针刺联合言语训练治疗脑卒中后构音障碍  

Acupuncture combined with language training for poststroke dysarthria

作　　者：梁娇[1] 

机构地区：[1]海南省人民医院康复治疗科,海口570311

出　　处：《长春中医药大学学报》2014年第4期669-671,共3页Journal of Changchun University of Chinese Medicine

摘　　要：目的观察针刺联合言语训练治疗脑卒中后构音障碍的治疗效果。方法 193例病例随机分为A,B,C组,A组63例单纯采用针灸治疗(百会、舌三针、金津、玉液),B组65例进行言语训练治疗(呼吸训练、松弛训练等),C组65例采用针刺联合言语训练治疗,观察3组患者治疗后临床疗效及不良反应。结果 A,B,C3组治疗2周后总有效率分别为46.0%,44.6%,49.2%,组间比较无统计学意义(P>0.05);C组治疗第4,6,8周后总有效率分别为76.9%,90.8%,93.8%,显著高于A组的55.6%,65.1%,69.8%,及B组的49.2%,61.5%,60.2%,组间比较差异有统计学意义(P<0.05)。结论针刺联合言语训练治疗脑卒中后构音障碍可调补肝肾之虚,通络利窍,改善发音不清。疗效确切,且无明显不良反应。Objective To observe the therapeutic effect of acupuncture combined with speech training for poststroke dysarthria.Methods A total of 193 patients with poststroke dysarthria admitted in our hospital from 2011.1 to 2012.1 were randomly divided into groups A, B, C. Group A was treated with acupuncture and moxibustion therapy, group B with speech training, group C with combination therapy of acupuncture and speech training, curative effect and adverse reactions of three groups were compared after treatment. Results After 2 weeks, the total effective rate of groups A, B, C was 46.0 %, 44.6 % and 49.2 % respectively, with no statistical difference between groups （ P 〉 0.05） ; a significantly higher total effective rate of 76.9% ,90.8% and 93.8% in group C was observed after treatment of 4,6 and 8 weeks,compared with 55.6% ,65. 1% and 69.8% in group A,and 49.2% ,61.5% and 60.2% in group B （P 〈 0.05）;there is no statistical difference of total effective rate between groups A and B （ P 〉 0.05）. Conclusion Combination of acupuncture and speech training is effective for poststroke dysarthria, without obvious adverse reaction.

关 键 词：针灸疗法 言语训练 脑卒中 构音障碍 

分 类 号：R255.1[医药卫生—中医内科学]