上海针灸杂志
上海針灸雜誌
상해침구잡지
SHANGHAI JOURNAL OF ACUPUNCTURE AND MOXIBUSTION
2015年
8期
717-720
,共4页
中风后遗症%失语,经皮质运动性%针刺%语言功能训练%头针刺激区%命名不能
中風後遺癥%失語,經皮質運動性%針刺%語言功能訓練%頭針刺激區%命名不能
중풍후유증%실어,경피질운동성%침자%어언공능훈련%두침자격구%명명불능
Post-stroke sequelae%Aphasia,transcortical motor%Acupuncture%Language function training%Scalp stimulation areas%Anomia
目的：观察针刺配合语言功能训练对中风后运动性失语患者语言功能恢复的影响。方法将90例患者按随机数字表分为针刺配合语言功能训练组(针康组)30例、单纯针刺(针刺组)30例与单纯语言功能训练组(对照组)30例。采用西方失语症成套测验(WAB)评定患者语言功能,作为诊断和疗效判定依据,观察患者失语商(AQ)和自发言语、听理解、复述、命名4项基本语言功能。结果3组患者治疗后AQ和自发言语、口语理解、复述及命名的评分较治疗前明显提高,差异有统计学意义(P＜0.05,P＜0.01)。治疗后针康组患者自发言语、复述和命名与对照组比较差异有统计学意义(P＜0.05)。治疗后针刺组与对照组各指标比较差异均无统计学意义(P＞0.05)。结论针刺配合语言功能训练治疗对中风后运动性失语患者有积极作用,且提示对自发言语、复述、命名有治疗优势。
目的：觀察針刺配閤語言功能訓練對中風後運動性失語患者語言功能恢複的影響。方法將90例患者按隨機數字錶分為針刺配閤語言功能訓練組(針康組)30例、單純針刺(針刺組)30例與單純語言功能訓練組(對照組)30例。採用西方失語癥成套測驗(WAB)評定患者語言功能,作為診斷和療效判定依據,觀察患者失語商(AQ)和自髮言語、聽理解、複述、命名4項基本語言功能。結果3組患者治療後AQ和自髮言語、口語理解、複述及命名的評分較治療前明顯提高,差異有統計學意義(P＜0.05,P＜0.01)。治療後針康組患者自髮言語、複述和命名與對照組比較差異有統計學意義(P＜0.05)。治療後針刺組與對照組各指標比較差異均無統計學意義(P＞0.05)。結論針刺配閤語言功能訓練治療對中風後運動性失語患者有積極作用,且提示對自髮言語、複述、命名有治療優勢。
목적：관찰침자배합어언공능훈련대중풍후운동성실어환자어언공능회복적영향。방법장90례환자안수궤수자표분위침자배합어언공능훈련조(침강조)30례、단순침자(침자조)30례여단순어언공능훈련조(대조조)30례。채용서방실어증성투측험(WAB)평정환자어언공능,작위진단화료효판정의거,관찰환자실어상(AQ)화자발언어、은리해、복술、명명4항기본어언공능。결과3조환자치료후AQ화자발언어、구어리해、복술급명명적평분교치료전명현제고,차이유통계학의의(P＜0.05,P＜0.01)。치료후침강조환자자발언어、복술화명명여대조조비교차이유통계학의의(P＜0.05)。치료후침자조여대조조각지표비교차이균무통계학의의(P＞0.05)。결론침자배합어언공능훈련치료대중풍후운동성실어환자유적겁작용,차제시대자발언어、복술、명명유치료우세。
ObjectiveTo observe the effect of acupuncture plus language function training on the recovery of language function in patients with post-stroke aphasia.MethodNinety patients were divided into an acupuncture-rehabilitation group (intervened by acupuncture plus language function training) of 30 cases, an acupuncture group (intervened by acupuncture alone) of 30 cases, and a control group (intervened by language function training alone) of 30 cases. The Western Aphasia Battery (WAB) was adopted to evaluate the language function, and also taken as criteria for diagnosis and therapeutic efficacy. The aphasia quotient (AQ), and the 4 basic language functions including spontaneous speech, auditory comprehension, repetition and nomination were observed. ResultAfter intervention, AQ, and scores of spontaneous speech, auditory comprehension, repetition and nomination increased significantly in the three groups (P<0.05,P<0.01). there were significant differences in comparing the scores of spontaneous speech, repetition and nomination between the acupuncture-rehabilitation group and the control group (P<0.05). There were no significant differences in comparing the indexes between the acupuncture group and control group (P>0.05).ConclusionAcupuncture plus language function training can produce a positive effect on patients with post-stroke aphasia, showing therapeutic advantage in improvingspontaneous speech, repetition, and nomination.
