摘要
目的:观察针刺配合言语治疗对脑卒中和脑外伤后构音障碍的疗效。方法:将61例构音障碍患者随机分为两组。观察组(30例)在言语治疗同时配合针刺颈项部廉泉、金津、玉液、风池、翳风和完骨为主,对照组(31例)只给予言语治疗,治疗9周后评价言语和声学指标的变化。结果:治疗后两组患者单词清晰度和篇章正答率均明显提高(均P<0.01),观察组总有效率为96.7%(29/30),优于对照组的67.7%(21/31)(P<0.01);治疗后观察组(12例)和对照组(11例)经喉发声空气力学分析仪检测的最长发声时间(MPT)均显著延长(均P<0.01),且观察组改善更明显(P<0.01)。结论:针刺配合言语治疗能改善构音障碍患者的言语和声学水平。
Objective To observe the effect of acupuncture combined with speech therapy for dysarthria after stroke or cerebral trauma. Methods Sixty-one cases were randomly divided into two groups. The observation group （30 cases） was treated with speech therapy and acupuncture at Lianquan （CV 23）, Jinjin （EX-HN 12）, Yuye （EX- HN 13）, Fengchi （GB 20）, Yifeng （TE 17） and Wangu （GB 12） as major aeupoints, while the control group （31 cases） was treated with speech therapy only. The changes of speech and acoustics indices were evaluated after 9 weeks treatment. Results The word articulation and correct rate of text of patients in two groups were both obviously improved after treatment （both P〈0.01）. The total effective rate of 96.7 % （29/30） in observation group was superior to that of 67.7%（21/31） in control group （P〈0.01）. The maximum phonation time （MPT） of patiens tested by aeromechanics analyzer were obviously prolonged in observation group （12 cases） and control group （ll cases） （both P〈0. 01）, and the improvement in observation group was more obvious （P〈0. 01）. Conclusion Acupuncture combined with speech therapy can improve the effect on language and acoustics level for dysarthria.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第7期537-541,共5页
Chinese Acupuncture & Moxibustion
基金
中国康复研究中心科研基金资助项目:2006-23
关键词
构音障碍
针刺疗法
言语治疗
发音清晰度
随机对照试验
Dysarthria
Acupuncture Therapy
Speech Therapy
Articulation
Randomized Controlled Trials （RCT）
