针刺配合语言功能训练对中风后运动性失语患者语言功能的影响  

Effect of Acupuncture plus Language Function Training on Language Function in Patients with Post-stroke Aphasia

作　　者：田莉[1] 胡蓉[1] 楼天晓[1] 

机构地区：[1]湖南中医药高等专科学校康复保健系,株洲412001

出　　处：《上海针灸杂志》2015年第8期717-720,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：湖南教育厅科技处课题(11C0979)

摘　　要：目的观察针刺配合语言功能训练对中风后运动性失语患者语言功能恢复的影响。方法将90例患者按随机数字表分为针刺配合语言功能训练组(针康组)30例、单纯针刺(针刺组)30例与单纯语言功能训练组(对照组)30例。采用西方失语症成套测验(WAB)评定患者语言功能,作为诊断和疗效判定依据,观察患者失语商(AQ)和自发言语、听理解、复述、命名4项基本语言功能。结果 3组患者治疗后AQ和自发言语、口语理解、复述及命名的评分较治疗前明显提高,差异有统计学意义(P<0.05,P<0.01)。治疗后针康组患者自发言语、复述和命名与对照组比较差异有统计学意义(P<0.05)。治疗后针刺组与对照组各指标比较差异均无统计学意义(P>0.05)。结论针刺配合语言功能训练治疗对中风后运动性失语患者有积极作用,且提示对自发言语、复述、命名有治疗优势。Objective To observe the effect of acupuncture plus language function training on the recovery of language function in patients with post-stroke aphasia. Method Ninety patients were divided into an acupuncture-rehabilitation group（intervened by acupuncture plus language function training） of 30 cases, an acupuncture group（intervened by acupuncture alone） of 30 cases, and a control group（intervened by language function training alone） of 30 cases. The Western Aphasia Battery（WAB） was adopted to evaluate the language function, and also taken as criteria for diagnosis and therapeutic efficacy. The aphasia quotient（AQ）, and the 4 basic language functions including spontaneous speech, auditory comprehension, repetition and nomination were observed. Result After intervention, AQ, and scores of spontaneous speech, auditory comprehension, repetition and nomination increased significantly in the three groups（P〈0.05,P〈0.01）. there were significant differences in comparing the scores of spontaneous speech, repetition and nomination between the acupuncture-rehabilitation group and the control group（P〈0.05）. There were no significant differences in comparing the indexes between the acupuncture group and control group（P〈0.05）. Conclusion Acupuncture plus language function training can produce a positive effect on patients with post-stroke aphasia, showing therapeutic advantage in improving spontaneous speech, repetition, and nomination.

关 键 词：中风后遗症 失语 经皮质运动性 针刺 语言功能训练 头针刺激区 命名不能 

分 类 号：R246.6[医药卫生—针灸推拿学]