针刺联合语言康复训练对中风后失语患者语言功能及血液流变学指标的影响
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R246.6

基金项目:


Effect of Acupuncture Combined with Language Rehabilitation Training on Language Function and Hemorheological Indexes in Patients with Aphasia After Stroke
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察针刺联合语言康复训练对中风后失语患者语言功能及血液流变学指标的影响。方法:选取112 例中风后失语患者作为研究对象,采用随机数字表法分为对照组和研究组各56 例。2 组均给予常规治疗,对照组给予语言康复训练,研究组在对照组基础上给予针刺治疗,2 组均连续治疗30 d。采用汉语失语成套检测量表(ABC) 评估患者语言功能变化情况;采用美国国立卫生研究所卒中量表(NIHSS) 评价患者神经功能缺损程度;检测2 组治疗前后血液流变学指标及血清降钙素基因相关肽(CGRP)、血管内皮素(ET)水平;评价2 组临床疗效。结果:研究组总有效率为91.07%,高于对照组69.64%(P<0.05)。治疗后,2 组自发言语、复述、理解、命名各项评分较治疗前升高(P<0.05),且研究组各项评分均高于对照组(P<0.05)。治疗后,2 组NIHSS 评分较治疗前下降(P<0.05),且研究组NIHSS 评分低于对照组(P<0.05)。治疗后,2 组红细胞聚集指数、全血黏度、血沉方程K 指数较治疗前降低(P<0.05),且研究组各项指标均低于对照组(P<0.05)。治疗后,2 组血清CGRP 水平较治疗前升高,血清ET 水平较治疗前下降(P<0.05);且研究组血清CGRP 水平高于对照组,血清ET 水平低于对照组(P<0.05)。结论:针刺联合语言康复训练可以提高中风后失语患者的临床疗效,有助于促进患者语言功能的恢复,改善血液流变学指标,提高患者神经功能。

    Abstract:

    Abstract: Objective: To observe the effect of acupuncture combined with language rehabilitation training on language function and hemorheological indexes in patients with aphasia after stroke. Methods:A total of 112 cases of patients with aphasia after stroke were selected as the study objectives and divided into the control group and the study group according to the random number table method,with 56 cases in each group. Both groups were given routine treatment,the control group was given language rehabilitation training, and the study group was additionally treated with acupuncture based on the treatment of the control group. Both groups were continuously treated for 30 days. Aphasia Battery of Chinese(ABC) was used to evaluate the changes in language function of patients; National Institutes of Health Stroke Scale (NIHSS) was applied to assess the severity of neurological deficits;hemorheological indexes and levels of calcitonin gene- related peptide(CGRP) and endothelin(ET) in serum in the two groups before and after treatment were detected; clinical effects in the two groups were evaluated. Results: The total effective rate was 91.07% in the study group, higher than that of 69.64% in the control group(P<0.05). After treatment, scores of oral expression, repetition, comprehension, and naming in the two groups were increased when compared with those before treatment(P<0.05),and each score in the study group was higher than that in the control group(P<0.05). After treatment, NIHSS scores in the two groups were decreased when compared with those before treatment(P<0.05), and the score in the study group was lower than that in the control group(P<0.05). After treatment, erythrocyte aggregation indexes, whole blood viscosity and erythrocyte sedimentation rate- K index in the two groups were decreased when compared with those before treatment(P<0.05),and each index in the study group was lower than that in the control group(P<0.05). After treatment, levels of CGRP in serum in the two groups were increased when compared with those before treatment, and levels of ET in serum were decreased(P<0.05); the level of CGRP in serum in the study group was higher than that in the control group,and the level of ET was lower(P<0.05). Conclusion: Acupuncture combined with language rehabilitation training can enhance the clinical effects on patients with aphasia after stroke and is conductive to the recovery of their language function and the improvement of hemorheological indexes and neurological function.

    参考文献
    相似文献
    引证文献
引用本文

关玉杰,庞青民,王承惠.针刺联合语言康复训练对中风后失语患者语言功能及血液流变学指标的影响[J].新中医,2022,54(23):159-163

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2022-12-11
  • 出版日期:
文章二维码