论文部分内容阅读
目的:观察针刺督脉穴联合语言训练对缺血性脑卒中后运动性失语患者语言功能及脑血流的影响.方法:将86例患者随机分为对照组和观察组,每组43例.两组均接受常规对症治疗.对照组接受语言训练治疗,观察组在对照组治疗基础上加用针刺督脉穴治疗.治疗前后进行汉语失语成套测试(ABC)和中国式功能性语言沟通能力检测法(CFCP)评定,测定左侧大脑中动脉(MCA)的平均血流速度(Vm)和阻力指数(RI).结果:观察组总有效率高于对照组(P<0.05).治疗后,观察组自发谈话、理解、复述、命名、阅读、书写的评分及ABC总分均较本组治疗前升高(均P<0.05),且均高于对照组(均P<0.05).治疗后,两组CFCP评分均升高,与本组治疗前均有统计学差异(均P<0.05),观察组CFCP评分高于对照组(P<0.05).治疗后,对照组左侧MCA的Vm较治疗前增加(P0.05);观察组左侧MCA的Vm增加,RI降低,与本组治疗前均有统计学差异(均P<0.05),且均与对照组有统计学差异(均P<0.05).结论:针刺督脉穴联合语言训练治疗缺血性脑卒中后运动性失语的疗效确切,可显著改善患者语言功能,提升日常生活语言沟通能力,增加脑血流灌注.“,”Objective: To observe the effects of acupuncture at the Governor Vessel acupoints plus language training on the language function and cerebral blood flow in patients with motor aphasia after ischemic stroke. Methods: Eighty-six patients were randomized into a control group and an observation group, with 43 cases in each group. Conventional symptomatic treatment was offered to both groups. Besides, the control group received language training, while the observation group received language training plus additional acupuncture at the Governor Vessel acupoints. Before and after treatment, the aphasia battery of Chinese (ABC) and Chinese functional communication profile (CFCP) were tested, and the mean velocity (Vm) and resistance index (RI) of the left middle cerebral artery (MCA) were detected. Results: The total effective rate was higher in the observation group than in the control group (P<0.05). After treatment, the observation group gained higher scores in oral expression, comprehension, repeating, naming objects, reading, and writing, as well as the general score of ABC (all P<0.05), higher than those in the control group (all P<0.05). The CFCP score increased in both groups after intervention, showing significant intra-group differences (both P<0.05), and the CFCP score was higher in the observation group than in the control group (P<0.05). After treatment, Vm of the left side MCA increased in the control group (P0.05); in the observation group, Vm of the left side MCA increased and RI decreased significantly compared with the baseline (both P<0.05), and were markedly different from those in the control group (both P<0.05). Conclusion: Acupuncture at the Governor Vessel acupoints plus language training can produce valid efficacy in treating motor aphasia after ischemic stroke; it can notably improve the language function, everyday oral communication ability, and increase cerebral perfusion of the patients.