Objective To observe therapeutic effects of acupuncture combined with language training on aphasia induced by ischemic apoplexy and investigate the mechanisms. Methods 60 patients were randomly divided into a treatmen...Objective To observe therapeutic effects of acupuncture combined with language training on aphasia induced by ischemic apoplexy and investigate the mechanisms. Methods 60 patients were randomly divided into a treatment group treated by acupuncture associated with language training and a control group treated by simple language training. Tongue-acupuncture was applied as the main therapy, and language training included speech organ training, mouth-shape and voice training, spoken language expression training and practical communication ability training. According to Aphosio Bottery of Chinese (ABC), language ex- amination evaluation was made, and event related potential (P300) was detected before and after treatment. Results The therapeutic effect in the treatment group was significantly better than that in the control group (P〈O. 05), and the scores of ABC items including information content, speech fluency, repetition, vocabula- ry denomination, color naming, response denomination, confirmation or negation, acoustic recognition and carrying out instruction in the treatment group were obviously higher than those in the control group (P〈0.05). After one course of treatment, the latencies of N2 and P3 waves in P300 were significantly short- ened and the amplitude of P3 was significantly elevated in the treatment group, compared with those in the control group (P〈0.05). Conclusion Acupuncture combined with language training provided remarkable therapeutic effects in treating cerebral infarction-induced motor aphasia, and it was better than simple lan- guage training. The results of enhancing of the ABC scores including information content, speech fluency, repetition, vocabulary denomination, color naming, response denomination, confirmation or negation, acous- tic recognition and carrying out instruction, and shortening of the latencies of N2 and P3 waves in P300 and ele- vation of P3 amplitude may be taken as the indices for evaluating and anticipating clinical therapeutic effects of the therapy for treating the disease, which may also be some of the mechanisms.展开更多
编制了汉语失语检查法(Aphasia Battery in chinese,ABC)。检查了语言正常且无器质性脑病史者245名。检查结果:在不同性别、年龄和利手组间,以及高小以上文化水平组间,检查法各亚项未发现显著差异。包括文盲的不同文化组间,在口语表达...编制了汉语失语检查法(Aphasia Battery in chinese,ABC)。检查了语言正常且无器质性脑病史者245名。检查结果:在不同性别、年龄和利手组间,以及高小以上文化水平组间,检查法各亚项未发现显著差异。包括文盲的不同文化组间,在口语表达和听理解各亚项上亦未发现显著差异。检查了139例首发卒中后失语,且 CT 证明为单病灶。描述各型失语的临床特点。结果表明:本检查法适于国内成人检查失语时应用。展开更多
It was introduced that the Aphasia Battery of Chinese (ABC), proposed by neurology department of Beijing Medical University. According to the experience of aphasia research for 1O years, we summarized the main types o...It was introduced that the Aphasia Battery of Chinese (ABC), proposed by neurology department of Beijing Medical University. According to the experience of aphasia research for 1O years, we summarized the main types of Chinese aphasia and the differential diagnostic principles for them,and the differential diagnosis flow diagram of all major Chinese aphasia types was advanced according to the four principles-Ai repetition, fluency, auditory comprehension and oral or written language disorders. It was pointed out the classification of aphasia will provide the reliable basis for language rehabilitation and the four principles offer the information for localized lesions of brain.展开更多
文摘Objective To observe therapeutic effects of acupuncture combined with language training on aphasia induced by ischemic apoplexy and investigate the mechanisms. Methods 60 patients were randomly divided into a treatment group treated by acupuncture associated with language training and a control group treated by simple language training. Tongue-acupuncture was applied as the main therapy, and language training included speech organ training, mouth-shape and voice training, spoken language expression training and practical communication ability training. According to Aphosio Bottery of Chinese (ABC), language ex- amination evaluation was made, and event related potential (P300) was detected before and after treatment. Results The therapeutic effect in the treatment group was significantly better than that in the control group (P〈O. 05), and the scores of ABC items including information content, speech fluency, repetition, vocabula- ry denomination, color naming, response denomination, confirmation or negation, acoustic recognition and carrying out instruction in the treatment group were obviously higher than those in the control group (P〈0.05). After one course of treatment, the latencies of N2 and P3 waves in P300 were significantly short- ened and the amplitude of P3 was significantly elevated in the treatment group, compared with those in the control group (P〈0.05). Conclusion Acupuncture combined with language training provided remarkable therapeutic effects in treating cerebral infarction-induced motor aphasia, and it was better than simple lan- guage training. The results of enhancing of the ABC scores including information content, speech fluency, repetition, vocabulary denomination, color naming, response denomination, confirmation or negation, acous- tic recognition and carrying out instruction, and shortening of the latencies of N2 and P3 waves in P300 and ele- vation of P3 amplitude may be taken as the indices for evaluating and anticipating clinical therapeutic effects of the therapy for treating the disease, which may also be some of the mechanisms.
文摘It was introduced that the Aphasia Battery of Chinese (ABC), proposed by neurology department of Beijing Medical University. According to the experience of aphasia research for 1O years, we summarized the main types of Chinese aphasia and the differential diagnostic principles for them,and the differential diagnosis flow diagram of all major Chinese aphasia types was advanced according to the four principles-Ai repetition, fluency, auditory comprehension and oral or written language disorders. It was pointed out the classification of aphasia will provide the reliable basis for language rehabilitation and the four principles offer the information for localized lesions of brain.