摘要
目的探讨通督调神针法对脑卒中后失语症患者注意网络系统的影响及治疗效果。方法选择浙江省人民医院2014年6月—2015年12月,符合入组条件的脑卒中后失语症患者20例,随机分为治疗组(10例)和对照组(10例)。2组失语症患者均接受常规言语训练,治疗组采用通督调神针法针刺治疗,对照组采用常规针法针刺治疗。治疗前和治疗4周结束后采用注意网络测试(attention network test,ANT)和西方失语症成套测验(western aphasia battery,WAB)进行评定。结果治疗组患者注意网络系统的警觉网络效率和正确率较治疗前显著提高(P<0.05),执行控制网络效率和总反应时较治疗前显著降低(P<0.05);治疗组和对照组患者WAB的失语商(aphasia quotient,AQ)较治疗前显著提高(P<0.05)。治疗组患者注意网络系统的警觉网络效率、执行控制网络效率、总反应时、正确率和WAB的AQ值治疗前后差值均显著大于对照组患者(P<0.05)。结论通督调神针法可以显著改善脑卒中后失语症患者注意网络系统的警觉网络和执行控制网络,促进患者语言功能的恢复,效果优于常规针法。
Objective To observe attention network system and therapy effect of acupuncture therapy of Tong Du Tiao Sben for regulating mentality in post stroke aphasia patients. Methods Twenty cases of post stroke aphasia patients from June,2014 to December,2015 were randomly divided into treatment group（ 10 cases） and control group（ 10 cases）. The treatment group accepted acupuncture therapy of Tong Du Tiao Shen for regulating mentality, and the control group accept- ed routine acupuncture therapy, hey were assessed with attention network test （ANT） and Western aphasia battery（WAB） before and 4 weeks after intervention. Results After 4 weeks, the alerting network efficiency and accuracy of ANT in- creased and the executive network efficiency and total reaction time of ANT decreased significantly in treatment group （ P 〈 0.05 ） , and the score of aphasia quotient （ AQ ） increased significantly in both treatment group and control group （ P 〈 0.05 ）. The alerting network efficiency, executive network efficiency, total reaction time and accuracy of ANT （ P 〈 0.01 ） and the score of AQ （ P 〈 0.05 ） improved more in the treatment group than in the control group. Conclusion Acu- puncture therapy of Tong Du Tiao Shen for regulating mentality is more effective on alerting network and executive network of attention network system than routine acupuncture therapy, which could promote the recovery of language function in post stroke aphasia patients.
作者
周亮
杨婷
田亮
田智慧
叶祥明
ZHOU Liang YANG Ting TIAN Liang et al(Department of Rehabilitation ,Zhejiang Provincial People＇s Hospi- tal, Hangzhou , Zhefiang 310014, China)
出处
《中华全科医学》
2017年第9期1506-1508,1552,共4页
Chinese Journal of General Practice
基金
浙江省中医药科技计划项目(2017ZB010)
关键词
失语症
注意网络
针刺
Aphasia
Attention network
Acupuncture
