CAJ | 학술논문

目的:观察针刺配合语言训练治疗缺血性中风失语症的临床疗效,探讨针刺治疗本病的机理.方法:两组共60例病人纳入研究,以随机数字表法将合格的研究对象分为实验组与对照组,实验组为针刺配合语言训练治疗,对照组为单纯语言训练.针刺治疗以舌针取穴为主;语言训练分口腔发音器官的训练,口形及声音训练,口语表达训练以及实用交流能力的训练.在疗程前后以<汉语标准失语症检查表>(ABC法)各作一次语言检测评价;以及疗程前后进行事件相关电位(P300)检测.结果:两组疗效有差异,其中治疗组疗效比对照组疗效好(P＜0.05),治疗组(ABC)汉语失语检查法各亚项(信息量,流利性,复述,词命名,颜色命名,反应命名,是否,听辨认,执行指令)分值明显高于对照组,两组比较差异有显著性意义(P＜0.05),治疗一个疗程后,治疗组P300电位成分中N2,P3波潜伏期缩短,和P2波幅升高明显,与对照组比较差异有显著性意义(P＜0.05).结论:针刺配合语言训练治疗脑梗死致运动性失语疗效显著,其效果优于单纯的语言训练组.汉语失语检查法各亚项(信息量,流利性,复述,词命名,颜色命名,反应命名,是否,听辨认,执行指令)分值提高,P300电位成分中N2,P3波潜伏期缩短,和P3波幅升高,可作为临床评价和预测针刺治疗缺血性中风运动性失语症的疗效指标,也是临床治疗机理之一.
목적:관찰침자배합어언훈련치료결혈성중풍실어증적림상료효,탐토침자치료본병적궤리.방법:량조공60례병인납입연구,이수궤수자표법장합격적연구대상분위실험조여대조조,실험조위침자배합어언훈련치료,대조조위단순어언훈련.침자치료이설침취혈위주;어언훈련분구강발음기관적훈련,구형급성음훈련,구어표체훈련이급실용교류능력적훈련.재료정전후이<한어표준실어증검사표>(ABC법)각작일차어언검측평개;이급료정전후진행사건상관전위(P300)검측.결과:량조료효유차이,기중치료조료효비대조조료효호(P＜0.05),치료조(ABC)한어실어검사법각아항(신식량,류리성,복술,사명명,안색명명,반응명명,시부,은변인,집행지령)분치명현고우대조조,량조비교차이유현저성의의(P＜0.05),치료일개료정후,치료조P300전위성분중N2,P3파잠복기축단,화P2파폭승고명현,여대조조비교차이유현저성의의(P＜0.05).결론:침자배합어언훈련치료뇌경사치운동성실어료효현저,기효과우우단순적어언훈련조.한어실어검사법각아항(신식량,류리성,복술,사명명,안색명명,반응명명,시부,은변인,집행지령)분치제고,P300전위성분중N2,P3파잠복기축단,화P3파폭승고,가작위림상평개화예측침자치료결혈성중풍운동성실어증적료효지표,야시림상치료궤리지일.
Objective To observe therapeutic effects of acupuncture combined with language training on aphasia induced by ischemic apoplexy and investigate the mechanisms.Methods 60 patients were randomly divided into a treatment group treated by acupuncture associated with language training and a control group treated by simple language training. Tongue-acupuncture was applied as the main therapy,and language training included speech organ training, mouth-shape and voice training,spoken language expression training and practical communication ability training.According to Aphasia Battery of Chinese(ABC),language examination evaluation was made,and event related potential(P300)was detected before and after treatment. Results The therapeutic effect in the treatment group was significantly better than that in the control group (P＜0.05),and the scores of ABC items including information content,speech fluency, repetition, vocabulary denomination, color naming, response denomination, confirmation or negation,acoustic recognition and carrying out instruction in the treatment group were obviously higher than those in the control group (P＜0.05).After one course of treatment,the latencies of N2 and P3 waves in P300 were significantly shortened and the ampl itude of P3 was significantly elevated in the treatment group,compared with those in the control group(P＜0.05).Conclusion Acupuncture combined with language training provided remarkable therapeutic effects in treating cerebral infarction-induced motor aphasia,and it was better than simple language training.The results of enhancing of the ABC scores including information content,speech fluency, repetition,vocabulary denomination,color naming,response denomination,confirmation or negation,acoustic recognition and carrying out instruction,and shortening of the latencies of N2 and P3 waves in P300 and elevation of P3 ampl itude may be taken as the indices for evaluating and anticipating cl inical therapeutic effects of the therapy for treating the disease,which may also be some of the mechanisms.