点刺金津、玉液配合言语训练治疗脑卒中后构音障碍疗效观察

Clinical Effect of Pricking at Jinjin and Yuye Points Combined with Speech Training in Treatment of Post-stroke Dysarthria

目的通过运用点刺金津、玉液配合言语训练的方法对脑卒中后构音障碍患者进行治疗,观察该法的临床疗效。方法按照入组顺序将120例分为治疗组和对照组,每组60例,治疗组采用点刺金津、玉液配合言语训练进行治疗,其中金津穴、玉液穴向舌根方向针刺1~1.2寸,点刺放血,每次每穴放血3~6滴,隔日1次,4周为1个疗程。对照组单纯使用言语训练方法治疗,4周为1个疗程。治疗前后采用Frenchay构音障碍评价量表对两组患者进行疗效评定。结果两组治疗后Frenchay构音障碍评定量表a项数与治疗前比较,差异均有统计学意义(P<0.05),两组差值比较,差异有统计学意义(P<0.05);两组临床疗效分布比较,差异有统计学意义(P<0.05)。结论点刺金津、玉液配合言语训练对脑卒中后构音障碍的改善优于单纯言语训练。

Objective To investigate the clinical effect of pricking at Jinjin and Yuye points combined with speech training in the treatment of patients with post-stroke dysarthria. Methods A total of 120 patients were divided into treatment group and control group according to the order of enrollment, with 60 patients in each group. The patients in the treatment group were given pricking at Jinjin and Yuye points （with a depth of 1-1.2 cun towards the tongue root and 3-6 drops of blood from each point each time） every other day combined with speech training, and those in the control group were given speech training alone. Each course of treatment was 4 weeks. The Frenchay dysarthria evaluation scale was used for evaluation before and after treatment. Results Both groups had a significant change in the number of a-items in the Frenchay dysarthria evaluation scale after treatment （P〈0.05）, and the treatment group had a significantly greater change than the control group （P〈0.05）. There was a significant difference in the distribution of clinical outcomes between the two groups （P〈0.05）. Conclusion Pricking at Jinjin and Yuye points combined with speech training has a better clinical effect than speech training alone in improving post-stroke dysarthria.