针灸疗法治疗缺血性脑卒中构音障碍的作用

Effect of Acupuncture and Moxibustion on Dysarthria in Patients with Ischemic stroke

目的探讨针灸疗法治疗缺血性脑卒中构音障碍的作用。方法以本院为单位,选取2019年1月至2020年1月缺血性脑卒中合并构音障碍患者70例,将其依据随机数表法分为两组,对照组35例给予常规药物治疗,并开展基础性的构音障碍训练,观察组35例给予针灸疗法治疗,对比两组言语功能、生活质量及治疗效果、神经功能[美国国立卫生院卒中量表(NIHSS)]、日常活动能力[改良Barthel指数量表(MBI)]。结果观察组治疗后言语功能评分、MBI评分与对照组相比均显著偏高(P<0.05),而NIHSS评分较对照组低(P<0.05)。观察组社会领域、环境领域、心理领域、生理领域评分较对照组均明显偏高(P<0.05)。观察组治疗总有效率(94.29%)相比对照组(74.29%)明显偏高(P<0.05)。结论针对缺血性脑卒中合并构音障碍患者,采用针灸疗法进行治疗的效果好,能显著改善其言语功能、神经功能,并能提高其日常生活能力、生活质量。

Objective To investigate the effect of acupuncture therapy on dysarthria in ischemic stroke.Methods Taking our hospital as a unit,from January 2019 to January 2020,70 cases of ischemic stroke patients with dysarthria were selected and divided into two groups according to the random number table.35 cases in the control group were treated with conventional drugs,and basic dysarthria training was carried out,35 cases in the observation group were treated with acupuncture,and the speech function,quality of life and treatment effect of the two groups were compared neurological function(NIHSS),daily activity ability(MBI).Results After treatment,the scores of speech function and MBI in the observation group were significantly higher than those in the control group(P<0.05),while the scores of NIHSS in the observation group were lower than those in the control group(P<0.05).The scores of social field,environmental field,psychological field and physiological field in the observation group were significantly higher than those in the control group(P<0.05).The total effective rate of the observation group(94.29%)was significantly higher than that of the control group(74.29%)(P<0.05).Conclusion Acupuncture and moxibustion therapy is effective for patients with ischemic stroke complicated by dysarthria,which can significantly improve their speech function,neural function,daily life ability and quality of life.