电针《神应经》不语八穴治疗缺血性脑卒中后失语症临床研究
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摘要
目的:观察电针《神应经》不语八穴联合Schuell语言训练治疗缺血性脑卒中后失语症的临床疗效。方法:将105例缺血性脑卒中后失语症患分为3组,每组35例。对照1组接受Schuell语言训练,对照2组在对照1组基础上给予头针治疗。观察组在对照1组基础上接受电针《神应经》不语八穴(间使、支沟、灵道、鱼际、合谷、阴谷、复溜、然谷)治疗。治疗16周后用汉语失语症检查法、美国国立卫生研究院卒中量表(NIHSS量表)评定临床疗效。结果:治疗后观察组在语言功能评分、NIHSS量表评分方面与2个对照组比较均有统计学差异(均P<0.05)。观察组临床疗效总有效率为91.43%,明显高于2个对照组,比较均有统计学意义(均P<0.05)。结论:电针《神应经》不语八穴联合Schuell语言训练可以明显改善缺血性脑卒中后失语症患者的语言理解表达能力、提高了失语症的临床疗效。
Objective:To observe the clinical effect of electro-acupuncture at nonverbal eight points in Shenying Jing combined with Schuell language training on aphasia after ischemic stroke.Methods:105 cases of aphasia after ischemic stroke were divided into 3 groups, 35 cases in each group.The controlled group 1 was received Schuell language training, and the controlled group 2 was given scalp acupuncture on the basis of the controlled group 1.On the basis of the controlled group 1, the observation group was treated with electroacupuncture at nonverbal eight points of Shenying Jing(Jianshi, Zhigou, Lingdao, Yuji, Hegu, Yingu, Fuliu and Rangu).After 16 weeks of treatment, the clinical efficacy was assessed by Chinese aphasia test and NIHSS.Results:After treatment, the language function score and NIHSS score of the observation group were significantly different from those of the two controlled groups(P<0.05).The total effective rate of the observation group was 91.43%, which was significantly higher than that of the two controlled groups(P<0.05).Conclusion:Electro-acupuncture at eight non-verbal points in Shenying Jing combined with Schuell language training can significantly improve the language comprehension and expression ability of aphasia patients after ischemic stroke, and improve the clinical efficacy of aphasia.
Objective:To observe the clinical effect of electro-acupuncture at nonverbal eight points in Shenying Jing combined with Schuell language training on aphasia after ischemic stroke.Methods:105 cases of aphasia after ischemic stroke were divided into 3 groups, 35 cases in each group.The controlled group 1 was received Schuell language training, and the controlled group 2 was given scalp acupuncture on the basis of the controlled group 1.On the basis of the controlled group 1, the observation group was treated with electroacupuncture at nonverbal eight points of Shenying Jing(Jianshi, Zhigou, Lingdao, Yuji, Hegu, Yingu, Fuliu and Rangu).After 16 weeks of treatment, the clinical efficacy was assessed by Chinese aphasia test and NIHSS.Results:After treatment, the language function score and NIHSS score of the observation group were significantly different from those of the two controlled groups(P<0.05).The total effective rate of the observation group was 91.43%, which was significantly higher than that of the two controlled groups(P<0.05).Conclusion:Electro-acupuncture at eight non-verbal points in Shenying Jing combined with Schuell language training can significantly improve the language comprehension and expression ability of aphasia patients after ischemic stroke, and improve the clinical efficacy of aphasia.
引文
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[2] 谭洁,张泓,韩国栋,等.针灸治疗失语症临床文献的回顾性分析[J].中国针灸,2016,36(4):431～432
[3] 饶明俐.中国脑血管病防治指南[M].北京:人民卫生出版社,2007:35～37
[4] 高素荣.失语症[M].北京:北京医科大学中国协和医科大学联合出版社,1993:137～280
[5] 李胜利.言语治疗学[M].北京:华夏出版社,2003:182～189
[6] 林润,陈锦秀,蔡丽娇.脑卒中失语症患者生活质量研究进展[J].护士进修杂志,2013,28(5):403～406
[7] 万钧,李玥,吴恒兰.葛根素联合复方丹参注射液辨治脑梗死的临床效果研究[J].时珍国医国药,2015,26(7):1684～1686
[8] 阿依夏木·阿布都力木,席艳玲,吐尔逊·沙比尔.双语失语症康复治疗的现况[J].中国康复,2014,29(5):343～346
[9] 崔彩虹,杨信才,田春辉.针刺治疗在运动性失语症患者康复训练中的疗效研究[J].河北医药,2012,34(14):2208～2209
[10] 陈升王,何永其.中医辨证分型治疗中风后恢复期失语疗效观察[J].新中医,2015,47(11):42～43
[11] 吴宏,许光,曾科学.言语训练配合太极针法治疗中风后失语的临床研究[J].世界中医药,2016,11(7):1323～1326
[12] 徐运瑜.廉泉穴合谷刺治疗中风失语症 37例观察[J].浙江中医杂志,2007,42(5):287