首页|言语康复训练联合督脉针刺合舌三针对卒中失语患者语言功能认知水平的影响

言语康复训练联合督脉针刺合舌三针对卒中失语患者语言功能认知水平的影响

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目的 探讨言语康复训练联合督脉针刺合舌三针对卒中失语患者语言功能、认知水平的影响.方法 选取2022年1月至2023年1月于首都医科大学附属北京康复医院治疗的100例卒中失语患者为研究对象,根据随机数字表法将其分为对照组(n=50,常规言语康复训练)和观察组(n=50,常规言语康复训练+督脉针刺合舌三针治疗),均干预4周.对比两组干预前、干预4周后语言功能、认知水平改善情况,并比较两组认知事件相关诱发电位P300潜伏期及波幅变化.结果 干预前,两组各指标比较,差异均无统计学意义(P>0.05).干预4周后,观察组西方失语症成套测验(WAB)各项目评分及失语商(AQ)的差值高于对照组(P<0.05),蒙特利尔认知评估量表(MoCA)各项目评分及总分的差值高于对照组(P<0.05),P300潜伏期的差值大于对照组(P<0.05),波幅的差值高于对照组(P<0.05).结论 言语康复训练与督脉针刺合舌三针的联合治疗方案可有效提高卒中失语患者的语言功能及认知水平.
The effect of speech rehabilitation training combined with governor vessel acupuncture and tongue three points on language function and cognitive level of stroke aphasia patients
Objective To explore the effect of combined rehabilitation training with Du meridian acupuncture and tongue three needle acupuncture on language function and cognitive level in stroke patients with aphasia.Methods A hundred stroke aphasia patients who were treated at Beijing Rehabilitation Hospital affiliated with Capital Medical University from January 2022 to January 2023 were randomly divided into the control group(n=50,conventional speech rehabilitation training)and the observation group(n=50,conventional speech rehabilitation training+Du meridian acupuncture combined with tongue three needle treatment)using a random number table method.The intervention period for both groups was four weeks.The improvement of language function and cognitive level between the two groups was compared before and af-ter four-weeks of intervention,and record the changes in P300 latency and amplitude of cognitive event related evoked potentials.Results After four weeks of intervention,the difference in scores and aphasia quotient(AQ)of the Western Aphasia Battery(WAB)in the observation group was higher than that in the control group(P<0.05),the difference in scores and total scores of the Montreal Cognitive Assessment Scale(MoCA)was higher than that of the control group(P<0.05),the difference in P300 latency was higher than that of the control group(P<0.05),and the difference in amplitude was higher than that of the control group(P<0.05).Conclusions The combined treatment plan of speech re-habilitation training and Du meridian acupuncture combined with tongue three needles can effectively improve the language function and cogni-tive level of stroke aphasia patients.

Stroke aphasiaDu meridian acupuncture combined with tongue three needlesRehabilitation trainingLanguage functionCognitive level

高洋、黄岩、刘培培、许莹娟、曹斌

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100043 北京石景山 首都医科大学附属北京康复医院社区康复中心

100043 北京石景山 首都医科大学附属北京康复医院康复诊疗中心

100071 北京丰台 建都中西医结合医院康复科

卒中失语 督脉针刺合舌三针 言语康复训练 语言功能 认知水平

北京市残疾人联合会项目

GCTC188AA0252/01

2024

安徽医学
安徽省医学情报研究所

安徽医学

CSTPCD
影响因子:1.123
ISSN:1000-0399
年,卷(期):2024.45(6)
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