开玄醒神针法治疗脑卒中后运动性失语症疗效观察及对语言功能、生活质量的影响
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R743.3

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浙江省中医药适宜技术培育项目(2021ZT008)


Observation on Curative Effect of Kaixuan Xingshen Acupuncture on Post-Stroke Broca's Aphasia and Its Effect on Language Function and Quality of Life
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    摘要:

    目的:观察开玄醒神针法治疗脑卒中后运动性失语症(PSBA)的临床疗效及对患者语言功能、生 活质量的影响。方法:将2021年6月—2024年1月武警浙江省总队医院收治的PSBA患者96例,按随机数字表 法分为对照组和联合组各48例。对照组采用常规语言康复训练联合镜像视觉反馈疗法进行治疗,联合组在上 述治疗基础上加用开玄醒神针法治疗。比较2组失语严重程度[波士顿诊断性失语检查(BDAE)]、语言功能 [西方失语症成套测验 (WAB)]、生活质量 [脑卒中失语症生活质量量表 (SAQOL-39)] 和临床疗效。 结果:治疗后,联合组总有效率为97.92%(47/48),对照组为75.00%(36/48),组间比较,差异有统计学意义 (P<0.05);2组BDAE分级均较治疗前改善,且联合组BDAE分级优于对照组 (P<0.05);2组自发言语、听 理解、复述、命名等 WAB 量表各项评分均较治疗前升高 (P<0.05),且联合组各项评分均高于对照组 (P<0.05);2 组 SAQOL-39 评分均较治疗前升高 (P<0.05),且联合组 SAQOL-39 评分高于对照组 (P< 0.05)。结论:在常规语言康复训练联合镜像视觉反馈疗法的基础上,加用开玄醒神针法治疗PSBA,可有效改 善患者的失语程度,提高其语言功能和生活质量水平,提高临床疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Kaixuan Xingshen acupuncture method on post-stroke Broca's aphasia(PSBA)and its effect on language function and quality of life of patients. Methods:A total of 96 PSBA patients admitted to Hospital of Zhejiang Provincial Corps of the Chinese People's Armed Police from June 2021 to January 2024 were divided into the control group and the combination group according to the random number table method,with 48 cases in each group. The control group was treated with conventional language rehabilitation training combined with mirror visual feedback therapy, and the combination group was additionally treated with Kaixuan Xingshen acupuncture based on the above treatment. The severity of aphasia [Boston Diagnostic Aphasia Examination (BDAE)],language function [Western Aphasia Battery(WAB)],quality of life [Stroke and Aphasia Quality of Life Scale-39(SAQOL-39)] and clinical effects were compared between the two groups. Results:After treatment,the total effective rate was 97.92%(47/48)in the combination group,and 75.00%(36/48)in the control group,the difference being significant(P<0.05);the BDAE grading in the two groups was improved when compared with that before treatment,and the BDAE grading in the combination group was better than that in the control group(P<0.05); the WAB scores of spontaneous speech,listening comprehension,retelling and naming in the two groups were elevated when compared with those before treatment(P<0.05),and the above scores in the combination group were higher than those in the control group(P<0.05);the SAQOL-39 scores in the two groups were up-regulated when compared with those before treatment(P<0.05),and the SAQOL-39 score in the combination group was higher than that in the control group(P<0.05). Conclusion:Based on conventional language rehabilitation training combined with mirror visual feedback therapy,the adoption of Kaixuan Xingshen acupuncture can effectively improve the aphasia degree of PSBA patients and enhance the language function,quality of life and clinical effect.

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刘静,朱利锋,韩春,郑旅,赵唯而.开玄醒神针法治疗脑卒中后运动性失语症疗效观察及对语言功能、生活质量的影响[J].新中医,2025,57(16):61-65

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  • 在线发布日期: 2025-08-26
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