摘要:
目的 观察地黄饮子加减联合“醒脑开喑法”针刺疗法治疗脑卒中恢复期非流畅性失语症患者的效果。 方法 将129例脑卒中恢复期非流畅性失语症患者随机分为2组。对照组(n=64)给予言语训练和低频重复经颅磁刺激(rTMS)治疗,观察组(n=65)给予地黄饮子加减联合“醒脑开喑法”针刺疗法。比较2组患者治疗效果、语言功能、语言表达能力及不良反应。 结果 观察组治疗效果优于对照组,差异有统计学意义(P<0.05)。观察组治疗后标准汉语失语症检查量表(CRRCAE)各项评分及总分均高于对照组,差异有统计学意义(P<0.05)。观察组治疗后中国式功能性语言沟通能力检测法(CFCP)评分为(200.14±10.26)分,高于对照组的(160.24±15.37)分,差异有统计学意义(P<0.05)。观察组不良反应发生率为3.57%, 与对照组不良反应发生率1.56%比较,差异无统计学意义(P>0.05)。 结论 地黄饮子加减联合“醒脑开喑法”针刺疗法治疗脑卒中恢复期非流畅性失语症安全、有效,可改善患者语言功能,增强语言表达能力。
Abstract:
Objective To observe the effect of modified Dihuang Potion combined with “Xingnao Kaiyin” acupuncture therapy in treatment of patients with non-fluent aphasia in the recovery period of stroke. Methods A total of 129 patients with non-fluent aphasia in the recovery period of stroke were randomly divided into two groups. Control group(n=64)was treated with speech training and low frequency repetitive transcranial magnetic stimulation(rTMS), while observation group(n=65)was treated with modified Dihuang Potion and “Xingnao Kaiyin” acupuncture therapy. The therapeutic effect, language function, language expression ability and adverse reactions were compared between the two groups. Results The therapeutic effect of the observation group was significantly better than that of the control group(P<0.05). After treatment, the scores of items of standard Chinese Rehabilitation Research Center Aphasia Examination(CRRCAE)and total score in the observation group were significantly higher than those in the control group(P<0.05). After treatment, the score of Chinese Functional Communication Profile(CFCP)in the observation group was(200.14±10.26)points, which was significantly higher than(160.24±15.37)points in the control group(P<0.05). The incidence of adverse reactions in the observation group was 3.57%, which showed no significant difference when compared to 1.56% in the control group(P>0.05). Conclusion Modified Dihuang Potion combined with "Xingnao Kaiyin" acupuncture therapy is effective and safe in treatment of patients with non-fluent aphasia in the recovery period of stroke, which can improve the patients'language function and enhance the ability of language expression.
百度学术
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