摘要
目的探讨舌三针与督脉取穴针刺联合语言康复训练在脑卒中后语言障碍中的应用效果.方法选取我院2021年6月—2023年6月收治的84例脑卒中后语言障碍患者为研究对象,按随机数字表法将其分为对照组与观察组,各42例.对照组采用语言康复训练治疗,观察组在对照组基础上联合舌三针与督脉取穴针刺治疗,两组均持续治疗4周.比较两组患者的临床疗效、语言能力、交流能力、中医症状积分及生活质量.结果观察组治疗总有效率高于对照组,差异有统计学意义(P﹤0.05).治疗4周后,观察组汉语标准失语症检查量表、日常生活交流能力量表评分分别为(43.58±4.24)分、(80.41±6.32)分,均高于对照组的(39.64±3.87)分、(72.41±6.13)分,组间差异有统计学意义(P﹤0.05);观察组中医症状积分中的口舌歪斜、言语蹇涩或不语、感觉消退评分分别为(0.86±0.12)分、(0.75±0.11)分、(0.69±0.11)分,均低于对照组的(1.12±0.23)分、(0.94±0.14)分、(0.87±0.13)分,组间差异有统计学意义(P﹤0.05);观察组世界卫生组织生存质量测定量表中的生理、心理、社会、环境评分分别为(82.57±5.36)分、(84.56±5.41)分、(85.41±5.45)分、(89.65±5.36)分,均高于对照组的(76.54±5.22)分、(78.69±5.37)分、(79.58±5.33)分、(81.41±5.25)分,组间差异有统计学意义(P﹤0.05).结论舌三针与督脉取穴针刺联合语言康复训练可提高脑卒中后语言障碍治疗效果,增强患者语言及交流能力,降低中医症状积分,改善生活质量.
Objective To explore the application effect of tongue three needle and Du meridian acupoint acupuncture combined with language rehabilitation training in language disorders after stroke.Methods 84 patients with post-stroke language disorder admitted to our hospital from June 2021 to June 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 42 cases in each group.The control group was treated with language rehabilitation training,and the observation group was treated with tongue three acupuncture and du pulse acupoint acupuncture on the basis of the control group.Both groups were treated continuously for 4 weeks.The clinical efficacy,language ability,communication ability,TCM symptom score and quality of life were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P﹤0.05).After 4 weeks of treatment,the scores of Chinese Standard Aphasia Scale and daily life Communication Ability Scale in the observation group were(43.58±4.24)points and(80.41±6.32)points,respectively,which were higher than(39.64±3.87)points and(72.41±6.13)points in the control group,and the differences between groups were statistically significant(P﹤0.05);in the observation group,the scores of verbal skew,speech retarding or non-speech and sensory regression were(0.86±0.12)points,(0.75±0.11)points and(0.69±0.11)points,respectively,which were lower than(1.12±0.23)points,(0.94±0.14)points and(0.87±0.13)points of the control group,the differences between groups were statistically significant(P﹤0.05);the physical,psychological,social and environmental scores of the World Health Organization Quality of Life scale in the observation group were(82.57±5.36)points,(84.56±5.41)points,(85.41±5.45)points and(89.65±5.36)points,respectively,they were higher than(76.54±5.22)points,(78.69±5.37)points,(79.58±5.33)points and(81.41±5.25)points in the control group,and there were statistical significance between groups(P﹤0.05).Conclusion The combination of tongue three needle and Du meridian acupoint acupuncture with language rehabilitation training can improve the treatment effect of language disorders after stroke,enhance the patient's language and communication abilities,reduce traditional Chinese medicine symptom scores,and improve quality of life.
作者
韩树贤
刁萌萌
HAN Shuxian;DIAO Mengmeng(Department of Rehabilitation Medicine,Chengyang District People's Hospital,Qingdao City,Qingdao Shandong,266200,China)
出处
《反射疗法与康复医学》
2024年第1期42-45,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中后语言障碍
舌三针
督脉取穴针刺
语言康复训练
交流能力
Language disorders after stroke
Tongue three needles
Acupuncture of acupoints on the Du meridian
Language rehabilitation training
Communication skills
