头针配合实时认知功能训练对阿尔茨海默病认知功能障碍患者言语功能的影响

Effect of Scalp Acupuncture plus Real-time Cognitive Training on Speech Function in Cognitive Impairment of Alzheimer Disease

目的观察头针配合实时认知功能训练对阿尔茨海默病(AD)认知功能障碍患者言语功能的影响。方法将100例AD认知功能障碍患者按住院先后顺序采用随机数字表法分为治疗组和对照组,每组50例。治疗组采用头针配合实时认知功能训练,对照组采用银杏叶提取物片治疗,观察两组治疗前后西方失语成套测验(WAB)的自发言语、理解、复述及命名变化。结果治疗组治疗后WAB的自发言语、理解、复述及命名评分与治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后WAB的自发言语、理解、复述及命名评分与对照组比较,差异均具有统计学意义(P<0.05)。结论头针配合实时认知功能训练可改善阿尔茨海默病认知功能障碍患者的言语功能。

Objective To observe the effect of scalp acupuncture plus real-time cognitive training on the speech function in cognitive impairment of Alzheimer disease （AD）. Method A hundred patients with AD cognitive impairment were randomized into a treatment group and a control group by using random number table method according to hospitalization order, 50 cases each. The treatment group was given scalp acupuncture plus real-time cognitive training, while the control group was treated with Ginkgo biloba extract tablets. Before and after the treatment, the Western Aphasia Battery （WAB） was adopted to evaluate the spontaneous speech, comprehension, repetition and naming in the two groups. Result In the treatment group, the scores of spontaneous speech, comprehension, repetition and naming of WAB were significantly changed after the treatment （P〈0.05）. After the treatment, the scores of spontaneous speech, comprehension, repetition and naming of WAB in the treatment group were significantly different from those in the control group （P〈0.05）. Conclusion Scalp acupuncture plus real-time cognitive training can improve the speech function of patients with AD cognitive impairment.