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目的观察氟西汀结合解语汤加减治疗中风后失语症的疗效。方法将82例中风后失语症患者,随机分为治疗组(42例)与对照组(40例)。两组均采用常规治疗,治疗组加用氟西汀结合解语汤加减,两组分别采用失语指数(AQ)、我国汉语失语症成套测验(ABC)标准进行评定语言功能。结果治疗组AQ分值的提高较对照组为优(P<0.05),疗效总有效率达90.5%,高于对照组的75.0%。治疗组在听理解、口语表达、阅读、书写4个方面得分与对照组比较,语言能力恢复效果高于对照组(P<0.05)。结论氟西汀结合解语汤加减治疗中风后失语症有很好的疗效,能明显改善中风后失语症患者语言功能。
Objective To observe the effect of fluoxetine combined with Jieyu Decoction in the treatment of post-stroke aphasia. Methods Eighty-two patients with post-stroke aphasia were randomly divided into treatment group (n = 42) and control group (n = 40). Both groups were treated by conventional therapy. Fluoxetine combined with Jieyu Decoction was used in the treatment group. Aphasia index (AQ) and Chinese Aphasia Test (ABC) criteria were used to evaluate the language function in both groups. Results The AQ score of the treatment group was better than that of the control group (P <0.05). The total effective rate was 90.5%, higher than that of the control group (75.0%). Treatment group in listening comprehension, oral expression, reading, writing scores in four aspects compared with the control group, the language ability recovery effect is higher than the control group (P <0.05). Conclusions Fluoxetine combined with Jieyu Decoction has good curative effect on post-stroke aphasia and can significantly improve the language function of post-stroke patients with aphasia.