Lou Xi-Qiang, Liu Xiang, Liu Chun-Hua, Lin Hua-Jian, Liu Hong, Ling Jun
Department of Acupuncture- Moxibustion, Lishui Hospital of TCM, Lishui 323000, Zhejiang Province, China.
Department of Neurology, Lishui Hospital of TCM, Lishui 323000, Zhejiang Province, China.
Zhongguo Zhen Jiu. 2021 Nov 12;41(11):1211-5. doi: 10.13703/j.0255-2930.20210302-k0005.
To compare the clinical efficacy between scalp acupuncture electrical stimulation and routine scalp acupuncture for motor aphasia in subacute stage of cerebral infarction.
A total of 54 patients with motor aphasia in subacute stage of cerebral infarction were randomly divided into an observation group (27 cases, 1 case dropped off) and a control group (27 cases, 2 cases dropped off ). Both groups were treated with routine medication and language training. In the observation group, scalp acupuncture was given at bilateral lower 2/5 of the parietal and temporal anterior oblique line and temporal frontline; after the arrival of , the electrical stimulation with disperse-dense wave was given at the affected side and continuous wave was given at healthy side. The control group was treated with routine scalp acupuncture at lower 2/5 of the parietal and temporal anterior oblique line and temporal frontline of the affected side, once a day, five times as a course, totaling two courses of treatment. The aphasia battery of Chinese (ABC) score and Boston diagnostic aphasia examination (BDAE) grade were observed before and after treatment. The levels of oxygenated hemoglobin (HbO), deoxyhemoglobin (D-Hb) and total hemoglobin (T-Hb) in local cerebral cortex of the two groups were measured in real time using functional near-infrared spectroscopy (fNIRS) before and after treatment. The clinical efficacy of the two groups was compared.
After treatment, the scores of listening comprehension, retelling, naming, spontaneous conversation and BDAE grade in the two groups were improved compared with those before treatment (<0.01, <0.05), and those in the observation group were better than the control group (<0.05). Compared before treatment, the levels of HbO and T-Hb were increased (<0.01), and the levels of D-Hb were decreased (<0.01) after treatment in the two groups. The levels of HbO and T-Hb in the observation group were higher than those in the control group (<0.05), and the level of D-Hb was lower than that in the control group (<0.05). The total effective rate was 92.3% (24/26) in the observation group, which was higher than 84.0% (21/25) in the control group (<0.05).
The scalp acupuncture electrical stimulation could improve cerebral circulation, activate specific functional areas of cerebral cortex, and promote the reconstruction and recovery of brain language function. Its curative effect is better than conventional scalp acupuncture.
比较头针电刺激与常规头针治疗脑梗死亚急性期运动性失语的临床疗效。
将54例脑梗死亚急性期运动性失语患者随机分为观察组（27例，脱落1例）和对照组（27例，脱落2例）。两组均给予常规药物治疗及语言训练。观察组在双侧顶颞前斜线中下段及颞前线行头针治疗；针剌得气后，患侧采用疏密波电刺激，健侧采用连续波电刺激。对照组于患侧顶颞前斜线中下段及颞前线行常规头针治疗，每日1次，5次为1个疗程，共治疗2个疗程。观察治疗前后汉语失语症检查法（ABC）评分及波士顿诊断性失语检查（BDAE）分级情况。采用功能近红外光谱技术（fNIRS）实时检测两组治疗前后大脑局部皮质的氧合血红蛋白（HbO）、脱氧血红蛋白（D-Hb）及总血红蛋白（T-Hb）水平。比较两组的临床疗效。
治疗后，两组的听理解、复述、命名、自发语及BDAE分级评分均较治疗前提高（<0.01，<0.05），且观察组优于对照组（<0.05）。两组治疗后HbO及T-Hb水平较治疗前升高（<0.01），D-Hb水平降低（<0.01）。观察组HbO及T-Hb水平高于对照组（<0.05），D-Hb水平低于对照组（<0.05）。观察组总有效率为92.3%（24/26），高于对照组的84.0%（21/25）（<0.05）。
头针电刺激可改善脑循环，激活大脑皮质特定功能区，促进脑语言功能的重建与恢复，其疗效优于传统头针。
