针刺舌根部穴位法配合电刺激治疗脑卒中后运动性失语症疗效观察  

Efficacy of acupuncture at tongue root acupoint combined with electrical stimulation on post-stroke motor aphasia

作　　者：王莉平 马念 凤楠 WANG Li-ping;MA Nian;FENG Nan(Department of Acupuncture and Moxibustion,Shangluo Traditional Chinese Medicine Hospital,Shangluo 726000,Shaanxi,CHINA;Department of Rehabilitation Medicine,Shangluo Traditional Chinese Medicine Hospital,Shangluo 726000,Shaanxi,CHINA)

机构地区：[1]商洛市中医医院针灸科,陕西商洛726000 [2]商洛市中医医院康复医学科,陕西商洛726000

出　　处：《海南医学》2021年第23期3065-3068,共4页Hainan Medical Journal

摘　　要：目的观察针刺舌根部穴位法配合电刺激治疗脑卒中后运动性失语症的疗效。方法选取商洛市中医医院2018年1月至2020年12月收治的脑卒中后运动性失语症患者86例,采用随机数表法均分为研究组(针刺舌根部穴位配合神经肌肉电刺激治疗)和对照组(神经肌肉电刺激治疗)各43例,持续治疗20 d后,比较两组患者的治疗效果和治疗前后的症状积分、语言功能和生存质量。结果研究组患者的治疗总有效率为93.02%,明显高于对照组的76.74%,差异有统计学意义(P<0.05);治疗后,研究组和对照组患者的口舌歪斜[(1.01±0.21)分vs (1.63±0.40)分]、言语謇涩或不语[(0.95±0.12)分vs (1.78±0.22)分]、心烦易怒[(0.84±0.13)分vs (1.60±0.23)分]、痰多[(0.77±0.14)分vs (1.47±0.19)分]积分比较,研究组明显低于对照组,差异均有统计学意义(P<0.05);研究组和对照组患者在汉语失语症检查量表中的说[(42.50±5.12)分vs (36.58±3.74)分]、复述[(47.22±6.33)分vs (43.21±5.20)分]、阅读[(52.20±7.07)分vs (46.92±6.35)分]、听理解[(52.23±7.62)分vs (46.58±6.11)分]、出声读[(38.05±4.11)分vs (33.03±5.02)分]、计算能力[(10.24±1.36)分vs (8.02±1.00)分]维度得分比较,研究组明显高于对照组,差异均有统计学意义(P<0.05);研究组和对照组患者在运动性失语症生存质量评价量表中的生理[(62.20±10.05)分vs (57.03±8.83)分]、交流[(29.08±3.22)分vs (26.05±4.10)分]、社会[(61.95±8.20)分vs (58.03±7.32)分]得分及总分[(156.98±15.32)分vs (142.05±14.09)分]比较,研究组明显高于对照组,差异均有统计学意义(P<0.05)。结论针刺舌根部穴位法配合电刺激可有效改善脑卒中后运动性失语症患者症状、语言功能和生存质量。Objective To observe the efficacy of acupuncture at tongue root acupoint combined with electrical stimulation on post-stroke motor aphasia.Methods A total of 86 patients with post-stroke motor aphasia treated in Shangluo Traditional Chinese Medicine Hospital between January 2018 and December 2020 were selected,and they were divided into a study group(n=43,acupuncture at tongue root acupoint combined with neuromuscular electrical stimulation) and a control group(n=43,neuromuscular electrical stimulation) according to the random number table method.After 20 days of continuous treatment,the treatment effect,symptoms scores,language function,and quality of life before and after treatment were compared between the two groups.Results The total effective rate of treatment in the study group was significantly higher than that in the control group(93.02% vs 76.74%,P<0.05).After treatment,the symptoms scores were significantly lower in the study group than in the control group,i.e.deviation of eye and mouth(1.01±0.21) points vs(1.63±0.40) points,P<0.05;stiff tongue(0.95±0.12) points vs(1.78±0.22) points,P<0.05;irritability(0.84±0.13) points vs(1.60±0.23) points,P<0.05;and excessive phlegm(0.77±0.14) points vs(1.47±0.19) points,P<0.05.The dimension scores of language function in the Chinese Aphasia Checklist were significantly higher in the study group than in the control group,i.e.saying(42.50±5.12) points vs(36.58±3.74) points,P<0.05;repeating(47.22±6.33) points vs(43.21±5.20) points,P<0.05;reading(52.20±7.07) points vs(46.92±6.35) points,P<0.05;listening comprehension(52.23±7.62) points vs(46.58±6.11) points,P<0.05;reading aloud(38.05±4.11) points vs(33.03±5.02) points,P<0.05;and calculation ability(10.24±1.36) points vs(8.02±1.00) points,P<0.05.After treatment,the dimension scores in the Sports Aphasia Quality of Life Assessment Scale were significantly higher in the study group than in the control group,i.e.physiology(62.20±10.05) points vs(57.03±8.83) points,P<0.05;communication(29.08±3.22) poin

关 键 词：脑卒中后运动性失语症 针刺 舌根部穴位 电刺激 语言功能 生存质量 疗效 

分 类 号：R743.3[医药卫生—神经病学与精神病学]