解语膏穴位敷贴结合针刺治疗中风后运动性失语的临床研究

发布时间：2018-08-26 09:14

【摘要】：目的:本研究通过利用中药解语膏的穴位敷贴结合针刺方法对中风后的运动性失语患者治疗的临床观察,为我国传统医学治疗中风后运动型失语提供了一种有效的临床方法。方法:将符合纳入标准的60例中风后运动性失语的患者随机分为对照组(30例,给予针刺治疗)和治疗组(30例,给予穴位敷贴结合针刺治疗)。以上两组患者均予基础药物治疗,共治疗4周,治疗前后分别采用简化的《汉语失语症检查法》量表评定患者语言功能(自发言语、复述、理解、命名这4项语言功能),观察解语膏穴位敷贴结合针刺对改善中风后失语患者言语功能障碍的临床疗效。结果:①治疗前两组患者的一般资料(性别、年龄、病程)比较均无统计学意义(P0.05),具有有可比性。②两组患者治疗前后依据简化的《汉语失语症检查法》量表进行语言功能评分,两组患者治疗前语言功能得分相比,差异无统计学意义(P0.05);治疗后两组间比较,差异具有统计学意义(P0.05),其中在自发言语、复述、命名这3个亚项中,治疗组治疗后的各项改善程度明显高于对照组,二者存在显著性差异(P0.05)。③治疗后,治疗组总有效率达90%,对照组总有效率达73.3%,治疗组明显优于对照组,具有统计学意义(P0.01)。结论:①解语膏穴位敷贴联合针刺组可显著提高中风后运动性失语患者在命名、复述、自发言语、这几项言语方面的能力,治疗组疗效明显优于对照组。②解语膏穴位敷贴结合针刺能明显提高中风后运动性失语患者的临床疗效,总有效率为90.0%,优于对照组。③解语膏联合针刺治疗中风后运动型失语为一种有效的临床疗法,值得在临床上广泛应用并加以推广。
[Abstract]:Objective: to provide an effective clinical method for the treatment of motor aphasia after apoplexy by using the acupoint application of traditional Chinese medicine jiyue ointment combined with acupuncture in order to provide an effective clinical method for the treatment of motor aphasia after apoplexy in Chinese traditional medicine. Methods: sixty patients with motor aphasia after stroke were randomly divided into control group (30 cases) and treatment group (30 cases). The patients in the above two groups were treated with basic drugs for 4 weeks. Before and after treatment, the patients' language function (spontaneous speech, retelling, understanding) was evaluated with simplified Chinese aphasia examination scale before and after treatment. To observe the clinical effect of Acupoint Application of Jieyu Ointment combined with Acupuncture on improving speech dysfunction in patients with aphasia after apoplexy. Results the general data of the first two groups of patients (sex, age, There was no statistical significance between the two groups (P0.05), and there was comparability between the two groups according to the simplified Chinese aphasia examination scale before and after treatment, the scores of language function were compared between the two groups before and after treatment. The difference was not statistically significant (P0.05); after treatment, the difference was statistically significant (P0.05). Among the three subitems of spontaneous speech, retelling and naming, the improvement of the treatment group after treatment was significantly higher than that of the control group. There was significant difference between the two groups (P0.05) after treatment, the total effective rate of the treatment group reached 90%, the total effective rate of the control group reached 73.3%, the treatment group was significantly better than the control group, with statistical significance (P0.01). Conclusion the combination of worm1 jieyu ointment and acupuncture can significantly improve the ability of naming, retelling and spontaneous speech in patients with motor aphasia after stroke. The therapeutic effect of the treatment group was significantly better than that of the control group. 2. The acupoint application of jieyu ointment combined with acupuncture could obviously improve the clinical efficacy of the patients with motor aphasia after stroke. The total effective rate was 90.0, which was better than that of the control group. 3. 3 jieyu ointment combined with acupuncture was an effective clinical therapy for motor aphasia after apoplexy, which was worthy of being widely used and popularized in clinic.
【学位授予单位】：安徽中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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