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电针联合语言康复训练治疗卒中后言语障碍患者的效果

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目的:观察电针联合语言康复训练治疗卒中后言语障碍患者的效果.方法:选取 2021 年 10 月至 2022 年 10 月该院收治的 98 例卒中后言语障碍患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 49 例.对照组实施语言康复训练,观察组在对照组基础上联合电针治疗,比较两组治疗前后言语功能[波士顿诊断性失语症检查量表(BDAE)]评分、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分及生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分.结果:治疗后,两组对话和自发言语、言语表达、听觉理解、书面语理解及书写等各项BDAE评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组HAMD、HAMA评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组认知功能、心理状态、社会功能、躯体功能等各项GQOLI-74 评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05).结论:电针联合语言康复训练治疗卒中后言语障碍患者,可提高言语功能,改善负性情绪,提高生命质量,效果优于单纯语言康复训练治疗.
Effects of electroacupuncture combined with language rehabilitation training on patients with post-stroke speech disorders
Objective:To observe effects of electroacupuncture combined with language rehabilitation training on patients with post-stroke speech disorders.Methods:A prospective study was conducted on 98 patients with post-stroke speech disorders admitted to this hospital from October 2021 to October 2022.They were divided into control group and observation group according to the random number table method,49 cases in each group.The control group was treated with language rehabilitation training,while the observation group were treated with electroacupuncture on the basis of the control group.The scores of speech function[Boston diagnostic aphasia scale(BDAE)],the negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],and the quality of life[general quality of life inventory-74(GQOLI-74)]were compared between the two groups before and after the treatment.Results:After the treatment,the BDAE scores of dialogue and spontaneous speech,speech expression,auditory comprehension,written language comprehension and writing in the two groups were higher than those before the treatment,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The HAMD and HAMA scores of the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the GQOLI-74 scores of cognitive function,psychological state,social function and physical function in the two groups were higher than those before the treatment,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Electroacupuncture combined with language rehabilitation training in the treatment of the patients with post-stroke speech disorder can improve the speech function,improve the negative emotions and improve the quality of life.Moreover,it is superior to single language rehabilitation training.

ElectroacupunctureLanguage rehabilitation trainingStrokeSpeech disorderSpeech functionQuality of lifeNegative emotion

张平、杨朴、陈国强、常永乾、孙国权、宋玉佩

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南阳市第一人民医院康复医学科,河南 南阳 473000

电针 语言康复训练 卒中 言语障碍 言语功能 生命质量 负性情绪

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(1)
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