舌部针刺治疗脑卒中后中度构音障碍疗效评价  

Efficacy evaluation of tongue acupuncture on moderate post-stroke dysarthria

作　　者：严佳 孙德利[2] 赵咏 顾金花 闻迎春 韩世友 YAN Jia;SUN De-li;ZHAO Yong;GU Jin-hua;WEN Ying-chun;HAN Shi-you(Shanghai Fengxian District Hospital of TCM,Shanghai 201499;Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032)

机构地区：[1]上海市奉贤区中医医院,上海201499 [2]上海中医药大学附属龙华医院,上海200032

出　　处：《湖北中医药大学学报》2024年第3期67-70,共4页Journal of Hubei University of Chinese Medicine

基　　金：上海卫生健康委员会青年项目(项目编号:20214Y0415)。

摘　　要：目的观察舌部针刺治疗脑卒中后中度构音障碍临床疗效。方法将我院83例脑卒中后中度构音障碍患者随机分为观察组42例与对照组41例。对照组予舌部假针刺联合基础治疗及“醒脑开窍”针刺法治疗,观察组予舌部针刺联合基础治疗及“醒脑开窍”针刺法治疗。比较两组临床疗效、构音障碍量表(Frenchay)、美国国立卫生研究院卒中量表(NIHSS)、日常生活能力(Barthel)。结果治疗后,观察组总有效率及治愈率高于对照组(P<0.05);两组Frenchay总分、NHISS评分均低于治疗前(P<0.05),观察组低于对照组(P<0.05);两组Barthel指数均高于治疗前(P<0.05),但两组组间比较差异不显著(P>0.05);两组Frenchay量表中反射、唇、软腭、喉、舌运动及言语功能评分低于治疗前(P<0.05),观察组低于对照组(P<0.05)。结论舌部针刺联合“醒脑开窍”针刺法综合治疗可有效改善临床症状、神经功能以及生活自理能力,提高疗效。Objective To observe the clinical effectiveness of tongue acupuncture in treatment of moderate articulation disorders after stroke.Methods 83 patients with moderate articulation disorders after stroke were randomly divided into observation group(42 cases)and control group(41 cases).Control group was treated with sham acupuncture on the tongue combined with basic treatment and Xingnao Kaiqiao Acupuncture,and treatment group was treated with tongue acupuncture combined with basic treatment and Xingnao Kaiqiao Acupuncture.The clinical efficacy,Dysarthria Scale(Frenchay),National Institutes of Health Stroke Scale(NIHSS),and daily living ability(Barthel)scores were compared between the two groups.Results After treatment,the effective rate and cure rate of observation group were higher than that of control group(P<0.05);the Frenchay and NHISS scores of both groups were lower than before treatment(P<0.05),and were lower in observation group than control group(P<0.05);the Barthel Indexes of both groups were higher than that before treatment(P<0.05),but the difference was not significant when comparing between the two groups(P>0.05);the scores of reflexes,lip,soft palate,larynx,tongue movement and speech function in Frenchay Scale were lower than those before treatment in both groups(P<0.05),and were lower in observation group than control group(P<0.05).Conclusion Tongue acupuncture combined with Xingnao Kaiqiao Acupuncture can effectively improve clinical symptoms,neurological function and self-care ability,and improve the efficacy of treatment.

关 键 词：脑卒中 舌部针刺 醒脑开窍 构音障碍 言语康复 

分 类 号：R246.6[医药卫生—针灸推拿学]