通络醒神针法联合缪刺法治疗脑卒中后运动性失语症临床研究

Clinical study on the treatment of post-stroke motor aphasia with the method of dredging collaterals and waking up the mind combined with Miu needling

[目的]探讨通络醒神针法联合缪刺法治疗脑卒中后运动性失语症临床疗效。[方法]将70例脑卒中后运动性失语症患者按照随机数字表法分为对照组和观察组,每组35例。两组均接受Schuell刺激疗法进行语言训练,对照组接受通络醒神针法,观察组在对照组治疗基础上采用缪刺法(取穴通里、神堂、神门)。比较两组治疗前后汉语言标准失语症检查量表评分、失语商、失语症严重程度分级、脑卒中失语症患者生活质量量表(SAQOL-39)评分、美国国立卫生研讨院卒中量表(NIHSS)评分及蒙特利尔认知评估评定(MoCA)评分。比较两组治疗总有效率。[结果]治疗后观察组语言功能各项评分、失语商、生活质量评分、Mo CA评分均高于对照组(P<0.05),NIHSS评分低于对照组(P<0.05)。治疗后观察组与对照组在失语程度分级方面比较,差异有统计学意义(P<0.05)。观察组临床疗效总有效率为91.43%,高于对照组的74.43%(P<0.05)。[结论]通络醒神针法联合缪刺法可以改善脑卒中后运动性失语症患者的语言表达、理解及沟通能力,改善其神经功能缺损、认知功能及日常生活能力。

[Objective]To explore the clinical effect of Tongluo Xingshen acupuncture combined with Miu needling in the treatment of motor aphasia after stroke.[Methods]Seventy patients with motor aphasia after stroke were divided into control group and observation group according to the method of random number table,with 35 cases in each group.Both groups received Schuell language training.The control group received the acupuncture method of“Tongluo Xingshen”,while the observation group adopted the method of“Miu needling”(Tongli,Shentang and Shenmen)on the basis of the control group.Before and after treatment,the scores of Chinese language standard aphasia examination scale,aphasia quotient,aphasia severity grade,stroke aphasia quality of life scale(SAQOL-39),National Institutes of Health Stroke Scale(NIHSS)and Montreal Cognitive Assessment(MoCA)were compared between the two groups.The total effective rate of the two groups was compared.[Results]After treatment,the scores of language function,aphasia quotient,quality of life and MoCA in the observation group were higher than those in the control group(P<0.05),and the total score of NIHSS was lower than that in the control group(P<0.05).After treatment,there was a significant difference between the observation group and the control group in the degree of aphasia(P<0.05).The total effective rate of the observation group was 91.43%,which was significantly higher than that of the control group(74.43%,P<0.05).[Conclusion]The acupuncture method of Tongluo Xingshen combined with Miu acupuncture can obviously improve the language expression,understanding and communication ability of patients with motor aphasia after stroke,and improve their neurological function defect,cognitive function and daily living ability.