本文關鍵詞： 顳前線 舌咽針 中風后運動性失語 臨床觀察　出處：《黑龍江中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

【摘要】：目的：觀察顳前線叢刺配合舌咽針治療中風后運動性失語的臨床療效。方法：本課題觀察將60例患者符合納入標準,依照入院順序分為兩組,治療組和對照組各30例。對照組：男18例,女12例,年齡54.72±9.375(歲),病程32.09±7.347(日),中風缺血性25例,中風出血性5例,給予常規(guī)針刺治療；治療組：男17例,女13例,平均年齡55.26±±8.015(歲),平均病程31.32±±6.899(天),中風缺血性27例,中風出血性3例,在常規(guī)針刺治療的基礎上采用顳前線叢刺配合舌咽針治療。兩組治療均為每日1次,留針40分鐘,每周6天,休息1天,共3周。兩組于治療前后分別運用改良的漢語失語成套測驗法、功能性語言溝通能力檢查法進行評價,比較觀察兩組療法法對自發(fā)談話、復述評分及日常生活語言溝通能力的影響；運用改良的失語癥嚴重程度分級標準及改良的漢語失語檢查法好轉分級標準評價療效。結果：1、在治療之前及治療之后,治療組與對照組雙雙皆采用ABC評分比較,兩組差異均具有明顯性數(shù)值意義(P0.01)；對于自發(fā)性談話及重復表述方面的能力,治療組優(yōu)于對照組(P0.01)。2、在治療之前及治療之后,治療組與對照組所采用的CFCP評分量表比較之后,均具有明顯性數(shù)值意義(P0.01),其治療組優(yōu)于對照組(P0.05)。3、在治療之后,治療組與對照組兩兩的總有效率分別為86.59%以及79.90%,兩組差別具有明顯性數(shù)值意義(P0.05)；而在于改善失語癥狀的病情程度上,治療組明顯優(yōu)越于對照組(P0.05)。結論：1、顳前線叢刺配合舌咽針可改善中風后運動性失語患者的自發(fā)談話及復述功能。2、顳前線叢刺配合舌咽針可改善中風后運動性失語的日常生活對語言溝通能力。
[Abstract]:Objective: to observe the clinical effect of temporal front needling combined with tongue pharynx acupuncture in the treatment of motor aphasia after stroke. Methods: 60 patients with motor aphasia were divided into two groups according to the order of admission. Treatment group (n = 30) and control group (n = 30). Control group: male 18, female 12, age 54.72 鹵9.375 (age 54.72 鹵9.375), course of disease 32.09 鹵7.347 (d), ischemic stroke 25 cases. Five patients with hemorrhagic stroke were treated with routine acupuncture. In the treatment group, there were 17 males and 13 females with an average age of 55.26 鹵8.015 (mean course 31.32 鹵6.899) and ischemic stroke (27 cases). Three patients with hemorrhagic stroke were treated with temporal-front cluster acupuncture combined with tongue and pharynx acupuncture on the basis of routine acupuncture treatment. The two groups were treated once a day for 40 minutes, 6 days a week, rest for 1 day. Before and after treatment, the two groups were evaluated by modified Chinese aphasia test method and functional language communication ability test, and the two groups were compared to observe the spontaneous conversation between the two groups. The influence of retelling score and daily life language communication ability; The therapeutic effect was evaluated by using the improved Chinese aphasia grading standard and the improved Chinese aphasia examination method. Results: 1, before and after treatment. ABC score was used in both the treatment group and the control group. The difference between the two groups was significant (P 0.01). The ability of spontaneous conversation and repetition in the treatment group was better than that in the control group (P 0.01), before and after treatment. After the comparison of CFCP scale between the treatment group and the control group, it had significant numerical significance, and the treatment group was superior to the control group (P0.05. 3) after the treatment. The total effective rates of the treatment group and the control group were 86.59% and 79.90 respectively. The difference between the two groups was significant (P 0.05). In order to improve the degree of aphasia, the treatment group was superior to the control group (P 0.05). Conclusion: 1. The spontaneous conversation and retelling function of patients with motor aphasia after stroke were improved by temporal-front cluster pricking combined with tongue pharynx acupuncture, and the ability of speech communication in daily life of motor aphasia patients after apoplexy was improved by temporal-front needling combined with tongue pharynx acupuncture.
【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.6

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本文編號：1467261