CAJ | 학술논문

目的：观察顶颞前斜线丛刺配合言语训练治疗脑梗死后运动性失语的临床疗效。方法将40例脑梗死后运动性失语患者随机分为治疗组和对照组,每组20例。两组患者均给予神经内科基础治疗。治疗组采用顶颞前斜线丛刺配合言语训练治疗,对照组采用单纯言语训练治疗。治疗4星期后,观察两组治疗前后语言功能评分及日常生活语言沟通能力(CFCP评分),比较两组临床疗效。结果治疗组总有效率为90.0%,对照组为80.0%,两组比较差异具有统计学意义(P＜0.05)。两组治疗后语言功能评分及CFCP评分与同组治疗前比较,差异均具有统计学意义(P＜0.01)。治疗组治疗后语言功能评分及CFCP评分与对照组比较,差异均具有统计学意义(P＜0.01,P＜0.05)。结论顶颞前斜线丛刺配合言语训练是一种治疗脑梗死后运动性失语的有效方法。
목적：관찰정섭전사선총자배합언어훈련치료뇌경사후운동성실어적림상료효。방법장40례뇌경사후운동성실어환자수궤분위치료조화대조조,매조20례。량조환자균급여신경내과기출치료。치료조채용정섭전사선총자배합언어훈련치료,대조조채용단순언어훈련치료。치료4성기후,관찰량조치료전후어언공능평분급일상생활어언구통능력(CFCP평분),비교량조림상료효。결과치료조총유효솔위90.0%,대조조위80.0%,량조비교차이구유통계학의의(P＜0.05)。량조치료후어언공능평분급CFCP평분여동조치료전비교,차이균구유통계학의의(P＜0.01)。치료조치료후어언공능평분급CFCP평분여대조조비교,차이균구유통계학의의(P＜0.01,P＜0.05)。결론정섭전사선총자배합언어훈련시일충치료뇌경사후운동성실어적유효방법。
Objective To observe the clinical efficacy of cluster needling at the anterior oblique line of vertex-temporal plus speech training in treating motor aphasia after cerebral infarction.Method Forty patients with motor aphasia after cerebral infarction were randomized into a treatment group and a control group, 20 in each group. Both groups were given basic neurological treatment. In addition, the treatment group was intervened by cluster needling at the anterior oblique line of vertex-temporal plus speech training, while the control group was by speech training alone. After 4-week treatments, the speech function and communication ability were observed and the clinical efficacies were compared.Result The total effective rate was 90.0% in the treatment group versus 80.0% in the control group, and the difference was statistically significant (P<0.05). After treatment, the speech function score and Chinese Functional Communication Profile (CFCP) score were changed significantly in both groups (P<0.01). There were significant differences in comparing the speech function and CFCP scores between the two groups (P<0.01,P<0.05).Conclusion Cluster needling at the anterior oblique line of vertex-temporal plus speech training is an effective approach in treating motor aphasia after cerebral infarction.