[针刺哑门（GV 15）配合语言训练治疗脑梗死所致单纯运动性失语]

[Simple motor aphasia caused by cerebral infarction treated with blood-pricking at Yamen (GV 15) combined with language training].

作者信息

Ji Xing, Li Hong-bo

机构信息

Neurology Department, The 303rd Hospital of PLA, Nanning 530021, Guangxi Province, China.

出版信息

Zhongguo Zhen Jiu. 2011 Nov;31(11):979-82.

PMID:22136019

Abstract

OBJECTIVE

To explore an effective method for pure motor aphasia caused by cerebral infarction. Methods Ninety-six cases were randomized into a blood-pricking therapy combined with rehabilitation group (comprehensive group), a blood-pricking therapy group and a rehabilitation group, 30 cases in each group. Based on the routine therapy of primary disease, blood-pricking at Yamen (GV 15) combined with language rehabilitation training was applied in comprehensive group, blood-pricking at Yamen (GV 15) was applied only in blood-pricking therapy group, and language rehabilitation training was applied in rehabilitation group. The classification table of speech ability in Speech Therapy and Chinese Standard Aphasia Test Battery by Beijing Medical University were adopted to evaluate the clinical effects of speaking functions and words information, fluency, retelling, and naming of aphasia.

RESULTS

After 30 days treatment, the speaking functions of 3 groups were all significantly improved. The total effective rate was 90.6% (29/32) in comprehensive group, which was superior to that of 84.4% (27/32) in blood-pricking therapy group and 75.0% (24/32) in rehabilitation group (both P < 0.01), and it in blood-pricking therapy group was superior to that in rehabilitation group (P < 0.05). The scores of words information and fluency in comprehensive group were much more higher than those in blood-pricking therapy group and rehabilitation group (both P < 0.01); retelling and naming in comprehensive group were higher than those in other two groups (both P < 0.05); the scores of words information and fluency in blood-pricking therapy group were higher than those in rehabilitation group (both P < 0.05).

CONCLUSION

The curative effect of simple motor aphasia caused by cerebral infarction treated with blood-pricking at Yamen (GV 15) combined with language training was significantly, superior to that with either blood-pricking therapy or rehabilitation, especially in words information and fluency aspects.

摘要

目的

探讨脑梗死所致纯运动性失语的有效治疗方法。方法将96例患者随机分为刺血疗法结合康复组（综合组）、刺血疗法组和康复组，每组30例。综合组在原发性疾病常规治疗基础上，采用哑门穴（GV 15）刺血结合语言康复训练；刺血疗法组仅采用哑门穴（GV 15）刺血；康复组仅采用语言康复训练。采用北京医科大学言语治疗学中的言语能力分类表及汉语标准失语症测验量表，对失语症患者的口语功能、字词信息、流畅性、复述及命名等进行临床疗效评定。

结果

治疗30天后，3组患者的口语功能均有明显改善。综合组总有效率为90.6%（29/32），优于刺血疗法组的84.4%（27/32）和康复组的75.0%（24/32）（P均<0.01），且刺血疗法组优于康复组（P<0.05）。综合组的字词信息及流畅性评分明显高于刺血疗法组和康复组（P均<0.01）；综合组的复述及命名评分高于其他两组（P均<0.05）；刺血疗法组的字词信息及流畅性评分高于康复组（P均<0.05）。