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目的观察针刺通里穴对脑梗死后运动性失语症患者言语功能的影响,探讨通里穴治疗脑梗死后运动性失语症的临床疗效,并试图探索其可能的作用机制。方法将30例患者随机分为对照组(15例)和治疗组(15例)。两组均给予常规药物及言语康复训练治疗。在此基础上,治疗组配合针刺通里穴治疗。观察治疗前后患者失语症评分、失语严重程度分级的变化。结果两组患者失语严重程度均有改善,治疗组改善程度优于对照组(P<0.05)。治疗后两组失语症总分、复述、说及读得分均有增高(P<0.01);治疗组失语症评分说及读得分增高幅度明显优于对照组(P<0.05)。结论刺激通里穴能明显改善脑梗死后运动性失语患者语言功能,通里穴是治疗脑梗死后运动性失语症有效的穴位。
Objective To observe the effect of acupuncture at TongTong acupoints on speech function in patients with exercise-induced aphasia after cerebral infarction and to explore the clinical effect of Tongli acupoint treatment on exercise-induced aphasia after cerebral infarction and to explore its possible mechanism. Methods Thirty patients were randomly divided into control group (15 cases) and treatment group (15 cases). Both groups were given routine medication and verbal rehabilitation training. On this basis, the treatment group with acupuncture Tongli acupuncture treatment. The changes of aphasia score and aphasia severity were observed before and after treatment. Results The severity of aphasia was improved in both groups, and the improvement in the treatment group was better than that in the control group (P <0.05). After treatment, the scores of aphasia, retelling, speaking and reading in both groups increased (P <0.01). The scores of aphasia and reading scores in the treatment group were significantly higher than those in the control group (P <0.05). Conclusion The stimulation of Tongli Point can significantly improve the language function of patients with motor aphasia after cerebral infarction. Tongli Point is an effective acupoint for the treatment of motor aphasia after cerebral infarction.