针康法治疗脑卒中运动性失语患者79例临床观察  

Clinical Observation on 79 Anandia Cases of Stroke Treated by Acupuncture and Rehabilitation Therapy

作　　者：张慧敏[1] 唐强[2] 

机构地区：[1]首都医科大学附属北京世纪坛医院针灸科 [2]黑龙江中医药大学附属第二医院

出　　处：《中医杂志》2011年第10期855-858,共4页Journal of Traditional Chinese Medicine

摘　　要：目的研究针康法对脑卒中运动性失语患者语言功能的影响。方法收集脑卒中患者79例,在常规治疗的基础上采用头穴丛刺法结合言语康复训练进行治疗,分别在治疗前,治疗后1、2、3个月,采用汉语失语症检查法、失语商、功能性语言沟通能力检查法、失语症严重程度分级标准评定患者语言功能。结果治疗3个月总有效率为83.82%;在语言功能评分、失语商、功能性语言沟通能力评分及失语严重程度分级上,与治疗前比较差异有统计学意义(P<0.01),并不同程度优于治疗1个月和治疗2个月(P<0.05或P<0.01)。结论针康法能明显改善脑卒中运动性失语患者的语言功能,可提高患者的日常生活语言沟通能力及失语商,降低失语程度,疗效稳定并有累加蓄积效应。Objective To study the effect of scalp acupuncture plus rehabilitation training on the speaking function of anandia cases of stroke. Methods Seventy-nine anandia cases of stroke were treated with routine treatment,based on which the scalp acupuncture in combination with speaking rehabilitation training was applied. Evaluating the speaking function of the patients before treatment,1,2,3 months after treatment was carried out respectively through Chinese aphasia examination method,aphasia quotient,examination method of functional speaking communication ability,and grading standard of severity of aphasia. Results The total effective rate after 3-month treatment was 83.82%; the score of speaking function,aphasia quotient,score of functional speaking communication ability,and grading of severity of aphasia were statistically different from those before treatment （P0.01）,and the effect was better than 1 month and 2 month after treatment （P0.05 or P0.01）. Conclusion Acupunture and rehabilitation therapy is effective in improving the speaking function of anandia patients of stroke,reinforcing their speaking communication ability and aphasia quotient,and reducing their aphasia severity. Its effect is stable and accumulative.

关 键 词：针康法 脑卒中 运动性失语 头穴丛刺 康复训练 

分 类 号：R277.7[医药卫生—中医学]