头电针疗法联合言语训练对脑卒中后Broca语言功能障碍的干预效果评价
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摘要
目的:观察头电针联合言语训练对脑卒中后Broca语言功能障碍的干预效果。方法:采取随机抽样的方法将60例脑卒中后Broca语言功能障碍患者随机分为对照组和观察组,每组30例。对照组采用单纯语言康复训练,观察组在对照组的基础上在解剖定位下于大脑左侧优势半球Broca区行头电针治疗,两组疗程均为14天。在患者治疗前、治疗后10天及14天后进行改良西方失语量表(AQ值)评定。结果:治疗10天、14天后两组患者AQ值较治疗前明显上升,且观察组上升幅度大于对照组(P<0.05);观察组总有效率达96.7%(29/30),明显优于对照组73.3%(22/30,P<0.05)。结论:头电针疗法联合言语训练能明显改善脑卒中患者Broca语言功能障碍,且联合治疗的疗效优于单纯语言康复训练。
Objective:To observe the effect of scalp electro-acupuncture combined with speech training on Broca language dysfunction after stroke.Methods:60 patients with Broca language dysfunction after stroke were randomly divided into the control group and the observation group,with 30 cases in each group.The control group was treated with single language rehabilitation training;whereas,the observation group was intervened by scalp electro-acupuncture in Broca area of the left hemisphere combined with language rehabilitation training,the course for both groups was 14 days.Western Aphasia scale(AQ) was assessed before the treatment and after10 d and 14 d of the treatment.Results:The scales of AQ were both increased after 10 d and 14 d,and the observation group increased more significantly than the control group(P<0.05).The total effective rate was 96.7%(29/30) in the observation group,which was significantly higher than 73.3%(22/30) of the control group(P<0.05).Conclusion:Scalp electro-acupuncture combined with speech training can distinctively improve Broca language dysfunction in stroke patients,and the combined therapy is superior to single language rehabilitation training.
Objective:To observe the effect of scalp electro-acupuncture combined with speech training on Broca language dysfunction after stroke.Methods:60 patients with Broca language dysfunction after stroke were randomly divided into the control group and the observation group,with 30 cases in each group.The control group was treated with single language rehabilitation training;whereas,the observation group was intervened by scalp electro-acupuncture in Broca area of the left hemisphere combined with language rehabilitation training,the course for both groups was 14 days.Western Aphasia scale(AQ) was assessed before the treatment and after10 d and 14 d of the treatment.Results:The scales of AQ were both increased after 10 d and 14 d,and the observation group increased more significantly than the control group(P<0.05).The total effective rate was 96.7%(29/30) in the observation group,which was significantly higher than 73.3%(22/30) of the control group(P<0.05).Conclusion:Scalp electro-acupuncture combined with speech training can distinctively improve Broca language dysfunction in stroke patients,and the combined therapy is superior to single language rehabilitation training.
引文
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[17]孟迎春,王超,尚士强,等.廉泉穴针刺深度对中风后吞咽障碍的疗效影响:随机对照研究[J].中国针灸,2015,35(10):990-994
[18]田莉,楼天晓,刘样,等.Schuell刺激联合针刺治疗脑卒中后运动性失语的疗效观察[J].中国康复,2014(5):333-334
[19]刘源源,祝婕.神仙解语丹加减联合舌三针治疗中风后失语症51例临床疗效观察[J].世界中医药,2016,11(9):1752-1754
[2]中华神经科学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379
[3]陈卓铭.汉语语言心理加工与失语症评估[J].中国康复医学杂志,2015,30(11):1091-1094
[4]王曦,吴成吉,李洪影,等.疏血通注射液治疗急性脑梗死的临床观察[J].中国药房,2016,27(3):316-318
[5]郭作隆,邹兴军.甘露醇应用时机对中等量脑出血患者疗效及相关指标的影响[J].中国药房,2016,27(21):2926-2928
[6]谢琪,石艺华,梁云燕,等.言语训练对脑卒中后Broca失语恢复的影响[J].中国康复,2012,27(4):252-254
[7]侯文豪,常东红,杨春雪,等.头电针治疗脑卒中后运动性失语的疗效观察[J].针灸临床杂志,2012,28(5):29-31
[8]费爱华,徐斌.蔡圣朝运用针灸治疗中风后失语经验[J].安徽中医药大学学报,2015,34(5):45-47
[9]费爱华,蔡圣朝,徐斌.解语膏穴位贴敷结合针刺治疗中风后运动性失语临床研究[J].中国针灸,2015,35(11):1099-1102
[10]李明爽,王兴,于铁成.浅议《内经》中腧穴理论[J].中医药导报,2015(13):3-5
[11]陈晓军,方剑乔,商越,等.针刺配合西药治疗中风后轻度认知障碍:随机对照研究[J].中国针灸,2016,36(4):337-341
[12]江玉娟,杨玉霞,项蓉,等.解剖定位下头电针结合康复训练治疗脑卒中言语失用症临床研究[J].中国针灸,2015,35(7):661-664
[13]程为平,韦燕博,张茜茹.论百会穴穴性及临床应用[J].辽宁中医药大学学报,2015(3):5-6
[14]刘兰群,李惠兰,徐基民.电针治疗脑卒中后记忆功能障碍临床研究[J].中国中医急症,2015,24(5):775-777
[15]金泽,曹晓婷.颈部电针治疗中风后痉挛型构音障碍30例[J].针灸临床杂志,2015,31(5):26-28
[16]谈钰濛,刘绍武.从升清降浊论治鼻渊[J].中国中西医结合耳鼻咽喉科杂志,2015,23(2):142-143
[17]孟迎春,王超,尚士强,等.廉泉穴针刺深度对中风后吞咽障碍的疗效影响:随机对照研究[J].中国针灸,2015,35(10):990-994
[18]田莉,楼天晓,刘样,等.Schuell刺激联合针刺治疗脑卒中后运动性失语的疗效观察[J].中国康复,2014(5):333-334
[19]刘源源,祝婕.神仙解语丹加减联合舌三针治疗中风后失语症51例临床疗效观察[J].世界中医药,2016,11(9):1752-1754