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头皮电针结合康复训练治疗颅脑损伤后失语症的临床疗效及其对患者语言功能和生活质量的影响:一项观察性研究。

Clinical efficacy of scalp electroacupuncture combined with rehabilitation training for aphasia after head injury and its effect on patients' language function and quality of life: An observational study.

机构信息

Department of Acupuncture and Tuina, Wenzhou TCM Hospital of Zhejiang Chinese Medical University, Wenzhou, Zhejiang, China.

Wenzhou Geriatric Hospital, Wenzhou, Zhejiang, China.

出版信息

Medicine (Baltimore). 2024 Jun 14;103(24):e38263. doi: 10.1097/MD.0000000000038263.

Abstract

To explore the clinical efficacy of scalp electroacupuncture combined with rehabilitation training for aphasia after head injury, and analyze its effect on patients' language function and quality of life. Our hospital randomly enrolled 100 aphasia patients caused by head injury treated from March 2020 to March 2022 as the experimental object and divided them into the control group and experimental group, with 50 cases in each group. The general rehabilitation training was performed to the control group and the scalp electroacupuncture combined with rehabilitation training was performed to the experimental group to compare their mini-mental state examination scores, communicative activities in daily living scores, aphasia battery of Chinese scores, quality of life scores, mental status scale in nonpsychiatric settings scores, National Institutes of Health Stroke Scale scores, effective rates, satisfaction of patients, and adverse reaction rates. In the between-group comparison, the patients in the experimental group had significantly higher mini-mental state examination scores, communicative activities in daily living scores, aphasia battery of Chinese scores, quality of life scores, effective rates, and satisfaction, and significantly lower mental status scale in nonpsychiatric settings scores, National Institutes of Health Stroke Scale scores and adverse reaction rates, which was statistically significant (P < .05 in all cases). The combination treatment of scalp electroacupuncture and rehabilitation training can effectively improve the language function and quality of life of patients with aphasia after head injury and remarkably enhance the treatment effect.

摘要

目的 探讨头皮电针结合康复训练对颅脑损伤后失语症的临床疗效,并分析其对患者语言功能和生活质量的影响。方法 选取我院 2020 年 3 月至 2022 年 3 月收治的颅脑损伤后失语症患者 100 例作为实验对象,随机分为对照组和实验组,每组 50 例。对照组给予常规康复训练,实验组给予头皮电针联合康复训练。比较两组患者的简易精神状态检查量表评分、日常生活交流活动量表评分、汉语失语症成套测验评分、生活质量评分、非精神病住院患者心理状态评定量表评分、美国国立卫生研究院卒中量表评分、有效率、患者满意度和不良反应发生率。结果 组间比较,实验组患者简易精神状态检查量表评分、日常生活交流活动量表评分、汉语失语症成套测验评分、生活质量评分、有效率、患者满意度均明显高于对照组,非精神病住院患者心理状态评定量表评分、美国国立卫生研究院卒中量表评分、不良反应发生率明显低于对照组,差异均有统计学意义(均 P<0.05)。结论 头皮电针结合康复训练治疗颅脑损伤后失语症可有效改善患者的语言功能和生活质量,显著提高治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda3/11175891/0d69a9957586/medi-103-e38263-g001.jpg

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