摘要
目的采用Frenchay构音障碍评定法比较不同针刺疗法治疗缺血性脑卒中后构音障碍的临床疗效,为治疗脑卒中后构音障碍提供可靠的临床证据。方法将45例缺血性脑卒中后构音障碍患者随机分为治疗组22例和对照组23例。治疗组采用电针治疗,对照组采用单纯毫针治疗。两组均每日治疗1次,治疗20 d后进行疗效评价,采用NIHSS评分和Barthel指数(BI)评分以及Frenchay构音障碍评价量表作为疗效评价指标,比较两组治疗前后疗效差异。结果两组治疗后NIHSS评分和BI评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗前后NIHSS评分和BI评分差值与对照组比较,差异均具有统计学意义(P<0.01)。两组治疗后构音障碍等级、Frenchay改良评分与同组治疗前比较差异均具有统计学意义(P<0.01,P<0.05)。治疗组治疗后构音障碍等级、Frenchay改良评分与对照组比较,差异均具有统计学意义(P<0.05)。结论针刺是一种治疗缺血性脑卒中后构音障碍的有效方法,电针疗效优于单纯针刺治疗。
Objective To compare the clinical therapeutic effects of different acupuncture methods on post ischemic stroke dysarthria using the Frenchay Dysarthria Assessment and provide reliable clinical evidence for its treatment.Methods Forty-five patients with post ischemic stroke dysarthria were randomly allocated to a treatment group of 22 cases and a control group of 23 cases. The treatment group received electroacupuncture and the control group, acupuncture with filiform needles alone. Treatment was given once daily in both groups. The therapeutic effects were evaluated using the NIHSS, the Barthel Index （BI） and the Frenchay Dysarthria Assessment as indicators after 20 days of treatment. The therapeutic effects were compared between the two groups after treatment.Results There were statistically significant pre-/post-treatment differences in the NIHSS score and the BI score in the two groups （P〈0.01）. There were statistically significant post-treatment differences in the NIHSS score and the BI score between the treatment and control groups （P〈0.01）. There were statistically significant pre-/post-treatment differences in dysarthria grades and the Modified Frenchay Score in the two groups （P〈0.01,P〈0.05）. There were statistically significant post-treatment differences in dysarthria grades and the Modified Frenchay Score between the treatment and control groups （P〈0.05）.Conclusions Acupuncture is an effective way to treat post ischemic stroke dysarthria. The therapeutic effect of electroacupuncture is better than that of acupuncture alone.
作者
丛文杰
杜忠衡
胡欢
洪显钗
方剑乔
CONG Wen-jie DU Zhong-heng HU Huan HONG Xian-Chai FANG Jian-qiao(Wenzhou Medical University First Hospital, Wenzhou 325000,China Wenzhou Medical University, Wenzhou 325000,China Zhejiang University of Traditional Chinese Medicine,Hangzhou 310005,China)
出处
《上海针灸杂志》
2016年第11期1269-1272,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
浙江省温州市科技局项目(Y20140021)
