眼针治疗中风后失语的临床观察
发布时间：2018-08-29 12:54
【摘要】：目的：观察眼针治疗中风后风痰瘀阻证失语患者的临床疗效。 材料与方法：本临床研究的全部病例均来自辽宁中医药大学附属医院神经内科2012年3月一2013年3月的60例住院病人，均为首次发病，并符合失语症的诊断标准及纳入标准，采用随机排列表的方式将患者分为眼针组30例和常规组30例。对合格受试者采用随机双盲对照法进行随机对照临床研究。观察时间为4周，观察两组病例在治疗前后的听语理解、书写、口语表达、阅读等自身语言功能、神经功能缺损程度、日常生活语言沟通能力、失语改善的总体疗效及中医常见伴随症状等方面的变化情况，并常规监测不良反应指标。 结果： 1．两组病例在治疗前，性别、年龄、病程、脑卒中分类、神经功能缺损程度及中医证候等均无显著性差异(P均0.05)，说明两组病例之间在治疗前具有可比性，随机分组效果良好。 2．在语言功能的整体评分上，两组治疗前后比较均有显著性差异(P均0.05)，均有统计学意义。而治疗后与常规组比较，眼针组有显著性差异(P0.05)，有统计学意义。 3．在口语表达评分上，两组治疗前后比较均有显著性差异(P均0.05)，均有统计学意义。而治疗后与常规组比较，眼针组有显著性差异(P0.05)，有统计学意义。 4．在书写能力评分上，两组治疗前后比较均有显著性差异(P均0.05)，均有统计学意义。而治疗后与常规组比较，，眼针组无显著性差异(P＞0.05)，无统计学意义。 5．在听语理解评分上，两组治疗前后比较均无显著性差异(P均＞0.05)，均无统计学意义。而治疗后与常规组比较，眼针组无显著性差异(P＞0.05)，也无统计学意义。 6．在阅读能力评分上，两组治疗前后比较均有显著性差异(P均0.05)，均有统计学意义。而治疗后与常规组比较，眼针组有显著性差异(P0.05)，有统计学意义。 7．在神经功能缺损程度比较上，两组治疗前后比较均有显著性差异(P均0.05)，均有统计学意义。而治疗后与常规组比较，眼针组无显著性差异(P＞0.05)，无统计学意义。 8．在日常生活语言沟通能力评定上，两组治疗前后比较，均有显著性差异(P均0.05)，均有统计学意义。而治疗后与常规组比较，眼针组有显著性差异(P0.05)，有统计学意义。 9．在失语改善的总体疗效的比较上，两组总疗效比较，有显著性差异(P0.05)，有统计学意义。 10.在中医常见伴随症状改善的比较上，两组在口眼歪斜上治疗后较治疗前均有明显改善(P均0.05)，均有统计学意义，且两组治疗后有显著差异(P0.05)，有统计学意义；两组在肢体麻木、痰多而粘上治疗后较治疗前均无显著改善(P均＞0.05)，均无统计学意义；而在半身不遂、头晕目眩的疗效上，眼针组在治疗后较治疗前均有显著改善(P均0.05)，均有统计学意义，而常规组均无显著改善(P均＞0.05)，均无统计学意义。 11．两组患者均无明显或严重的毒副反应，安全性和耐受性均良好。 结论： 1．眼针具有改善失语患者语言整体功能的作用，尤其在口语表达、阅读能力方面疗效显著，但对听语理解改善不明显。 2.眼针具有改善中风患者神经功能缺损程度的作用，但较语言功能改善慢。 3.眼针具有改善中风患者日常生活语言沟通能力疗效的作用。 4.从总体疗效上看，眼针具有改善失语患者的语言功能及失语严重程度的作用。 5．眼针具有在改善其失语同时，对口眼歪斜、半身不遂、头晕目眩等中医常见症状同样改善的综合作用。 6．眼针治疗失语患者无明显毒副作用及不良反应，可长期得到使用。
[Abstract]:Objective: To observe the clinical effect of eye acupuncture on aphasia patients after wind, phlegm and blood stasis syndrome after stroke.
Materials and Methods: All the cases in this clinical study were from 60 inpatients of Neurology Department of Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from March 2012 to March 2013. All of them were first onset and met the diagnostic criteria and inclusion criteria of aphasia. A randomized, double-blind, controlled clinical study was conducted in two groups. The observation time was 4 weeks. The self-language function, such as listening comprehension, writing, oral expression, reading, nerve function defect, daily living language communication ability, the overall effect of aphasia improvement and common accompanying symptoms of Chinese medicine were observed before and after treatment. Changes in other aspects, and routine monitoring of adverse reaction indicators.
Result:
1. There was no significant difference between the two groups in gender, age, course of disease, classification of stroke, degree of neurological deficit and TCM syndromes before treatment (P
2. In the overall score of language function, there were significant differences between the two groups before and after treatment (P 0.05), and there was statistical significance. After treatment, eye acupuncture group was significantly different from the conventional group (P 0.05), with statistical significance.
3. In oral expression score, there was significant difference between the two groups before and after treatment (P 0.05), and there was statistical significance. After treatment, eye acupuncture group had significant difference compared with the conventional group (P 0.05), with statistical significance.
4. In the score of writing ability, there were significant differences between the two groups before and after treatment (P 0.05), and there was statistical significance. But there was no significant difference between the two groups after treatment (P > 0.05).
5. In listening comprehension score, there was no significant difference between the two groups before and after treatment (P > 0.05), and there was no significant difference between the two groups.
6. In the reading ability score, there were significant differences between the two groups before and after treatment (P 0.05), and there was statistical significance. After treatment, eye acupuncture group was significantly different from the conventional group (P 0.05), with statistical significance.
7. In the comparison of the degree of nerve function defect, there were significant differences between the two groups before and after treatment (P 0.05), and there was statistical significance. But there was no significant difference between the two groups after treatment (P > 0.05).
8. In the evaluation of daily living language communication ability, there were significant differences between the two groups before and after treatment (P 0.05), and there was statistical significance. After treatment, eye acupuncture group had significant difference compared with the conventional group (P 0.05), with statistical significance.
9. In the comparison of the overall effect of aphasia improvement, there was a significant difference between the two groups (P 0.05), with statistical significance.
10. Comparing with the improvement of common symptoms in traditional Chinese medicine, the two groups were significantly improved after treatment of mouth and eye deviation (P 0.05), and there was significant difference between the two groups (P 0.05), with statistical significance; the two groups had no significant improvement after treatment of limb numbness, phlegm and adhesion (P > 0.05). There was no significant difference between the two groups, but in the treatment of hemiplegia and dizziness, eye acupuncture group had significant improvement after treatment (P 0.05), and there was no significant improvement in the conventional group (P > 0.05).
11. there were no obvious or severe side effects in the two groups, and the safety and tolerance were good.
Conclusion:
1. Eye acupuncture can improve the whole language function of aphasia patients, especially in oral expression and reading ability, but not in listening comprehension.
2. eye acupuncture can improve the degree of neurological deficit in stroke patients, but it is slower than language function improvement.
3. eye acupuncture has the effect of improving stroke patients' daily language communication ability.
4. from the overall efficacy, eye acupuncture can improve aphasia patients' language function and severity of aphasia.
5. Eye acupuncture can improve the aphasia, at the same time, eye-to-mouth skew, hemiplegia, dizziness and other common symptoms of traditional Chinese medicine also improve the comprehensive effect.
6. eye acupuncture has no obvious side effects and adverse reactions in aphasia patients, and it can be used for a long time.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.6
本文编号：2211272
[Abstract]:Objective: To observe the clinical effect of eye acupuncture on aphasia patients after wind, phlegm and blood stasis syndrome after stroke.
Materials and Methods: All the cases in this clinical study were from 60 inpatients of Neurology Department of Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from March 2012 to March 2013. All of them were first onset and met the diagnostic criteria and inclusion criteria of aphasia. A randomized, double-blind, controlled clinical study was conducted in two groups. The observation time was 4 weeks. The self-language function, such as listening comprehension, writing, oral expression, reading, nerve function defect, daily living language communication ability, the overall effect of aphasia improvement and common accompanying symptoms of Chinese medicine were observed before and after treatment. Changes in other aspects, and routine monitoring of adverse reaction indicators.
Result:
1. There was no significant difference between the two groups in gender, age, course of disease, classification of stroke, degree of neurological deficit and TCM syndromes before treatment (P
2. In the overall score of language function, there were significant differences between the two groups before and after treatment (P 0.05), and there was statistical significance. After treatment, eye acupuncture group was significantly different from the conventional group (P 0.05), with statistical significance.
3. In oral expression score, there was significant difference between the two groups before and after treatment (P 0.05), and there was statistical significance. After treatment, eye acupuncture group had significant difference compared with the conventional group (P 0.05), with statistical significance.
4. In the score of writing ability, there were significant differences between the two groups before and after treatment (P 0.05), and there was statistical significance. But there was no significant difference between the two groups after treatment (P > 0.05).
5. In listening comprehension score, there was no significant difference between the two groups before and after treatment (P > 0.05), and there was no significant difference between the two groups.
6. In the reading ability score, there were significant differences between the two groups before and after treatment (P 0.05), and there was statistical significance. After treatment, eye acupuncture group was significantly different from the conventional group (P 0.05), with statistical significance.
7. In the comparison of the degree of nerve function defect, there were significant differences between the two groups before and after treatment (P 0.05), and there was statistical significance. But there was no significant difference between the two groups after treatment (P > 0.05).
8. In the evaluation of daily living language communication ability, there were significant differences between the two groups before and after treatment (P 0.05), and there was statistical significance. After treatment, eye acupuncture group had significant difference compared with the conventional group (P 0.05), with statistical significance.
9. In the comparison of the overall effect of aphasia improvement, there was a significant difference between the two groups (P 0.05), with statistical significance.
10. Comparing with the improvement of common symptoms in traditional Chinese medicine, the two groups were significantly improved after treatment of mouth and eye deviation (P 0.05), and there was significant difference between the two groups (P 0.05), with statistical significance; the two groups had no significant improvement after treatment of limb numbness, phlegm and adhesion (P > 0.05). There was no significant difference between the two groups, but in the treatment of hemiplegia and dizziness, eye acupuncture group had significant improvement after treatment (P 0.05), and there was no significant improvement in the conventional group (P > 0.05).
11. there were no obvious or severe side effects in the two groups, and the safety and tolerance were good.
Conclusion:
1. Eye acupuncture can improve the whole language function of aphasia patients, especially in oral expression and reading ability, but not in listening comprehension.
2. eye acupuncture can improve the degree of neurological deficit in stroke patients, but it is slower than language function improvement.
3. eye acupuncture has the effect of improving stroke patients' daily language communication ability.
4. from the overall efficacy, eye acupuncture can improve aphasia patients' language function and severity of aphasia.
5. Eye acupuncture can improve the aphasia, at the same time, eye-to-mouth skew, hemiplegia, dizziness and other common symptoms of traditional Chinese medicine also improve the comprehensive effect.
6. eye acupuncture has no obvious side effects and adverse reactions in aphasia patients, and it can be used for a long time.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.6
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