摘要
构音障碍(dysarthria)是由于脑损伤后中枢神经或者周围神经病变以及言语产生有关肌肉的瘫痪、肌力下降、张力增高或运动不协调所造成的言语障碍,会导致呼吸、运动、共鸣、发音和韵律一方面或几方面发生变化[1].脑卒中患者中构音障碍得患者大约占有30%~40%,有15%的患者可能会长期存在构音障碍,严重影响到患者的沟通与交流,从而影响其生活质量[2].在中国传医统中学并没有构音障碍的病名,依据其症状可辨为"喑痱"、"舌謇"等范畴,即风、火、痰、瘀诸邪[3].传统医学博大精深,因此有很多学者利用传统医学对构音障碍进行康复训练研究.该文通过查阅古籍及近几年相关文献将从舌针、 舌针结合项针及舌针结合头针三方面关于脑卒中后构音障碍的近些年来的研究进行综述.
Dysarthria is a speech disorder caused by central or peripheral neuropathy and speech-related muscle paralysis,decreased muscle strength,increasedtension or uncoordinated movement after brain injury,which will lead to changes in one or more aspects of respiration,movement,resonance,pronunciation and rhythm[1].About 30%-40%of stroke patients have dysarthria,and 15%of them may have dysarthria for a long time,which seriously affects the communication of patients,thus affecting their quality of life[2].In traditional Chinese medicine,there is no disease name of dysarthria.According to its symptoms,it can be classified as"silent heat","tongue Jian"and other categories,that is wind,fire,phlegm,and blood stasis[3].Traditional medicine is extensive and profound,so many scholars use traditional medicine to study rehabilitation training of dysarthria.In this paper,by referring to ancient books and related literature in recent years,we will review the research on dysarthria after stroke from three aspects:tongue acupuncture,tongue acupuncture combined with nape acupuncture and tongue acupuncture combined with scalp acupuncture.
作者
王萍
徐倩
陈宜懿
顾延庆
单春雷
WANG Ping;XU Qian;CHEN Yiyi;GU Yanqing;SHAN Chunlei(Shanghai Second Rehabilitation Hospital,Shanghai,200441,China;Shanghai University of Traditional Chinese Medicine,Shanghai,201203,China)
出处
《反射疗法与康复医学》
2020年第13期196-198,共3页
Reflexology And Rehabilitation Medicine
基金
上海市2018年度残疾人康复科研鼓励项目:基于镜像神经元理论的手动观察训练结合针灸改善偏侧忽略症及运动控制障碍的作用
上海市2018年度残疾人康复科研入围项目,旋律语调疗法结合针灸治疗运动性构音障碍患者的疗效观察(K2018016)
2018年上海市和计划生育委员会科研课题,经颅磁刺激结合旋律语调疗法改善非流利性失语命名的疗效分析(20184Y0364)。
关键词
脑卒中
构音障碍
针刺
康复训练
Stroke
Dysarthria
Acupuncture
Rehabilitation training
