眼針治療中風后失語的臨床觀察
發(fā)布時間：2018-08-29 12:54
【摘要】：目的：觀察眼針治療中風后風痰瘀阻證失語患者的臨床療效。 材料與方法：本臨床研究的全部病例均來自遼寧中醫(yī)藥大學附屬醫(yī)院神經(jīng)內(nèi)科2012年3月一2013年3月的60例住院病人，均為首次發(fā)病，并符合失語癥的診斷標準及納入標準，采用隨機排列表的方式將患者分為眼針組30例和常規(guī)組30例。對合格受試者采用隨機雙盲對照法進行隨機對照臨床研究。觀察時間為4周，觀察兩組病例在治療前后的聽語理解、書寫、口語表達、閱讀等自身語言功能、神經(jīng)功能缺損程度、日常生活語言溝通能力、失語改善的總體療效及中醫(yī)常見伴隨癥狀等方面的變化情況，并常規(guī)監(jiān)測不良反應指標。 結(jié)果： 1．兩組病例在治療前，性別、年齡、病程、腦卒中分類、神經(jīng)功能缺損程度及中醫(yī)證候等均無顯著性差異(P均0.05)，說明兩組病例之間在治療前具有可比性，隨機分組效果良好。 2．在語言功能的整體評分上，兩組治療前后比較均有顯著性差異(P均0.05)，均有統(tǒng)計學意義。而治療后與常規(guī)組比較，眼針組有顯著性差異(P0.05)，有統(tǒng)計學意義。 3．在口語表達評分上，兩組治療前后比較均有顯著性差異(P均0.05)，均有統(tǒng)計學意義。而治療后與常規(guī)組比較，眼針組有顯著性差異(P0.05)，有統(tǒng)計學意義。 4．在書寫能力評分上，兩組治療前后比較均有顯著性差異(P均0.05)，均有統(tǒng)計學意義。而治療后與常規(guī)組比較，，眼針組無顯著性差異(P＞0.05)，無統(tǒng)計學意義。 5．在聽語理解評分上，兩組治療前后比較均無顯著性差異(P均＞0.05)，均無統(tǒng)計學意義。而治療后與常規(guī)組比較，眼針組無顯著性差異(P＞0.05)，也無統(tǒng)計學意義。 6．在閱讀能力評分上，兩組治療前后比較均有顯著性差異(P均0.05)，均有統(tǒng)計學意義。而治療后與常規(guī)組比較，眼針組有顯著性差異(P0.05)，有統(tǒng)計學意義。 7．在神經(jīng)功能缺損程度比較上，兩組治療前后比較均有顯著性差異(P均0.05)，均有統(tǒng)計學意義。而治療后與常規(guī)組比較，眼針組無顯著性差異(P＞0.05)，無統(tǒng)計學意義。 8．在日常生活語言溝通能力評定上，兩組治療前后比較，均有顯著性差異(P均0.05)，均有統(tǒng)計學意義。而治療后與常規(guī)組比較，眼針組有顯著性差異(P0.05)，有統(tǒng)計學意義。 9．在失語改善的總體療效的比較上，兩組總療效比較，有顯著性差異(P0.05)，有統(tǒng)計學意義。 10.在中醫(yī)常見伴隨癥狀改善的比較上，兩組在口眼歪斜上治療后較治療前均有明顯改善(P均0.05)，均有統(tǒng)計學意義，且兩組治療后有顯著差異(P0.05)，有統(tǒng)計學意義；兩組在肢體麻木、痰多而粘上治療后較治療前均無顯著改善(P均＞0.05)，均無統(tǒng)計學意義；而在半身不遂、頭暈目眩的療效上，眼針組在治療后較治療前均有顯著改善(P均0.05)，均有統(tǒng)計學意義，而常規(guī)組均無顯著改善(P均＞0.05)，均無統(tǒng)計學意義。 11．兩組患者均無明顯或嚴重的毒副反應，安全性和耐受性均良好。 結(jié)論： 1．眼針具有改善失語患者語言整體功能的作用，尤其在口語表達、閱讀能力方面療效顯著，但對聽語理解改善不明顯。 2.眼針具有改善中風患者神經(jīng)功能缺損程度的作用，但較語言功能改善慢。 3.眼針具有改善中風患者日常生活語言溝通能力療效的作用。 4.從總體療效上看，眼針具有改善失語患者的語言功能及失語嚴重程度的作用。 5．眼針具有在改善其失語同時，對口眼歪斜、半身不遂、頭暈目眩等中醫(yī)常見癥狀同樣改善的綜合作用。 6．眼針治療失語患者無明顯毒副作用及不良反應，可長期得到使用。
[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.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：R246.6
本文編號：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.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：R246.6
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本文編號：2211272
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