通窍开音针联合语言康复训练治疗中风后运动性失语临床研究

Clinical Study of Tongqiao Kaiyin Acupuncture Combined with Language Rehabilitation Training on Post-Stroke Motor Aphasia

目的:探讨通窍开音针联合语言康复训练治疗中风后运动性失语的临床研究。方法:选取102例于我院治疗的中风后运动性失语患者,采用简单随机化原则分为试验组和对照组,每组各51例。对照组在语言康复训练基础上选择常规针刺穴位,试验组在对照组治疗基础上加用通窍开音针治疗,分别在治疗前、治疗6周后、治疗12周后观察患者的ABC评分(谈话、理解、复述、命名、阅读、书写)、BDAE失语症严重程度分级的变化、《日常生活语言沟通能力量表》(CFCP)评分情况,统计两组临床疗效。结果:与治疗前比较,治疗后两组患者谈话、理解、复述、命名、阅读、书写等语言功能评分均升高(P<0.05),CFCP评分升高(P<0.05);与对照组比较,试验组CFCP评分较高(P<0.05),ABC评分中谈话、理解、复述、命名等语言功能评分较高(P<0.05),而阅读、书写等评分差异无统计学意义(P>0.05);试验组BDAE法分级提高比例高于对照组;试验组患者治疗总有效率为92.16%(47/51),明显高于对照组的80.39%(41/51),差异具有统计学意义(P<0.05);两组患者治疗后血ET水平明显降低,血清CGRP水平明显升高(P<0.05),且治疗组改善较多(P<0.05)。结论:通窍开音针联合语言康复训练治疗中风后运动性失语疗效确切,可有效促进患者语言功能恢复,利于预后。

Objective:To investigate the clinical effect of Tongqiao Kaiyin acupuncture combined with language rehabilitation training in the treatment of post-stroke motor aphasia.Methods:102 patients with post-stroke motor aphasia were randomly divided into the study group and the control group,with 51 cases in each group.Both groups were treated with language rehabilitation training;on which basis,the control group was also treated with conventional acupuncture;whereas the study group was treated with Tongqiao Kaiyu acupuncture on the treatment basis of the control group.The scores of ABC(conversation,comprehension,retelling,naming,reading,writing),changes in the severity of BDAE aphasia and the scores of CFCP were observed before the treatment,after 6 weeks and after 12 weeks of the treatment in the two groups.The clinical efficacy was compared between the two groups.Results:The scores of ABC and CFCP were increased in both groups after the treatment(P<0.05);the study group was superior to the control group in terms of conversation,comprehension,retelling and naming(P<0.05),however there were no statistical differences in reading and writing between the two groups(P>0.05).The CFCP scores were increased as well in the two groups after the treatment(P<0.05);of which the increases were more significant in the study group(P<0.05).The grade of BDAE was higher in the study group than that in the control group(P<0.05).The effective rate of the study group was 92.16%(47/51),which was significantly higher than 80.39%(41/51)of the control group(P<0.05).The serum level of ET was significantly decreased and the serum level of CGRP was significantly increased in the two groups after the treatment(P<0.05);of which the improvements in study group were more significant(P<0.05).Conclusion:Tongqiao Kaiyin acupuncture combined with language rehabilitation training is effective in the treatment of post-stroke motor aphasia,which can effectively promote the recovery of language function and improve prognosis.