头穴电针结合言语训练治疗脑卒中言语失用伴口颜面失用的临床研究  

Scalp electroacupuncture combined with speech training for apraxia of speech with oral and facial apraxia in stroke patients

作　　者：江玉娟[1] 杨玉霞[1] 项蓉[1] 唐诗玲[1] 鞠海燕[1] 霍艳玲[1] 肖琳娜[1] 姬春雪[1] 常娥[1] 

机构地区：[1]沧州市中心医院康复医学科,河北沧州061001

出　　处：《中国康复》2015年第4期247-249,共3页Chinese Journal of Rehabilitation

摘　　要：目的:观察头穴电针结合言语训练治疗脑卒中患者言语失用症伴口颜面失用的疗效。方法:将60例脑卒中言语失用症伴口颜面失用的患者随机分为观察组和对照组各30例。观察组采用言语康复训练结合解剖定位下头穴电针治疗,对照组给予单纯言语康复训练。应用"汉语失语症心理语言评价与治疗系统"中的言语运动计划模块中的评定项目为诊断和疗效判定依据,治疗前后分别观察2组患者数数、唱音阶、发音、单音节词复述、双音节词复述及口颜面动作检查的变化。结果:治疗4周后,2组言语失用各项评分均较治疗前明显提高(P<0.05),且观察组自数、跟数两项评分更高于对照组(P<0.05),单音节词、双音节复述两项评分显著高于对照组(P<0.01),2组自唱、跟唱、拼音字母复述等评分比较均差异无统计学意义。治疗4周后,2组口面动作评分中执行能力评分均较治疗前明显提高(P<0.01),2组间比较差异无统计学意义;观察组模仿能力评分较治疗前及对照组均明显提高(P<0.01),对照组治疗前后比较差异无统计学意义。结论:解剖定位头穴电针结合言语训练治疗能够明显纠正脑卒中患者的言语失用症,同时改善口颜面失用。Objective： To investigate the clinical efficacy of anatomy-located scalp electroacupuncture combined with speech training for apraxia of speech with facial apraxia in stroke patients. Methods： Sixty stroke patients with apraxia of speech were randomly divided into two groups： treatment group and control group （n= 30 each）. Scalp electroacupuncture combined with speech training was administered in the treatment group, but in control group, only speech training was given. The period of treatment lasted 4 weeks. Evaluations took place before and after the treatment. The changes in counting, sol-fa syllable, pronunciation, one syllable word repetition, two syllable word repetition, and oral and facial apraxia movements were examined in two groups. Results： After treatment for 4 weeks, there was significant improvement on each section of speech apraxia in the two groups （P〈0. 05）. The scores of counting, and repeat counting, one syllable word repetition and two syllable word repetition were signifi- cantly higher in treatment group than in control group （P〈0. 05）. There was no significant differetrnce in the scores of solo, sol-fa syllable, letter repetition etc. After treatment for 4 weeks, the scores of performance ability of oral and facial movement were significantly higher in both two groups （P〈0. 01）, but there was no significant difference between two groups. The scores of imitation ability in treatment group were significantly higher than those before treatment and control group （P〈0. 01）, but there was significant difference in control group before and after treatment. Conclusion： The anatomy-located scalp electroacupuncture combined with speech training can obviously correct the speech apraxia in stroke patients, and improve oral and facial apraxia.

关 键 词：言语失用 口颜面失用 头穴电针 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]