揿针联合言语训练治疗脑卒中后运动性失语临床研究

Clinical Study of Applying Acupuncture Combined with Speech Training in Treating Motor Aphasia after Stroke

目的:观察揿针联合言语训练干预脑卒中运动性失语的影响。方法:选取2017年4月~2019年4月100例脑卒中后运动性失语的患者按随时数字法分组,分为治疗组和对照组;对照组给予常规针刺和常规言语训练,实验组给予头针、体针结合的揿针法以及动词网络强化治疗。1个疗程后观察两组的语言功能评定、失语商评定、失语程度评定、生存质量评定。结果:在语言功能评定方面,治疗组在自发谈话、复述、命名三项均优于对照组(P<0.05);在失语商以及失语程度评定,治疗组均优于对照组(P<0.05);在生存质量方面,除社会关系无统计学差异外,其余各项治疗组优于对照组,差异有统计学意义(P<0.05)。结论:动词网络强化治疗结合揿针法干预脑卒中运动性失语,能明显改善患者的言语功能障碍,提高生活质量,值得进一步推广和研究。

Objective: To explore the effect of acupuncture combined with speech training for intervening of motor aphasia in stroke. Methods: From April 2017 to April 2019,100 patients with motor aphasia after stroke were divided into a treatment group and a controlled group according to the digital method at any time, the controlled group was given routine acupuncture and routine speech training, and the treatment group was given acupuncture combined with scalp acupuncture and body acupuncture and verb network intensive treatment. After 1 course of treatment, the two groups were observed for language function assessment, aphasia quotient assessment, aphasia degree assessment, and quality of life assessment. Results: In terms of language function assessment, the treatment group was superior to the controlled group in spontaneous conversation, retelling, and naming(P<0.05). In the assessment of aphasia quotient and aphasia degree, the treatment group was superior to the controlled group(P<0.05). In terms of quality of life, except that there was no statistical difference in social relations, the other treatment groups were superior to the controlled group, the difference was statistically significant(P<0.05). Conclusion: Intensive verb network therapy combined with acupuncture intervention on stroke aphasia can significantly improve the speech dysfunction and improve the quality of life of patients. It is worthy of further promotion and research.