针刺“开瘖五穴”结合语言康复训练治疗缺血性脑卒中后运动性失语临床观察

Clinical Effect of Acupuncture at "the Five Acupoints for Improving Aphasia" Combined with Language Rehabilitation Training in Treatment of Motor Aphasia After Ischemic Stroke

目的观察针刺“开瘖五穴”结合语言康复训练治疗缺血性脑卒中后运动性失语的临床疗效。方法将60例患者随机分为治疗组和对照组,每组30例。治疗组采用“开瘖五穴”针刺法结合语言康复训练,对照组采用传统针刺法结合语言康复训练。7 d为1个疗程,治疗3个疗程后,采用汉语失语症检查法(ABC法)评价患者的语言功能,采用中国式功能性语言沟通能力检测法(Chinese functional communication profile,CFCP)评价患者的语言沟通能力,基于汉语失语症检查法(ABC法)评分改善率判定临床疗效。结果与治疗前比较,两组患者治疗后各项语言功能评分和CFCP评分均显著升高(P<0.05),且治疗组治疗后口语表达评分和听理解评分升高值显著大于对照组(P<0.05);两组临床疗效比较,差异无统计学意义(P>0.05)。结论针刺“开瘖五穴”结合语言康复训练治疗缺血性脑卒中后运动性失语的临床疗效与传统针刺相当,均能改善患者语言能力。

Objective To investigate the clinical effect of acupuncture at "the five acupoints for improving aphasia" combined with language rehabilitation training in the treatment of motor aphasia after ischemic stroke. Methods A total of 60 patients were randomly divided into treatment group and control group, with 30 patients in each group. The patients in the treatment group were given acupuncture at "the five acupoints for improving aphasia" combined with language rehabilitation training, and those in the control group were treated with conventional acupuncture combined with language rehabilitation training. Each course of treatment was 7 days, and after three courses of treatment, the Aphasia Battery of Chinese (ABC) was used to evaluate language function and the Chinese functional communication profile (CFCP) was used to evaluate verbal communication. The rate of improvement in ABC score was used to evaluate clinical outcome. Results After treatment, both groups had significant increases in the scores of language function and CFCP score (P<0.05), and compared with the control group, the treatment group had significantly greater increases in the scores of oral expression and listening comprehension (P<0.05). There was no significant difference in clinical outcome between the two groups (P>0.05). Conclusion Acupuncture at "the five acupoints for improving aphasia" combined with language rehabilitation training has a similar clinical effect to conventional acupuncture in the treatment of motor aphasia after ischemic stroke,and both methods can improve patients language ability.