CAJ | 학술논문

目的：：观察头穴电针结合言语训练治疗脑卒中患者言语失用症伴口颜面失用的疗效。方法：将60例脑卒中言语失用症伴口颜面失用的患者随机分为观察组和对照组各30例。观察组采用言语康复训练结合解剖定位下头穴电针治疗,对照组给予单纯言语康复训练。应用“汉语失语症心理语言评价与治疗系统”中的言语运动计划模块中的评定项目为诊断和疗效判定依据,治疗前后分别观察2组患者数数、唱音阶、发音、单音节词复述、双音节词复述及口颜面动作检查的变化。结果：治疗4周后,2组言语失用各项评分均较治疗前明显提高(P <0.05),且观察组自数、跟数两项评分更高于对照组(P <0.05),单音节词、双音节复述两项评分显著高于对照组(P <0.01),2组自唱、跟唱、拼音字母复述等评分比较均差异无统计学意义。治疗4周后,2组口面动作评分中执行能力评分均较治疗前明显提高(P <0.01),2组间比较差异无统计学意义；观察组模仿能力评分较治疗前及对照组均明显提高(P <0.01),对照组治疗前后比较差异无统计学意义。结论：解剖定位头穴电针结合言语训练治疗能够明显纠正脑卒中患者的言语失用症,同时改善口颜面失用。
목적：：관찰두혈전침결합언어훈련치료뇌졸중환자언어실용증반구안면실용적료효。방법：장60례뇌졸중언어실용증반구안면실용적환자수궤분위관찰조화대조조각30례。관찰조채용언어강복훈련결합해부정위하두혈전침치료,대조조급여단순언어강복훈련。응용“한어실어증심리어언평개여치료계통”중적언어운동계화모괴중적평정항목위진단화료효판정의거,치료전후분별관찰2조환자수수、창음계、발음、단음절사복술、쌍음절사복술급구안면동작검사적변화。결과：치료4주후,2조언어실용각항평분균교치료전명현제고(P <0.05),차관찰조자수、근수량항평분경고우대조조(P <0.05),단음절사、쌍음절복술량항평분현저고우대조조(P <0.01),2조자창、근창、병음자모복술등평분비교균차이무통계학의의。치료4주후,2조구면동작평분중집행능력평분균교치료전명현제고(P <0.01),2조간비교차이무통계학의의；관찰조모방능력평분교치료전급대조조균명현제고(P <0.01),대조조치료전후비교차이무통계학의의。결론：해부정위두혈전침결합언어훈련치료능구명현규정뇌졸중환자적언어실용증,동시개선구안면실용。
Objective:To investigate the clinical efficacy of anatomy-located scalp electroacupuncture combined with speech training for apraxia of speech with facial apraxia in stroke patients.Methods:Sixty stroke patients with apraxia of speech were randomly divided into two groups:treatment group and control group (n=30 each).Scalp electroacupuncture combined with speech training was administered in the treatment group,but in control group, only speech training was given.The period of treatment lasted 4 weeks.Evaluations took place before and after the treatment.The changes in counting,sol-fa syllable,pronunciation,one syllable word repetition,two syllable word repetition,and oral and facial apraxia movements were examined in two groups.Results:After treatment for 4 weeks,there was significant improvement on each section of speech apraxia in the two groups (P < 0.05 ).The scores of counting,and repeat counting,one syllable word repetition and two syllable word repetition were signifi-cantly higher in treatment group than in control group (P < 0.05 ).There was no significant differetrnce in the scores of solo,sol-fa syllable,letter repetition etc.After treatment for 4 weeks,the scores of performance ability of oral and facial movement were significantly higher in both two groups (P < 0.01 ),but there was no significant difference between two groups.The scores of imitation ability in treatment group were significantly higher than those before treatment and control group (P <0.01),but there was significant difference in control group before and after treatment.Conclusion:The anatomy-located scalp electroacupuncture combined with speech training can obvi-ously correct the speech apraxia in stroke patients,and improve oral and facial apraxia.