| 章丽雅,周亮,刘勇,夏思颖,过秀秀,陆非傲.互动式针刺结合言语训练治疗卒中后失语症的疗效研究[J].浙江中西医结合杂志,2025,35(7): |
| 互动式针刺结合言语训练治疗卒中后失语症的疗效研究 |
| The efficacy of combined interactive acupuncture and speech therapy in post-stroke aphasia |
| 投稿时间：2024-11-26 修订日期：2025-04-12 |
| DOI： |
| 中文关键词: 脑卒中 失语症 互动式针刺 言语训练 |
| 英文关键词:troke aphasia interactive acupuncture speech therapy |
| 基金项目:浙江省中医药科技计划项目(No.2022ZA010) |
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| 中文摘要: |
| 目的：探究互动式针刺结合言语训练应用于卒中后失语症患者的疗效。方法：将54例卒中后失语症患者随机分为言语训练组、常规针刺组、互动式针刺组,每组18例。三组患者均接受常规言语训练,常规针刺组行常规针刺结合言语训练,互动式针刺组给予互动式针刺结合言语训练,治疗时间为4周。在治疗前后对三组患者进行西方失语成套测验(WAB)评定,比较组内和组间语言功能的差异,并比较三组患者的临床疗效。结果：治疗前三组患者基线无统计学差异(P＞0.05),治疗4周后三组患者的WAB各项评分结果和失语商(AQ)均较治疗前有明显改善(P＜0.05),治疗后,与常规针刺组和言语训练组比较,互动针刺组的WAB中除自发言语和复述外,其余各项评定结果和AQ值疗效更显著(P＜0.05),而常规针刺组和言语训练组经比较无统计学差异(P＞0.05),互动针刺组治疗总有效率明显高于常规针刺组和言语训练组。结论：互动式针刺结合言语训练能有效改善卒中后失语症患者的语言功能。 |
| 英文摘要: |
| Objective: Explore the efficacy of interactive acupuncture (IA) combined with speech therapy (ST) in patients with PSA.
Methods: Fifty-four PSA patients were randomly divided into the ST group, the conventional acupuncture (CA) group, and the IA group, with 18 patients in each group. All three groups of patients received conventional ST. The CA group received conventional acupuncture combined with speech training, and the IA group received interactive acupuncture combined with speech training. The treatment time was 4 weeks. The three groups of patients were assessed using the Western Aphasia Battery (WAB) tests before and after treatment to compare intra- and inter-group differences in language function and clinical efficacy.
Results: Before treatment, there was no significant difference between the baseline scores of the three groups (P>0.05). After 4 weeks of treatment, the WAB scores and aphasia quotient (AQ) were significantly improved in all three groups of patients compared with those before treatment (P<0.05). In contrast to the CA and ST groups, the IA group exhibitesd significantly enhanced effects on AQ and all WAB scores, excluding spontaneous speech and repetition (P<0.05), following the treatment. Notably, no statistically significant difference was observed between the ST and CA groups (P>0.05). The overall effectiveness rate in the IA group was significantly higher than that in the other two groups (P<0.05).
Conclusion: IA combined with ST can effectively improve the language function of patients with PSA. |
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