摘要
目的:通过观察靳氏舌三针对中风运动性失语患者语言功能的影响,并与传统治疗方法作对照,评价靳氏舌三针对中风运动性失语的临床疗效,并初步探讨其机制,从而为临床推广靳氏舌三针提供一定依据。
方法:将60例入选病人按照随机数字表随机分为舌三针治疗组和传统疗法对照组。治疗组主穴取“靳三针”之舌三针(上廉泉,左、右旁廉泉),配穴:上肢偏瘫配患肢极泉、尺泽、内关,下肢偏瘫配患肢委中、足三里、三阴交。对照组选取传统治疗失语穴位:哑门、廉泉、通里,配穴同治疗组。所有患者每周连续治疗5天,休息2天,4周为一个疗程,治疗一个疗程。根据北京医科大学《汉语失语成套测验》确立的评分标准,对两组患者的自发谈话、理解、复述、命名、阅读、书写能力进行语言功能的评分测定。
结果:治疗后,舌三针治疗组和传统疗法组语言功能均得到显著提高,总有效率分别为86.67%和73.33%。与治疗前比较,两种方法均能够显著提高患者的自发谈话、复述、命名、阅读、书写功能评分(P＜0.01),且舌三针治疗组优于传统疗法组(P＜0.05)。
结论:靳氏舌三针是一种积极有效的治疗中风运动性失语的方法,可提高患者的语言沟通能力,改善失语程度,对中风运动性失语患者的临床疗效有重要意义。
Objective:To observe the clinical effect of Jin's Tongue Triple Acupuncture in the treatment of motor aphasia after stroke.Methods:In accordance with the diagnostic criteria,Sixty cases of aphemia were randomly assigned to 30 cases as Jin's Tongue Triple Acupuncture treatment group and 30 cases as traditional acupuncture group.The main points of treatment group were Jin's Tongue Triple Acupuncture:Shanglianquan(extra),left panglianquan (2nd acupoint),right panglianquan(3rd acupoint).Coordination of acupoints were:Jiquan(HT1),Chize(LU5),Neiguan(PC6)for the hemiparalysis of upper limbs;Weizhong(BL40),Zusanli(ST36),Sanyinjiao(SP6)for hemiparalysis of lower limbs.The main points of control group were traditional acupoint therapy: Yamen(DU15),Lianquan(RN23),and Tongli(HT5)).Coordination of acupoints were the same as treatment group.Both of the two goups were treated five days in one week,and the therapeutic effects were observed according to the Aphasia Battery of Chinese,ABC at the end of four weeks.Results:The total effective rate in the treatment group was 86.67%,which was superior to that of traditional acupuncture group(P＜0.05).The scores of ABC in the two goups were higher at the end of treatment than in the begin(P＜0.01),the treatment group was higher than control group(P＜0.05).Conclusion:Jin's Tongue Triple Acupuncture is an effective therapy,which plays a very important role in treatment of motor aphasia after stroke,lt can improve the recovery of language functions effectively.
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