针芒行气法结合弩法治疗运动性失语的临床研究

Clinical study of acupuncture awn xingqi method combined with crossbow method in the treatment of motor aphasia

目的:观察针刺治疗配合针芒行气法结合弩法治疗中风后运动性失语的临床疗效。方法:收集2019年1月至2020年8月收治的中风后失语患者62例,随机分为对照组和治疗组各31例。对照组予常规针刺治疗,治疗组采用针芒行气法结合弩法治疗,两组均每周治疗3次,4周为1个疗程。对两组患者治疗前后的听理解、复述、说、出声读、阅读五项语言功能进行评估,并对疗效进行评估。结果:治疗组治疗总有效率为83.87%(26/31),高于对照组的74.19%(23/31,P<0.05)。两组治疗后五项语言功能评分均较治疗前有显著提升(P<0.05)。治疗后,治疗组的说和出声读两项分别为(48.90±7.95)分和(40.39±9.53)分,对照组分别为(43.81±9.48)分和(35.16±7.30)分,组间差异有统计学意义(P<0.05)。结论:常规针刺治疗配合针芒行气法结合弩法疗效显著,失语症严重程度较前改善,语言功能提高,具有重要临床研究价值。

Objective:To observe the clinical efficacy of acupuncture combined with acupuncture awn xingqi method and crossbow method in the treatment of motor aphasia after stroke.Methods:A total of 62 post-stroke aphasia patients admitted from January 2019 to August 2020 were collected and randomly divided into a control group and a treatment group with 31 cases each.The control group received routine acupuncture treatment,the treatment group was treated with acupuncture awn xingqi method combined with crossbow method,and both groups were treated 3 times a week,4 weeks as a course of treatment.The five language functions of listening comprehension,retelling,speaking,reading aloud,and reading before and after treatment were evaluated for the two groups of patients,and the efficacy was evaluated.Results:The total effective rate in the treatment group was 83.87%(26/31),which was higher than that in the control group 74.19%(23/31)(P<0.05).The five language function scores after treatment in the two groups were significantly improved compared to before treatment(P<0.05).After treatment,the two items of speaking and reading aloud in the treatment group were(48.90±7.95)and(40.39±9.53)points,respectively,and those in the control group were(43.81±9.48)and(35.16±7.30)points,respectively,and the difference between the groups was statistically significant(P<0.05).Conclusion:Conventional acupuncture combined with acupuncture awn xingqi method and crossbow method has a significant effect,the severity of aphasia is improved than before,and the language function is improved,which has important clinical research value.