發(fā)布時間：2018-08-31 10:56

【摘要】：目的：探討頭針叢刺言語三區(qū)治療中風后感覺性失語的臨床有效性和安全性,及其對中風后感覺性失語患者言語功能的影響。方法：本課題選取52例中風后感覺性失語的患者為研究對象,采用隨機數(shù)字表法按照1：1的比例隨機分為兩組,即：治療組和對照組,每組各26例。兩組均給予相同的常規(guī)藥物治療及言語康復訓練。對照組給予常規(guī)針刺治療。治療組給予言語三區(qū)叢刺治療。兩組受試者每天治療1次,每6次為1個療程,2個療程間休息1天,共治療4個療程。采用北京醫(yī)科大學《漢語失語成套測驗》于治療前后對兩組患者進行療效評價。結果：治療后,治療組談話、理解、復述、命名功能評分明顯高于治療前,組內治療前后比較具有顯著性差異(P0.05)。治療后,對照組談話、理解、復述、命名功能評分明顯高于治療前,組內治療前后比較具有顯著性差異(P0.05)。治療后,治療組談話、理解、復述、命名功能評分明顯優(yōu)于對照組,組間治療后比較具有顯著性差異(P0.05)。治療組,顯效9例,有效11例,進步4例,無效2例,總有效率為76.92%；對照組,顯效3例,有效12例,進步4例,無效7例,總有效率為57.69%。治療組疾病療效優(yōu)于對照組,差異具有顯著性(P0.05)。結論：1、頭針叢刺言語三區(qū)與常規(guī)針刺法均可改善中風后感覺性失語患者的言語功能。2、叢刺言語三區(qū)治療效果優(yōu)于常規(guī)針刺治療。
[Abstract]:Objective: to investigate the clinical efficacy and safety of scalp acupuncture in the treatment of sensory aphasia after stroke and its effect on speech function of poststroke sensory aphasia patients. Methods: 52 patients with sensory aphasia after apoplexy were randomly divided into two groups according to the proportion of 1:1: treatment group and control group, 26 cases in each group. Both groups were given the same routine drug therapy and speech rehabilitation training. The control group was treated with routine acupuncture. The treatment group was treated with three areas of speech. The two groups were treated once a day, every 6 times as a course of treatment, 2 courses of rest 1 day, a total of 4 courses of treatment. The Chinese aphasia test set of Beijing Medical University was used to evaluate the curative effect of the two groups before and after treatment. Results: after treatment, the scores of conversation, understanding, retelling, naming function in the treatment group were significantly higher than those before and after treatment (P0.05). After treatment, the scores of conversation, understanding, retelling, naming function in the control group were significantly higher than those before and after treatment (P0.05). After treatment, the scores of conversation, understanding, retelling, naming function in the treatment group were significantly better than those in the control group, and there was significant difference between the two groups after treatment (P0.05). In the treatment group, 9 cases were effective, 11 cases were effective, 4 cases were improved, 2 cases were ineffective, the total effective rate was 76.922, while in the control group, 3 cases were effective, 12 cases were effective, 4 cases were improved, 7 cases were ineffective, and the total effective rate was 57.69%. The curative effect of the treatment group was better than that of the control group, and the difference was significant (P0.05). Conclusion the speech function of patients with sensory aphasia after apoplexy can be improved by both scalp acupuncture and routine acupuncture, and the effect of cluster acupuncture is better than that of routine acupuncture.
【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.6

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