针刺配合神经肌肉电刺激治疗缺血性卒中后运动性失语临床观察  

Clinical Observation of Acupuncture plus Neuromuscular Electrical Stimulation for Motor Aphasia after Ischemic Stroke

作　　者：陈付艳[1,2] 李桂平[1] 

机构地区：[1]天津中医药大学第一附属医院,天津300193 [2]天津中医药大学,天津300193

出　　处：《上海针灸杂志》2015年第10期944-946,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察针刺配合神经肌肉电刺激治疗缺血性卒中后运动性失语的临床疗效。方法将75例患者随机分为对照组38例、治疗组37例。两组患者均给予基础治疗。对照组除基础治疗外采用针刺治疗;治疗组除基础治疗外采用针刺配合神经肌肉电刺激治疗。针刺、神经肌肉电刺激均每日1次,10 d为1个疗程,连续治疗2个疗程。所有患者在治疗前后均以《汉语失语症检查法》的记分标准作为言语功能评价指标进行评分测定。结果对照组总有效率为81.6%,治疗组总有效率为89.2%,两组比较差异有统计学意义(P<0.05)。治疗后两组患者CADL-T评分均较治疗前显著提高(P<0.01),治疗组治疗后CADL-T评分明显高于对照组(P<0.01)。结论针刺在改善缺血性卒中后患者语言障碍、提高患者生活质量方面具有确切疗效,配合神经肌肉电刺激疗法疗效更佳。Objective To observe the clinical efficacy of acupuncture plus neuromuscular electrical stimulation in treating motor aphasia after ischemic stroke. Method Seventy-five patients were randomized into a control group of 38 cases and a treatment group of 37 cases. The two groups both received basic treatment. Besides, the control group was given acupuncture treatment; the treatment group was given acupuncture plus neuromuscular electrical stimulation. The acupuncture treatment and neuromuscular electrical stimulation were given once a day, 10 d as a treatment course, totally for 2 successive courses. The Aphasia Battery of Chinese（ABC） was observed before and after treatment to evaluate the speech function. Result The total effective rate was 81.6% in the control group versus 89.2% in the treatment group, and the difference was statistically significant（P 0.05）. The Communication Activities of Daily Living（CADL-T） scores were significantly increased after intervention in both groups（P0.01）, and the CADL-T score of the treatment group was significantly higher than that of the control group（P0.01）. Conclusion Acupuncture is effective in improving the speech dysfunction and the quality of life in patients after ischemic stroke, and it can produce a higher therapeutic efficacy when combined with neuromuscular electrical stimulation.

关 键 词：中风后遗症 语言障碍 针刺 经皮神经电刺激 失语症 

分 类 号：R246.6[医药卫生—针灸推拿学]