不同针刺方案治疗脑卒中后语言功能障碍对照研究  

Comparative Study on Treating Post-Stroke Language Disorder with Different Acupuncture Plans

作　　者：竺益芳[1] 俞洁 求晓恩[1] 邢军平 ZHU Yifang;YU Jie;QIU Xiao'en;XING Junping(Department of Acupuncture and Moxibustion,Shengzhou Hospital of Chinese Medicine,Shengzhou Zhejiang 312400,China)

机构地区：[1]嵊州市中医院针灸科,浙江嵊州312400

出　　处：《新中医》2024年第24期109-113,共5页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2013ZST004)。

摘　　要：目的:比较不同针刺方案治疗脑卒中后语言功能障碍的临床效果。方法:选择脑卒中后语言功能障碍患者102例,按照随机数字表法分为治疗组和对照组各51例,治疗过程中2组各脱落1例,最终各纳入50例。对照组采用国际头针标准线治疗,治疗组采用通督开喑针法治疗,2组均治疗4周。比较2组中医证候评分、西方失语症成套测验(WAB)评分、脑卒中失语症生活质量量表(SAQOL-39g)评分、临床疗效及不良反应。结果:治疗后,治疗组总有效率为94.00%,对照组为80.00%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组言语謇涩或不语、口舌歪斜、半身不遂、头晕目眩、气短乏力、自汗出等证候评分均较治疗前降低(P<0.05),且治疗组各项中医证候评分均低于对照组(P<0.05)。治疗后,2组WAB量表中自发性言语、听语理解、复述、命名及失语指数评分均较治疗前升高(P<0.05),且治疗组上述各项评分均高于对照组(P<0.05)。治疗后,2组SAQOL-39g量表中生理、心理社会、交流评分及总分均较治疗前升高(P<0.05),且治疗组上述各项评分均高于对照组(P<0.05)。治疗过程中,2组不良反应发生率均为2.00%。结论:通督开喑针法治疗脑卒中后语言功能障碍在改善中医证候、语言能力、生活质量方面效果优于国际头针标准线治疗。Objective:To compare the clinical effects of different acupuncture plans on post-stroke language disorder.Methods:A total of 102 patients with post-stroke language disorder were selected and divided into the treatment group and the control group according to the random number table method,with 51 cases in each group.During the treatment,one case was respectively culled in each group and finally 50 cases were included.The control group was treated with international scalp acupuncture standard line,and the treatment group was given Tongdu Kaiyin acupuncture therapy.The two groups were treated for four weeks.The traditional Chinese medicine(TCM)syndrome scores,scores of Western Aphasia Battery(WAB)and Stroke and Aphasia Quality of Life Scale-39(SAQOL-39g),clinical effects and incidence of adverse reactions were compared between the two groups.Results:After treatment,the total effective rate was 94.00%in the treatment group,and 80.00%in the control group,the difference being significant(P<0.05).After treatment,the syndrome scores of sluggish speech or mutism,mouth and tongue deviation,hemiplegia,dizziness,shortness of breath and fatigue,and spontaneous sweating in the two groups were reduced when compared with those before treatment(P<0.05),and the above TCM syndrome scores in the treatment group were lower than those in the control group(P<0.05).After treatment,the scores of spontaneous speech,listening comprehension,retelling,naming and the aphasia index in WAB scale in the two groups were elevated when compared with those before treatment(P<0.05),and the above scores in the treatment group were higher than those in the control group(P<0.05).After treatment,the scores of physiology,psychology and society,communication and the total scores in SAQOL-39g scale in the two groups were up-regulated when compared with those before treatment(P<0.05),and the above scores in the treatment group were higher than those in the control group(P<0.05).During the treatment,the incidence of adverse reactions in the two groups was 2.

关 键 词：脑卒中 语言功能障碍 针刺 国际头针标准线 通督开喑针法 

分 类 号：R743.3[医药卫生—神经病学与精神病学]