文章摘要
言语康复训练联合督脉针刺合舌三针对卒中失语患者语言功能认知水平的影响
The effect of speech rehabilitation training combined with governor vessel acupuncture and tongue three points on language function and cognitive level of stroke aphasia patients
投稿时间:2023-10-03  
DOI:10.3969/j.issn.1000-0399.2024.06.009
中文关键词: 卒中失语  督脉针刺合舌三针  言语康复训练  语言功能  认知水平
英文关键词: Stroke aphasia  Du meridian acupuncture combined with tongue three needles  Rehabilitation training  Language function  Cognitive level
基金项目:北京市残疾人联合会项目(编号:GCTC188AA0252/01)
作者单位E-mail
高洋 100043 北京石景山 首都医科大学附属北京康复医院社区康复中心  
黄岩 100043 北京石景山 首都医科大学附属北京康复医院康复诊疗中心  
刘培培 100071 北京丰台 建都中西医结合医院康复科  
许莹娟 100043 北京石景山 首都医科大学附属北京康复医院社区康复中心  
曹斌 100043 北京石景山 首都医科大学附属北京康复医院社区康复中心 p842657643@163.com 
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中文摘要:
      目的 探讨言语康复训练联合督脉针刺合舌三针对卒中失语患者语言功能、认知水平的影响。 方法 选取 2022 年 1月至 2023 年 1 月于首都医科大学附属北京康复医院治疗的 100 例卒中失语患者为研究对象,根据随机数字表法将其分为对照组(n=50,常规言语康复训练)和观察组(n=50,常规言语康复训练+督脉针刺合舌三针治疗),均干预 4 周。对比两组干预前、干预 4 周后语言功能、认知水平改善情况,并比较两组认知事件相关诱发电位 P300 潜伏期及波幅变化。 结果 干预前,两组各指标比较,差异均无统计学意义(P>0.05)。干预 4 周后,观察组西方失语症成套测验(WAB)各项目评分及失语商(AQ)的差值高于对照组(P<0.05),蒙特利尔认知评估量表(MoCA)各项目评分及总分的差值高于对照组(P<0.05),P300 潜伏期的差值大于对照组(P<0.05),波幅的差值高于对照组(P<0.05)。 结论 言语康复训练与督脉针刺合舌三针的联合治疗方案可有效提高卒中失语患者的语言功能及认知水平。
英文摘要:
      Objective To explore the effect of combined rehabilitation training with Du meridian acupuncture and tongue three needle acupuncture on language function and cognitive level in stroke patients with aphasia. Methods A hundred stroke aphasia patients who were treated at Beijing Rehabilitation Hospital affiliated with Capital Medical University from January 2022 to January 2023 were randomly divided into the control group (n=50, conventional speech rehabilitation training) and the observation group (n=50, conventional speech rehabilitation training+Du meridian acupuncture combined with tongue three needle treatment) using a random number table method. The intervention period for both groups was four weeks. The improvement of language function and cognitive level between the two groups was compared before and after four-weeks of intervention, and record the changes in P300 latency and amplitude of cognitive event related evoked potentials. Results After four weeks of intervention, the difference in scores and aphasia quotient (AQ) of the Western Aphasia Battery (WAB) in the observation group was higher than that in the control group(P<0.05), the difference in scores and total scores of the Montreal Cognitive Assessment Scale (MoCA) was higher than that of the control group(P<0.05), the difference in P300 latency was higher than that of the control group (P<0.05), and the difference in amplitude was higher than that of the control group(P<0.05). Conclusions The combined treatment plan of speech rehabilitation training and Du meridian acupuncture combined with tongue three needles can effectively improve the language function and cognitive level of stroke aphasia patients.
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