芒针“循经透刺”结合语言康复训练治疗脑卒中后运动性失语临床研究  

Clinical Study of Elongated Needle ‘Penetration Needling along Meridian’ Combinedwith Speech Rehabilitation Training in Treatment of Post-Stroke Motor Aphasia

作　　者：殷红彪 陈幸生[1] 周婷[1] 王储蓄 YIN Hongbiao;CHEN Xingsheng;ZHOU Ting;WANG Chuxu(The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《针灸临床杂志》2024年第5期26-30,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：安徽省中医药学术流派传承工作室建设项目,编号:皖中医药发[2021]30号;安徽省第十三批“115”产业创新团队项目,编号:皖人才办[2020]4号;安徽省卫生健康科研项目,编号:AHWJ2023A20092;安徽省高等学校科研研究项目,编号:2022AH050497。

摘　　要：目的:观察芒针“循经透刺”结合语言康复训练治疗脑卒中后运动性失语的临床疗效。方法:64例脑卒中后运动性失语患者随机分为观察组和对照组各32例,观察组予以芒针透刺联合语言康复治疗,对照组给予普通针刺法+语言康复治疗,每周治疗6 d,连续治疗3周,采用汉语失语症检查法(ABC法)评价语言功能,中国式功能性语言沟通能力检测法(CFCP)评价语言沟通能力,波士顿诊断性失语症检查法(BDAE)分级标准评定患者运动性失语的分级,蒙特利尔认知评估量表(MoCA)评分评估患者认知能力。结果:治疗3周后,观察组语言功能(听理解、谈话、复述和命名)评分均较治疗前提高,差异具有统计学意义(P<0.05),观察组语言沟通能力评分、失语程度和认知功能评分均较治疗前改善明显,差异具有统计学意义(P<0.05),治疗后,观察组语言功能评分、认知功能评分、言语沟通能力评分和失语程度改善均优于对照组,差异具有统计学意义(P<0.05)。观察组总有效率为93.75%(30/32),优于对照组的75%(24/32),差异具有统计学意义(P<0.05)。结论:语言康复训练的基础上联合芒针“循经透刺”可促进脑卒中后运动性失语患者的语言功能恢复,降低失语严重程度,改善患者认知功能,疗效显著。Objective:To investigate the clinical efficacy of elongated needle‘penetration needling along meridian’combined with speech rehabilitation training in treatment of post-stroke motor aphasia.Methods:A total of 64 patients with post-stroke motor aphasia were randomly assigned into the observation group and the control group,with 32 cases in each group.The observation group was treated with penetration needling with elongated needle and speech rehabilitation training,whereas the control group was treated with conventional acupuncture and speech rehabilitation training.Both groups were treated for six days per week over a period of three weeks.Verbal function was assessed using Chinese Aphasia Test(ABC),verbal communication ability was evaluated using Chinese Functional Communicative Profile(CFCP),motor aphasia severity was measured by means of Boston Diagnostic Aphasia Test(BDAE),and cognitive ability was assessed utilizing Montreal Cognitive Assessment Scale(MoCA).Results:Following three weeks of treatment,significant improvements were observed in terms of language function scores(listening comprehension,speaking,retelling,and naming)in the observation group(P<0.05).Furthermore,language communication ability scores,aphasia severity levels,and cognitive function showed significant enhancements in the observation group when compared to baseline values(P<0.05).Additionally,improvements in language function score,cognitive function score,verbal communication ability score,as well as aphasia severity were more significant in the observation group than those in the control group(P<0.05).The overall effective rate in the observation group was 93.75%(30/32),which was significantly higher than 75%(24/32)in the control group(P<0.05).Conclusion:Speech rehabilitation training combined with elongated needle‘penetration needling along meridian’can promote recovery of speech function,reduce level of aphasia,improve cognitive ability with remarkable effect.

关 键 词：脑卒中 运动性失语 芒针 透刺 

分 类 号：R246.6[医药卫生—针灸推拿学]