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目的:探讨中医针灸及脑心通结合常规药物治疗脑卒中后运动性失语患者临床疗效观察及对神经功能的影响。方法:按照随机数字表法将本组纳入的92例患者随机分为观察组(n=46)和对照组(n=46)。对照组采用常规抗血小板聚集、抗凝及对症治疗,配合语言康复训练;观察组在对照组基础上结合针灸和口服步长脑心通胶囊治疗。两组疗程均为4周。对比分析两组治疗后疗效;治疗前后书写能力、复述能力、阅读能力、听理解能力,血液流变学水平和神经功能缺损评分及不良反应。结果:观察组总有效率(93.48%)显著高于对照组(73.91%),且有显著性意义(P<0.05);观察组治疗后书写能力、复述能力、阅读能力、听理解能力显著高于对照组,且具有显著性意义(P<0.05);观察组患者治疗后全血高切黏度、全血低切黏度、血浆黏度显著低于对照组,且具有显著性意义(P<0.05);观察组治疗后神经功能缺损评分显著低于对照组,且具有显著性意义(P<0.05);两组均无明显不良反应。结论:针灸及脑心通结合常规西药治疗脑卒中后运动性失语患者临床疗效显著,可明显改善患者症状,改善患者神经功能,具有重要临床意义。
Objective: To investigate the clinical effects of traditional Chinese medicine acupuncture and moxibustion combined with Naoxintong in treating patients with exercise-induced aphasia after stroke and its effect on neurological function. Methods: According to the random number table, 92 patients included in this study were randomly divided into observation group (n = 46) and control group (n = 46). The control group was treated with conventional anti-platelet aggregation, anticoagulation and symptomatic treatment, with language rehabilitation training; the observation group was treated with acupuncture and oral step-nao tong tong capsule on the basis of the control group. Two courses of treatment were 4 weeks. The curative effect was compared between the two groups before and after treatment. The writing ability, repetition ability, reading ability, listening comprehension ability, hemorheology level and neurological deficit score and adverse reactions before and after treatment were compared. Results: The total effective rate (93.48%) in the observation group was significantly higher than that in the control group (73.91%) (P <0.05), and the writing ability, repetition ability, reading ability and listening comprehension ability of the observation group were significantly higher (P0.05) .High shear viscosity, low shear viscosity and plasma viscosity in the control group were significantly lower than those in the control group (P0.05) The score of neurological deficit in observation group was significantly lower than that in control group (P <0.05). There was no obvious adverse reaction in both groups. Conclusion: Acupuncture and Naoxintong combined with conventional western medicine in the treatment of patients with exercise-induced aphasia after stroke have significant clinical effect, which can significantly improve the symptoms and improve the neurological function of patients with significant clinical significance.