Taiji acupuncture in treating patients with aphasia after stroke. Methods： Ninety cases of patients with aphasia after stroke were selected from 1 June 2015 to 31 August 2016 treated in the hospital were divided into three groups according to stratified random approach,namely rehabilitation with acupuncture group,rehabilitation group and acupuncture group（ n = 30）. On the basis of the basic treatment,the rehabilitation group implemented rehabilitation,acupuncture group implemented acupuncture treatment,and the acupuncture and rehabilitation group implemented rehabilitation and speech training with Taiji acupuncture. Results： After 10 days treatment,the total efficiency of the rehabilitation acupuncture group and that of the acupuncture group was higher than that of the rehabilitation group. BDAE severity rehabilitation was better than that of the rehabilitation group（ P〈 0. 05）,but there were no significant between the rehabilitation acupuncture group and acupuncture group（ P 〉0. 05）; after 20 days treatment,the total efficiency of the rehabilitation acupuncture group was higher than those of the other two groups and BDAE severity was better than those of the other two groups（ P 〈0. 05）. The total efficiency and BDAE severity rehabilitation of the acupuncture group was better than that of the rehabilitation group（ P 〈0. 05）.Conclusion： Personalized rehabilitation treatment,acupuncture,speech training with Taiji acupuncture may effectively promote the rehabilitation of post-stroke patients with aphasia,speech training with Taiji acupuncture have good effect and could be extended in the clinical use.