中医头针联合康复训练对脑梗后失语患者日常生活能力、语言功能恢复的影响  

Effect of Chinese Medicine Scalp Acupuncture Combined with Rehabilitation Training on Activity of Daily Living and Recovery of Language Function of Patients with Aphasia After Cerebral Infarction

作　　者：戴晓瑛 钟寅燕 DAI Xiaoying;ZHONG Yinyan(Department of Rehabilitation First People's Hospital of Hangzhou Linping District,Hangzhou Zhejiang 311100,China)

机构地区：[1]杭州市临平区第一人民医院康复科,浙江杭州311100

出　　处：《新中医》2023年第21期146-151,共6页New Chinese Medicine

摘　　要：目的:观察中医头针联合康复训练对脑梗后失语患者日常生活能力、语言功能恢复的影响。方法:选取80例脑梗后失语患者,按随机数字表法分为对照组及观察组各40例。对照组给予康复训练治疗,观察组在康复训练基础上给予中医头针治疗。观察2组临床疗效,比较2组治疗前后脑动脉平均流速、脑源性神经营养因子(BDNF)、降钙素基因相关肽(CGRP)、高敏C-反应蛋白(hs-CRP)、白细胞介素-8(IL-8)、内皮素(ET)、简化版汉语标准失语症检查(CRRCAE)评分、功能性语言沟通能力检查(CFCP)评分、FuglMeyer评分、日常生活能力量表(ADL)评分、美国国立卫生研究院卒中量表(NIHSS)评分的变化。结果:观察组临床疗效总有效率为92.50%,对照组为75.00%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组脑前、中、后动脉平均流速均较治疗前升高(P<0.05);观察组脑动脉平均流速均高于对照组(P<0.05)。治疗后,2组BDNF、CGRP指标值均较治疗前升高(P<0.05),hs-CRP、IL-8、ET指标值均较治疗前下降(P<0.05);观察组BDNF、CGRP指标值均高于对照组(P<0.05),hs-CRP、IL-8、ET指标值均低于对照组(P<0.05)。治疗后,2组CRRCAE评分中谈话、复述、听理解、命名评分均较治疗前升高(P<0.05),观察组各项CRRCAE评分均高于对照组(P<0.05)。治疗后,2组CFCP评分、Fugl-Meyer评分、ADL评分均较治疗前升高(P<0.05),NIHSS评分均较治疗前下降(P<0.05);观察组CFCP评分、Fugl-Meyer评分、ADL评分均高于对照组(P<0.05),NIHSS评分低于对照组(P<0.05)。结论:康复训练联合中医头针治疗脑梗死后失语可促进语言功能的恢复,减轻神经功能的缺损,提高日常生活能力。Objective:To observe the effect of the therapy of Chinese medicine scalp acupuncture combined with rehabilitation training on the activity of daily living and recovery of language function of patients with aphasia after cerebral infraction.Methods:A total of 80 patients with aphasia after cerebral infarction were selected and divided into the control group and the observation group according to the random number table method,with 40 cases in each group.The control group was given rehabilitation training for treatment,and the observation group was additionally treated with Chinese medicine scalp acupuncture based on rehabilitation training.The clinical effects in both groups were observed;the average velocity of cerebral arteries,levels of brain derived neurotrophic factor(BDNF),calcitonin gene-related peptide(CGRP),hypersensitive C-reactive protein(hs-CRP),interleukin-8(IL-8)and endothelin(ET),and the changes in scores of Chinese Rehabilitation Research Center Aphasia Examination(CRRCAE),Chinese Functional Communication Profile(CFCP),Fugl-Meyer,Activity of Daily Living(ADL)Scale and National Institute of Health Stroke Scale(NIHSS)were compared before and after treatment between the two groups.Results:The total clinical effective rate was 92.50%in the observation group and 75.00%in the control group,the difference being significant(P<0.05).After treatment,the average velocity of anterior,middle and posterior cerebral arteries in both groups were increased when compared with those before treatment(P<0.05);the average velocity of cerebral arteries in the observation group was higher than that in the control group(P<0.05).After treatment,the values of BNDF and CGRP in both groups were increased when compared with those before treatment(P<0.05),and the values of hs-CRP,IL-8 and ET were decreased when compared with those before treatment(P<0.05);the values of BNDF and CGRP in the observation group were higher than those in the control group,and the values of hs-CRP,IL-8 and ET were lower than those in the control group

关 键 词：脑梗死 失语 康复训练 中医头针 语言功能 日常生活能力 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R246.6[医药卫生—临床医学]