摘要
目的 探讨苦碟子、针刺联合语言训练治疗脑梗死后失语的效果.方法 选取 2021 年 6 月—2023 年 6 月山东省某三级医院收治的脑梗死后失语患者 84 例进行研究,根据随机数字表法分为对照组和观察组,各 42 例.对照组采取常规语言训练,观察组采取苦碟子、针刺联合语言训练治疗.比较 2 组治疗效果、中医证候积分、语言功能[西部失语症检查(western aphasia battery,WAB)量表]、生活质量[脑卒中失语症患者生活质量量表(stroke and aphasia quality of life scale,SAQOL-39)].结果 观察组治疗总有效率(95.24%)高于对照组(76.19%),差异有统计学意义(P=0.012).治疗后,观察组手足麻木、咽干口燥、语言不利、舌强语謇评分[(0.54±0.16)分、(0.45±0.12)分、(0.84±0.19)分、(0.71±0.21)分]低于对照组[(0.75±0.24)分、(0.64±0.19)分、(1.12±0.28)分、(0.98±0.27)分],差异有统计学意义(P＜0.05).治疗后,观察组自发言语、听觉理解、复述检查、命名检查评分[(17.65±3.63)分、(190.46±15.54)分、(88.45±8.59)分、(88.18±8.94)分]高于对照组[(14.51±2.94)分、(175.65±12.28)分、(80.52±7.16)分、(80.48±8.06)分],差异有统计学意义(P＜0.001).治疗后,观察组生理、沟通、心理社会评分[(55.52±8.84)分、(24.15±3.18)分、(50.45±6.11)分]高于对照组[(49.98±7.12)分、(22.25±2.67)分、(45.52±5.81)分],差异有统计学意义(P＜0.05).结论 采取苦碟子、针刺联合语言训练治疗脑梗死后失语可有效减轻患者相关症状,提高语言功能和生活质量,值得进一步研究.
Abstract
Objective To explore the effect of Kudiezi,acupuncture combined with language training in the treatment of aphasia after cerebral infarction.Methods A total of 84 patients with aphasia after cerebral infarction admitted to a tertiary hospital in Shandong province from June 2021 to June 2023 were selected for the study,and were divided into control group and observation group according to random number table method,with 42 cases in each group.The control group received routine language training,and the observation group received Kudiezi,acupuncture combined with language training.The treatment effects,traditional Chinese medicine syndrome scores,language function[(western aphasia battery,WAB)scale],and quality of life(stroke and aphasia quality of life scale,SAQOL-39)of the two groups were compared.Results The total effective rate of observation group(95.24%)was higher than that of control group(76.19%),and the difference was statistically significant(P=0.012).After treatment,the scores of hand and foot numbness,dry throat and dry mouth,poor speech and strong tongue,clumsy language in the observation group[(0.54±0.16)points,(0.45±0.12)points,(0.84±0.19)points,(0.71±0.21)points]were lower than those in the control group[(0.75±0.24)points,(0.64±0.19)points,(1.12±0.28)points,(0.98±0.27)points],and the differences were statistically significant(P<0.05).After treatment,the scores of spontaneous speech,auditory comprehension,rehearsal test and naming test in the observation group[(17.65±3.63)points,(190.46±15.54)points,(88.45±8.59)points,(88.18±8.94)points]were higher than those in the control group[(14.51±2.94)points,(175.65±12.28)points,(80.52±7.16)points,(80.48±8.06)points],the differences were statistically significant(P<0.001).After treatment,the physiological,communication and psychosocial scores of the observation group[(55.52±8.84)points,(24.15±3.18)points,(50.45±6.11)points]were higher than those of the control group[(49.98±7.12)points,(22.25±2.67)points,(45.52±5.81)points],the differences were statistically significant(P<0.05).Conclusion The treatment of aphasia after cerebral infarction with Kudiezi,acupuncture combined with language training can effectively alleviate related symptoms of patients,improve language function and quality of life.It is worth to further research.
维普
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