针刺联合语言康复训练对中风后失语患者语言功能及血液流变学指标的影响  

Effect of Acupuncture Combined with Language Rehabilitation Training on Language Function and Hemorheological Indexes in Patients with Aphasia After Stroke

作　　者：关玉杰 庞青民[1] 王承惠[1] GUAN Yujie;PANG Qingmin;WANG Chenghui

机构地区：[1]郑州市中心医院针灸理疗科,河南南郑州450007

出　　处：《新中医》2022年第23期159-163,共5页New Chinese Medicine

摘　　要：目的:观察针刺联合语言康复训练对中风后失语患者语言功能及血液流变学指标的影响。方法:选取112例中风后失语患者作为研究对象,采用随机数字表法分为对照组和研究组各56例。2组均给予常规治疗,对照组给予语言康复训练,研究组在对照组基础上给予针刺治疗,2组均连续治疗30 d。采用汉语失语成套检测量表(ABC)评估患者语言功能变化情况;采用美国国立卫生研究所卒中量表(NIHSS)评价患者神经功能缺损程度;检测2组治疗前后血液流变学指标及血清降钙素基因相关肽(CGRP)、血管内皮素(ET)水平;评价2组临床疗效。结果:研究组总有效率为91.07%,高于对照组69.64%(P<0.05)。治疗后,2组自发言语、复述、理解、命名各项评分较治疗前升高(P<0.05),且研究组各项评分均高于对照组(P<0.05)。治疗后,2组NIHSS评分较治疗前下降(P<0.05),且研究组NIHSS评分低于对照组(P<0.05)。治疗后,2组红细胞聚集指数、全血黏度、血沉方程K指数较治疗前降低(P<0.05),且研究组各项指标均低于对照组(P<0.05)。治疗后,2组血清CGRP水平较治疗前升高,血清ET水平较治疗前下降(P<0.05);且研究组血清CGRP水平高于对照组,血清ET水平低于对照组(P<0.05)。结论:针刺联合语言康复训练可以提高中风后失语患者的临床疗效,有助于促进患者语言功能的恢复,改善血液流变学指标,提高患者神经功能。Objective:To observe the effect of acupuncture combined with language rehabilitation training on language function and hemorheological indexes in patients with aphasia after stroke.Methods:A total of 112 cases of patients with aphasia after stroke were selected as the study objectives and divided into the control group and the study group according to the random number table method,with 56 cases in each group.Both groups were given routine treatment,the control group was given language rehabilitation training,and the study group was additionally treated with acupuncture based on the treatment of the control group.Both groups were continuously treated for 30 days.Aphasia Battery of Chinese(ABC) was used to evaluate the changes in language function of patients;National Institutes of Health Stroke Scale(NIHSS) was applied to assess the severity of neurological deficits;hemorheological indexes and levels of calcitonin gene-related peptide(CGRP) and endothelin(ET) in serum in the two groups before and after treatment were detected;clinical effects in the two groups were evaluated.Results:The total effective rate was 91.07% in the study group,higher than that of 69.64% in the control group(P<0.05).After treatment,scores of oral expression,repetition,comprehension,and naming in the two groups were increased when compared with those before treatment(P<0.05),and each score in the study group was higher than that in the control group(P<0.05).After treatment,NIHSS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the score in the study group was lower than that in the control group(P<0.05).After treatment,erythrocyte aggregation indexes,whole blood viscosity and erythrocyte sedimentation rate-K index in the two groups were decreased when compared with those before treatment(P<0.05),and each index in the study group was lower than that in the control group(P<0.05).After treatment,levels of CGRP in serum in the two groups were increased when compared with those before treatment,and

关 键 词：中风 失语 针刺 语言康复训练 神经功能 血液流变学 语言功能 

分 类 号：R246.6[医药卫生—针灸推拿学]