醒脑开窍针法配合重复经颅磁刺激治疗脑卒中后言语功能障碍临床研究  

Clinical Observation on Xingnao Kaiqiao Acupuncture Combined with Repetitive Transcranial Magnetic Stimulation for Post-stroke Speech Dysfunction

作　　者：但昭君[1] 李海峰[1] 何晓阔[1] 王俊华[1] 陈智康 

机构地区：[1]十堰市太和医院,湖北十堰442000 [2]福建中医药大学康复医学院,福建福州350122

出　　处：《康复学报》2017年第6期15-18,共4页Rehabilitation Medicine

基　　金：福建中医药大学临床专项基金项目(XB2016058)

摘　　要：目的:观察醒脑开窍针刺法配合重复经颅磁刺激治疗脑卒中后言语功能障碍的临床疗效。方法:将48例脑卒中后言语功能障碍患者按照随机数字表法分为观察组和对照组,每组各24例。2组均给予常规基础药物治疗,观察组同时给予重复经颅磁刺激配合醒脑开窍针法,对照组仅给予重复经颅磁刺激,每天1次,每周6次,共治疗4周。采用汉语失语症检查表(ABC)法和波士顿诊断性失语症检查法(BDAE)评定2组患者失语程度及临床疗效。结果:治疗4周后,2组ABC评分、BDAE评分与治疗前比较,差异均有统计学意义(P<0.05或P<0.01);治疗4周后2组BDAE评分组间比较,差异有统计学意义(P<0.05)。结论:醒脑开窍针法配合重复经颅磁刺激对脑卒中后言语功能障碍的改善有较好疗效。Objective：To observe the effect of Xingnao Kaiqiao acupuncture combined with repetitive transcranial magnetic stimulation on post-stroke speech dysfunction. Methods：A total of 48 patients with post-stroke speech dysfunction were randomly assigned to the observation group and control group with 24 patients in each group. Both groups received routine medical treatment, the observation group was added with repetitive transcranial magnetic stimulation and Xingnao Kaiqiao acupuncture while the control group only carried repetitive transcranial magnetic stimulation once a day, six times a week for four weeks. The Aphasia Battery in Chinese（ABC） method and the Boston diagnostic aphasia examination（BDAE） were used to assess aphasia degree and clinical curative effect. Results：The ABC and BDAE scores of two groups after treatment were significantly improved compared with those before treatment（P0.05, P0.01）. After the treatment, the BDAE score of observation group was better than that of control group（P0.05）.Conclusion：Xingnao Kaiqiao acupuncture combined with repetitive transcranial magnetic stimulation has good effects on post-stroke speech dysfunction.

关 键 词：脑卒中 言语功能障碍 醒脑开窍针法 重复经颅磁刺激 

分 类 号：R743.3[医药卫生—神经病学与精神病学]