摘要
目的:观察舌针、项针配合小组构音障碍康复对脑卒中后构音障碍患者言语功能的影响,探索构音障碍的治疗方法。方法:80例构音障碍患者随机分为观察组(40例)及对照组(40例)。两组患者均行常规治疗,对照组给予项针配合小组构音障碍训练,观察组在对照组基础上给予舌针治疗,每日1次,每周治疗6 d,持续2周。分别在治疗前和治疗2周后对两组患者进行构音障碍综合性评价量表和中国康复研究中心构音障碍分级评定。结果:治疗后,两组患者构音障碍综合性评价量表总积分及分项积分均低于治疗前(均P<0.05);观察组治疗后除颌位置积分与对照组比较差异无统计学意义(P>0.05),其余各分项积分均低于对照组(均P<0.05)。观察组中国康复研究中心构音障碍分级情况明显优于对照组(P<0.05)。观察组总有效率为85.0%(34/40),对照组总有效率为67.5%(27/40),差异有统计学意义(P<0.05)。结论:舌针、项针配合小组构音康复训练可有效改善卒中后构音障碍患者言语功能。
Objective To observe the effects of tongue and nape acupuncture combined with rehabilitation training group of dysarthria on speech function in post-stroke dysarthria patients, and to explore the treatment of dysarthria. Methods Eighty patients with dysarthria were randomly divided into an observation group（40 cases） and a control group（40 cases）. The patients in the two groups were treated with conventional treatment. The patients in the control group were treated with the acupuncture combined with rehabilitation training group of dysarthria; the patients in the observation group were treated with the control group treatment and tongue acupuncture, once a day, 6 days per week for 2 weeks. The patients were evaluated with general dysarthria scale and dys arthria checklist of Chinese Rehabilitation Study Center before and after 2-week treatment. Results After treatment, the total score and each item score of general dysarthria scale were reduced（all P0.05）; all the score in the observation group was lower than those in the control group（all P0.05）, except the score of jaw which had no significant difference between the two groups. After treatment, the dysarthria checklist of Chinese Rehabilitation Study Center in the observation group was superior to that in the control group（P0.05）. The total effective rate was 85.0%（34/40） in the observation group, which was higher than 67.5%（27/40） in the control group（P0.05）. Conclusion Tongue acupuncture, nape acupuncture and rehabilitation training group of dysarthria could effectively improve the speech function of post-stroke dysarthria patients.
作者
赵甫刚
邢军
王亚辉
张立庄
邸小敏
常丽静
ZHAO Fugang;XING Jun;WANG Yahui;ZHANG Lizhuang;DI Xiaomin;CHANG Lijing(Department of TCM;Department of Rehabilitation Medicine;Department of Hematology,the First Hospital of Hebei Medical University,Shijiazhuang 050031,China)
出处
《中国针灸》
CAS
CSCD
北大核心
2018年第10期1080-1084,共5页
Chinese Acupuncture & Moxibustion
基金
河北省中医药管理局2015年度中医药类科研计划项目:2015120
关键词
脑卒中
构音障碍
舌针
项针
小组构音康复训练
stroke
dysarthria
tongue acupuncture
nape acupuncture
rehabilitation training group of dysarthria
