针刺联合丁苯酞氯化钠注射液治疗脑梗死后失语临床研究
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R743.3

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Clinical Study on Acupuncture Combined with Butylphthalide and Sodium Chloride Injection for Aphasia After Cerebral Infarction
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    摘要:

    目的:观察针刺联合丁苯酞氯化钠注射液治疗脑梗死后失语的临床疗效。方法:选取66 例脑梗死 后失语患者,按随机数字表法分为对照组和观察组各33 例。2 组均给予常规治疗,对照组给予丁苯酞氯化钠 注射液静脉注射,观察组在对照组基础上采取针刺治疗。评价2 组临床疗效,比较2 组治疗前后中医证候积 分、神经功能缺损程度、语言功能及失语严重程度。结果:观察组总有效率为93.94%,高于对照组 75.76% (P<0.05)。治疗后,2 组中医证候积分、美国国立卫生研究院卒中量表(NIHSS) 评分较治疗前降 低(P<0.05),且观察组中医证候积分、NHISS 评分低于对照组(P<0.05)。治疗后,2 组自发谈话、听理 解、命名、复述评分较治疗前升高(P<0.05),且观察组各项评分高于对照组(P<0.05)。治疗后,2 组波士 顿诊断性失语症检查法(BDAE) 分级较治疗前明显改善(P<0.05),观察组改善效果优于对照组(P< 0.05)。结论:针刺联合丁苯酞氯化钠注射液治疗脑梗死后失语疗效较好,可缓解患者临床症状,改善语言功 能,减轻神经功能缺损程度和失语严重程度。

    Abstract:

    Abstract:Objective:To observe the clinical effect of acupuncture combined with Butylphthalide and Sodium Chloride Injection for aphasia after cerebral infarction. Methods:A total of 66 cases of patients with aphasia after cerebral infarction were divided into the control group and the observation group according to the random number table method, with 33 cases in each group. Both groups were treated with routine treatment. The control group was treated with intravenous injection of Butylphthalide and Sodium Chloride Injection,and the observation group was additionally treated with acupuncture based on the treatment of the control group. Clinical effects were evaluated in the two groups. Traditional Chinese medicine (TCM) syndrome scores, degree of neurological impairment, language function, and severity of aphasia were compared before and after treatment between the two groups. Results: The total effective rate was 93.94% in the observation group, higher than that of 75.76% in the control group (P<0.05). After treatment,TCM syndrome scores and National Institute of Health stroke scale (NIHSS) scores in the two groups were decreased when compared with those before treatment (P<0.05);the TCM syndrome scores and NIHSS scores in the observation group were lower than those in the control group (P<0.05). After treatment, the scores of spontaneous speech, listening comprehension, naming, and repetition in the two groups were increased when compared with those before treatment (P<0.05),and each score in the observation group was higher than that in the control group (P<0.05). After treatment, the grading by Boston Diagnostic Aphasia Examination (BDAE) in the two groups was significantly improved when compared with that before treatment (P<0.05),and the improvement in the observation group was better than that in the control group (P<0.05). Conclusion: Acupuncture combined with Butylphthalide and Sodium Chloride Injection has a good curative effect in the treatment of aphasia after cerebral infarction, which can relieve clinical symptoms, improve language function, and reduce the degree of neurological impairment and severity of aphasia.

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宋涛.针刺联合丁苯酞氯化钠注射液治疗脑梗死后失语临床研究[J].新中医,2023,55(19):167-171

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  • 在线发布日期: 2023-10-17
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