基于言语三区电针丛刺法对中风后运动性失语的临床疗效观察

发布时间：2018-03-28 06:14

本文选题：言语三区　切入点：电针丛刺　出处：《黑龙江中医药大学》2013年硕士论文

【摘要】：目的：通过观察对言语三区电针丛刺法治疗对中风后运动性失语患者言语功能的影响,探讨中风后运动性失语的有效治疗方法,为临床提供可行的依据。方法：本课题以中风后运动性失语的患者为研究对象,采用随机数字表法按入院的先后顺序,将60例研究对象按1：1的比例随机分成两组,治疗组(言语三区电针丛刺组)和对照组(常规针刺组),每组各30例。两组均以相同的常规药物治疗和康复训练为背景下治疗。所有研究对象分别于治疗前、治疗后的2周、4周、6周、8周采用北京医科大学《汉语失语成套测验》(ABC)中的流利性评分标准进行评分,以便系统的对中风后运动性失语的临床疗效进行评价。结果：1、在治疗2周后进行流利性评分,与治疗前相比没有明显变化。在进行治疗后的第4、6、8周时分别进行流利性评分,与治疗前相比均有明显差异(P0.01),具有统计学意义,表明治疗组与对照组均能够提高中风后运动性失语患者的语言流利性评分,且在临床疗效上,治疗组优于对照组,P0.05,具有统计学意义。 2、两组治疗后临床总疗效比较,治疗组总有效率为86.67%,对照组总有效率为76.67%,治疗组的总疗效率明显优于对照组(P0.05),有统计学意义。结论：1、中风导致的运动性失语患者经头电针丛刺法治疗后,其言语功能有明显改善,说明言语三区电针丛刺法效果显著。 2、言语三区电针丛刺法治疗的疗效明显优于常规针刺组。
[Abstract]:Objective: to explore the effective treatment of motor aphasia after apoplexy by observing the effect of electroacupuncture on speech function in patients with motor aphasia after apoplexy. Methods: in this study, 60 patients with motor aphasia after stroke were randomly divided into two groups according to the proportion of 1:1 by using random digital table method according to the order of admission. The treatment group (speech three area electroacupuncture group) and the control group (conventional acupuncture group, 30 cases in each group) were treated with the same routine drug therapy and rehabilitation training. In order to evaluate the clinical effect of motor aphasia after apoplexy, the fluency scores of Beijing Medical University (Beijing Medical University) were used to evaluate the clinical efficacy of motor aphasia after 2 weeks, 4 weeks, 6 weeks and 8 weeks, respectively. Results the scores of fluency were not significantly different from those before treatment 2 weeks after treatment. The scores of fluency were significantly different from those before treatment at the 4th week and the 6th week after treatment (P 0.01). The results showed that both the treatment group and the control group could improve the score of language fluency in the patients with motor aphasia after stroke, and the treatment group was better than the control group (P 0.05) in clinical efficacy. The total effective rate was 86.67 in the treatment group and 76.67 in the control group. The total effective rate of the treatment group was significantly better than that of the control group (P 0.05). ConclusionThe speech function of patients with motor aphasia caused by stroke was obviously improved after the treatment of electroacupuncture, indicating that the effect of electroacupuncture in three areas of speech was remarkable. 2, the curative effect of the speech three area electroacupuncture group was better than that of the routine acupuncture group.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.6

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