"六字诀"训练治疗脑卒中后运动性构音障碍-呼吸控制异常的疗效观察  

The effect of Liuzijue qigong for patients with post-stroke dysarthria and abnormal respiratory control:A randomized and controlled trial

作　　者：郑亚楠 李洪丽 丁珊珊[1] 李改燕 张颖[1] Zheng Yanan;Li Hongli;Ding Shanshan;Li Gaiyan;Zhang Ying(Shanghai Xuhui Central Hospital,Shanghai 200031,China;Shanghai University of Sport,Shanghai 200438,China;Shanghai Shen Garden Rehabilitation Hospital,Shanghai 201620,China)

机构地区：[1]上海市徐汇区中心医院,上海200031 [2]上海体育学院,上海200438 [3]上海申园康复医院,上海201620

出　　处：《中华物理医学与康复杂志》2020年第7期618-622,共5页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的观察"六字诀"训练联合基础构音训练治疗脑卒中后运动性构音障碍的疗效。方法采用随机数字表法将60例脑卒中后运动性构音障碍患者分为观察组及对照组,每组30例。对照组给予传统呼吸训练+基础构音训练,观察组给予"六字诀"训练+基础构音训练,2组患者均治疗3周。于治疗前、治疗3周后分别采用改良版Frenchay构音障碍量表(FDA)及相关言语呼吸专项评定、最长声时(MPT)测试、最大数数能力(MCA)测试对2组患者进行疗效评定。结果治疗后2组患者言语呼吸专项评定、MPT、MCA以及FDA评分均较治疗前明显改善(P<0.05);并且观察组言语呼吸专项治疗有效率(80.0%)、MCA改善值[(3.1±2.3)s]及FDA改善值[(5.7±2.9)分]亦显著优于对照组水平(P<0.05);观察组MPT治疗后改善值[(3.2±2.7)s]较对照组有增加趋势,但组间差异无统计学意义(P>0.05)。结论"六字诀"训练联合基础构音训练能进一步改善脑卒中后运动性构音障碍患者呼吸及言语功能,其疗效明显优于传统呼吸训练+基础构音训练,该联合治疗模式值得在脑卒中后构音障碍患者中推广、应用。Objective To compare the effect of combining Liuzijue qigong with basic articulation training in the treatment of patients with post-stroke dysarthria.Methods A total of 60 stroke survivors with dysarthria were randomly divided into an observation group and a control group,each of 30.In addition to basic articulation training,the observation group practiced Liuzijue qigong for 3 weeks while the control group received conventional breathing training.Before and after the treatment,both groups were evaluated using the modified Frenchay dysarthria assessment(FDA),and in terms of maximum phonation time(MPT),maximal counting ability(MCA)and a special assessment of speech breathing.Results After the treatment,significant improvement was observed in all of the measurements in both groups,but there was significantly greater improvement in the observation group in terms of the effectiveness of the speech breathing treatment(80%)and that group′s average MCA and FDA values compared with the control group.Conclusion Liuzijue qigong training is superior to conventional breathing training when each is combined with basic articulation training in improving the speech breathing function and speaking ability of stroke survivors with dysarthria.It is worthy of promotion and application in clinical practice.

关 键 词：脑卒中 运动性构音障碍 六字诀训练 

分 类 号：R743.3[医药卫生—神经病学与精神病学]