摘要
目的:观察醒脑开窍针法联合补阳还五汤治疗气虚血瘀型脑梗死后运动性失语的临床疗效。方法:选择2022年5月-2022年8月就诊于庆阳市中医院符合入组标准的40例气虚血瘀脑梗死后运动性失语患者作为研究对象,随机分为对照组(20例)和治疗组(20例),两组患者均给予针灸推拿科常规药物治疗和康复训练,对照组给予单纯语言康复训练治疗,观察组在对照组治疗基础上予以醒脑开窍针法进行针刺联合补阳还五汤治疗,对两组患者治疗前后的ABC(包括谈话、复述、理解、命名)、BDAE指标评分进行评估及统计分析,并利用治疗前、治疗后的4项语言功能的得分进行疗效判定,比较两组临床疗效差异。结果:治疗前两组患者谈话、复述、理解、命名语言功能及BDAE评分比较,差异无统计学意义(P>0.05),治疗后两组患者各量表评分较治疗前均显著减少,差异有统计学意义(P<0.05),观察组的ABC各项评分、BDAE评分提高程度相较于对照组均有明显改善(P<0.05),且观察组患者总有效率明显优于对照组(P<0.05)。结论:醒脑开窍针法联合补阳还五汤治疗气虚血瘀型脑梗死后运动性失语临床疗效显著,较单纯语言康复训练疗效更好,可有效改善患者语言功能障碍情况,提高日常生活能力,临床值得应用和推广。
Objective:By observing the clinical efficacy of Xingnao Kaiqiao needing combined with Buyang Huanwu Decoction in the treatment of motor aphasia after cerebral infarction of qi deficiency and blood stasis type.Methods:40 patients with motor aphasia after cerebral infarction with qi deficiency and blood stasis who were diagnosed in Qingyang City Hospital of Traditional Chinese Medicine from May 2022 to August 2022 and met the enrollment criteria were selected as the subjects of the study,and they were randomly divided into the control group(20 cases) and the treatment group(20 cases),and the patients of both groups were given conventional drug treatment and rehabilitation training in the Department of Rehabilitation,the control group was given simple language rehabilitation training,and the observation group was given the acupuncture combined with the Buyang Huanwu Decoction treatment based on the treatment of the control group.The ABC(including talking,repeating,understanding and naming) and BDAE index scores of the two groups of patients before and after treatment were evaluated and statistically analyzed,and the scores of the four language functions before and after treatment were used to determine the efficacy of the treatment,and to compare the differences in clinical efficacy between the two groups.Results:Before treatment,there was no significant difference between the two groups of patients in terms of conversation,repetition,comprehension,naming language function and BDAE scores(P>0.05),and after treatment,the above scores of the two groups of patients were significantly reduced compared to the pre-treatment period(P<0.05),and the degree of improvement in the ABC scores and BDAE scores of the Observation Group compared to the Control Group was significantly improved(P<0.05),and the overall effectiveness rate of the patients in the Observation Group was significantly better than the control group(P<0.05).Conclusion:The clinical efficacy of Xingnao Kaiqiao needing combined with Buyang Huanwu Decoction in treating motor aphasia after cerebral infarction of qi deficiency and blood stasis type is remarkable,and the efficacy is better than that of the simple language rehabilitation training,which can effectively improve the language dysfunction of the patients and the ability of daily life,and it is worthwhile to be applied and popularized in the clinic.
作者
马娟娟
范乾
殷宝
赵锦涛
Ma Juanjuan;Fan Qian;Yin Bao;Zhao Jintao(College of Acupuncture and Tuina,Gansu University of Chinese Medicine,Lanzhou 730000,China;Qingyang Hospital of TCM,Qingyang 745000,China)
出处
《亚太传统医药》
2024年第4期72-76,共5页
Asia-Pacific Traditional Medicine
基金
甘肃省庆阳市重点研发计划-社会发展类(QY-STK-2022A-090)。
关键词
脑梗死
醒脑开窍
针刺
补阳还五汤
运动性失语
Cerebral Infarction
Xingnao Kaiqiao Needing
Acupuncture
Buyang Huanwu Decoction
Motor Aphasia
