颞前线丛刺配合舌咽针治疗中风后运动性失语的临床观察

发布时间：2018-01-27 02:08

本文关键词： 颞前线舌咽针中风后运动性失语临床观察　出处：《黑龙江中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：观察颞前线丛刺配合舌咽针治疗中风后运动性失语的临床疗效。方法：本课题观察将60例患者符合纳入标准,依照入院顺序分为两组,治疗组和对照组各30例。对照组：男18例,女12例,年龄54.72±9.375(岁),病程32.09±7.347(日),中风缺血性25例,中风出血性5例,给予常规针刺治疗；治疗组：男17例,女13例,平均年龄55.26±±8.015(岁),平均病程31.32±±6.899(天),中风缺血性27例,中风出血性3例,在常规针刺治疗的基础上采用颞前线丛刺配合舌咽针治疗。两组治疗均为每日1次,留针40分钟,每周6天,休息1天,共3周。两组于治疗前后分别运用改良的汉语失语成套测验法、功能性语言沟通能力检查法进行评价,比较观察两组疗法法对自发谈话、复述评分及日常生活语言沟通能力的影响；运用改良的失语症严重程度分级标准及改良的汉语失语检查法好转分级标准评价疗效。结果：1、在治疗之前及治疗之后,治疗组与对照组双双皆采用ABC评分比较,两组差异均具有明显性数值意义(P0.01)；对于自发性谈话及重复表述方面的能力,治疗组优于对照组(P0.01)。2、在治疗之前及治疗之后,治疗组与对照组所采用的CFCP评分量表比较之后,均具有明显性数值意义(P0.01),其治疗组优于对照组(P0.05)。3、在治疗之后,治疗组与对照组两两的总有效率分别为86.59%以及79.90%,两组差别具有明显性数值意义(P0.05)；而在于改善失语症状的病情程度上,治疗组明显优越于对照组(P0.05)。结论：1、颞前线丛刺配合舌咽针可改善中风后运动性失语患者的自发谈话及复述功能。2、颞前线丛刺配合舌咽针可改善中风后运动性失语的日常生活对语言沟通能力。
[Abstract]:Objective: to observe the clinical effect of temporal front needling combined with tongue pharynx acupuncture in the treatment of motor aphasia after stroke. Methods: 60 patients with motor aphasia were divided into two groups according to the order of admission. Treatment group (n = 30) and control group (n = 30). Control group: male 18, female 12, age 54.72 卤9.375 (age 54.72 卤9.375), course of disease 32.09 卤7.347 (d), ischemic stroke 25 cases. Five patients with hemorrhagic stroke were treated with routine acupuncture. In the treatment group, there were 17 males and 13 females with an average age of 55.26 卤8.015 (mean course 31.32 卤6.899) and ischemic stroke (27 cases). Three patients with hemorrhagic stroke were treated with temporal-front cluster acupuncture combined with tongue and pharynx acupuncture on the basis of routine acupuncture treatment. The two groups were treated once a day for 40 minutes, 6 days a week, rest for 1 day. Before and after treatment, the two groups were evaluated by modified Chinese aphasia test method and functional language communication ability test, and the two groups were compared to observe the spontaneous conversation between the two groups. The influence of retelling score and daily life language communication ability; The therapeutic effect was evaluated by using the improved Chinese aphasia grading standard and the improved Chinese aphasia examination method. Results: 1, before and after treatment. ABC score was used in both the treatment group and the control group. The difference between the two groups was significant (P 0.01). The ability of spontaneous conversation and repetition in the treatment group was better than that in the control group (P 0.01), before and after treatment. After the comparison of CFCP scale between the treatment group and the control group, it had significant numerical significance, and the treatment group was superior to the control group (P0.05. 3) after the treatment. The total effective rates of the treatment group and the control group were 86.59% and 79.90 respectively. The difference between the two groups was significant (P 0.05). In order to improve the degree of aphasia, the treatment group was superior to the control group (P 0.05). Conclusion: 1. The spontaneous conversation and retelling function of patients with motor aphasia after stroke were improved by temporal-front cluster pricking combined with tongue pharynx acupuncture, and the ability of speech communication in daily life of motor aphasia patients after apoplexy was improved by temporal-front needling combined with tongue pharynx acupuncture.
【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】：2016
【分类号】：R246.6

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