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目的:观察针刺配合语言训练治疗缺血性中风失语症的临床疗效,探讨针刺治疗本病的机理。方法:两组共60例病人纳入研究,以随机数字表法将合格的研究对象分为实验组与对照组,实验组为针刺配合语言训练治疗,对照组为单纯语言训练。针刺治疗以舌针取穴为主;语言训练分口腔发音器官的训练,口形及声音训练,口语表达训练以及实用交流能力的训练。在疗程前后以《汉语标准失语症检查表》(ABC法)各作一次语言检测评价;以及疗程前后进行事件相关电位(P300)检测。结果:两组疗效有差异,其中治疗组疗效比对照组疗效好(P<0.05),治疗组(ABC)汉语失语检查法各亚项(信息量,流利性,复述,词命名,颜色命名,反应命名,是否,听辨认,执行指令)分值明显高于对照组,两组比较差异有显著性意义(P<0.05),治疗一个疗程后,治疗组P300电位成分中N2,P3波潜伏期缩短,和P3波幅升高明显,与对照组比较差异有显著性意义(P<0.05)。结论:针刺配合语言训练治疗脑梗死致运动性失语疗效显著,其效果优于单纯的语言训练组。汉语失语检查法各亚项(信息量,流利性,复述,词命名,颜色命名,反应命名,是否,听辨认,执行指令)分值提高,P300电位成分中N2,P3波潜伏期缩短,和P3波幅升高,可作为临床评价和预测针刺治疗缺血性中风运动性失语症的疗效指标,也是临床治疗机理之一。
Objective: To observe the clinical efficacy of acupuncture combined with language training in the treatment of ischemic apoplexy and discuss the mechanism of acupuncture in treating this disease. Methods: A total of 60 patients in both groups were included in the study. The eligible subjects were divided into experimental group and control group by random number table. The experimental group was acupuncture combined with language training and the control group was pure language training. Acupuncture treatment with acupoints acupoints based; language training sub-articulation organs training, oral and voice training, oral expression training and practical communication skills training. Before and after treatment with “Chinese standard aphasia checklist” (ABC method) to make a language test evaluation; and before and after treatment event-related potential (P300) detection. Results: The curative effects of the two groups were different, and the curative effect in the treatment group was better than that in the control group (P <0.05). The subgroups of Chinese ABC in the treatment group (informativeness, fluency, repetition, word naming, color naming, (P <0.05). After one course of treatment, the latency of N2 and P3 waves in the P300 potentials of the treatment group was shortened , And P3 amplitude increased significantly compared with the control group had significant difference (P <0.05). Conclusion: Acupuncture combined with language training is effective in treating motor aphasia caused by cerebral infarction, and its effect is better than pure language training group. The sub-items of Chinese aphasia examination (informativeness, fluency, rehearsal, word naming, color naming, reaction naming, hearing recognition and executing instructions) increased the latency of N2 and P3 wave in P300 potential component, and P3 The increased amplitude can be used as a clinical evaluation and prediction of acupuncture treatment of ischemic stroke aphasia efficacy indicators, but also one of the mechanisms of clinical treatment.