解语汤联合语言康复训练治疗急性缺血性脑卒中运动性失语临床研究  

Clinical Study on Combination Use of Jieyu Decoction and Language Rehabilitation Training for Motor Aphasia Caused by Acute Ischemic Stroke

作　　者：李春艳 李元婧 LI Chunyan;LI Yuanjing(Department of Intensive Elderly Rehabilitation,Ningbo Rehabilitation Hospital,Ningbo Zhejiang 315040,China;Department of Traditional Chinese Medicine,Ningbo Rehabilitation Hospital,Ningbo Zhejiang 315040,China)

机构地区：[1]宁波市康复医院重症老年康复科,浙江宁波315040 [2]宁波市康复医院中医科,浙江宁波315040

出　　处：《新中医》2024年第19期39-43,共5页New Chinese Medicine

摘　　要：目的:观察解语汤联合语言康复训练治疗急性缺血性脑卒中运动性失语的临床疗效。方法:选取156例急性缺血性脑卒中运动性失语患者,根据治疗方式不同分为联合治疗组和康复训练组各78例。所有患者入院后在不影响研究结果情况下开展基础性药物治疗,康复训练组在康复训练中心由专业的语言康复治疗师进行语言康复训练,联合治疗组在对照组基础上给予解语汤治疗,2组均治疗4周。评价2组临床疗效,比较2组治疗前后语言功能、神经功能、日常语言沟通能力和日常生活能力。结果:联合治疗组总有效率为94.9%,高于康复训练组82.1%(P<0.05)。治疗后,2组汉语失语症成套测试(ABC)量表各项评分较治疗前升高(P<0.05),且联合治疗组ABC量表各项评分高于康复训练组(P<0.05)。治疗后,2组功能性语言沟通能力检查量表(CFCP)评分、改良Barthel指数(MBI)评分较治疗前升高(P<0.05),且联合治疗组CFCP评分、MBI评分高于康复训练组(P<0.05)。治疗后,2组美国国立卫生研究院卒中量表(NIHSS)评分较治疗前降低,脑卒中专用生活质量量表(SS-QOL)评分较治疗前升高(P<0.05);且联合治疗组NIHSS评分低于康复训练组,SS-QOL评分高于康复训练组(P<0.05)。结论:解语汤联合语言康复训练可改善急性缺血性脑卒中运动性失语患者的日常语言沟通能力和语言功能情况,加快神经功能恢复,提高生活质量,进而提升临床治疗效果。Objective:To observe the clinical effect of combination use of Jieyu Decoction and language rehabilitation training on motor aphasia caused by acute ischemic stroke.Methods:A total of 156 patients with motor aphasia caused by acute ischemic stroke were selected and divided into the combined treatment group and the rehabilitation training group according to the different treatment methods,with 78 cases in each group.All patients were treated with basic drugs after admission without affecting the study results.The rehabilitation training group was treated with language rehabilitation training by professional language rehabilitation therapists in the rehabilitation training center,and the combined treatment group was additionally treated with Jieyu Decoction based on the treatment of the control group.Both groups were treated for four weeks.The clinical effects in the two groups were evaluated,and the language function,nerve function,daily communication ability and daily activities of living were compared before and after treatment between the two groups.Results:The total effective rate in the combined treatment group was 94.9%,higher than that of 82.1%in the rehabilitation training group(P<0.05).After treatment,the scores of all items in Chinese Battery of Aphasia(ABC)in the two groups were elevated when compared with those before treatment(P<0.05),and the above scores in the combined treatment group were higher than those in the rehabilitation training group(P<0.05).After treatment,the scores of Chinese Functional Communication Profile(CFCP)and Modified Barthel Index(MBI)in the two groups were up-regulated when compared with those before treatment(P<0.05),and the scores of CFCP and MBI in the combined treatment group were higher than those in the rehabilitation training group(P<0.05).After treatment,the scores of National Institutes of Health Stroke Scale(NIHSS)in the two groups were reduced when compared with those before treatment,and the scores of Stroke-Specific Quality of Life(SS-QOL)scale were increased when

关 键 词：急性缺血性脑卒中 运动性失语 解语汤 语言康复训练 神经功能 日常语言沟通能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]