摘要
[目的]观察项针、舌针联合言语康复训练治疗脑卒中后构音障碍疗效。[方法]使用随机平行对照方法,将60例神经内科住院患者按住院顺序号简单随机分为两组。对照组30例言语康复训练（呼吸、冰刺激、唇舌技能及软腭运动训练）,完成以上动作后逐步进入先发元音,后发辅音到音节,最后过渡到单词和句子训练,30 min/次,1次/d。治疗组30例针灸（项针和舌针）,项针取穴：风池、供血、翳明、治呛、吞咽、发音;舌针取穴：聚泉、金津、玉液;风池针向喉结方向,小幅度高频捻转补法,供血、翳明、治呛、吞咽、发音操作同风池;进针后以得气为度,依照辨证虚实进行补泻操作;舌针取穴：聚泉、金津、玉液;风池穴针向喉结方向,施小幅度高频捻转补法,供血、翳明、治呛、吞咽、发音操作同风池;进针后以得气为度,依照辨证虚实进行补泻操作;以点刺放血为主要手法;留针30min,行针2次,行针1-2min/次;1次/d;言语康复训练同对照组。连续治疗4周为1疗程。观测临床症状、反射、呼吸、唇、舌、颌、软腭、喉、言语、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效19例,有效10例,无效1例,总有效率96.67%。对照组显效2例,有效12例,无效16例,总有效率46.67%。治疗组疗效优于对照组（P〈0.01）。构音障碍两组均有改善（P〈0.05）,治疗组改善优于对照组（P〈0.05）。[结论]项针、舌针联合言语康复治疗脑卒中后构音障碍,疗效满意,无副作用,值得推广。
[ Objective ] To observe the clinical effect of Acupuncture at Neck Points, Tongue Acupuncture plus rehabilitation of post-Stroke Patients with dysarthria. [ Methods ] Emlooyed the randomly contrast study at parallel level. The 60 subjects of hospitalized patients into two groups according to random number table method. Control group 30 cases of speech rehabilitation training （breathing, ice stimulation, your breath skills and the soft palate in sports training, after finishing the above actions step by step into the starter vowels, consonants of backwardness to the syllable, the final transition to the words and sentences, 30 rain/times, 1 / d. The treatment group 30 cases of acupuncture and moxibustion and tongue （ a needle ）, find out a needle：the wind pool, blood supply, yiming, choking, swallowing, pronunciation;latch needle find：poly springs, Jin Jin, nectar;the wind pool needle to the direction of the Adam＇s apple, small amplitude high-frequency twisting and complement, blood supply, yiming, choking, swallowing, prouunciation operation with the wind pool; after the needle to get gas for degrees, in accordance with the actual situation of syndrome differentiation for purging operation ;the latch needle to prick bloodletting, 30 min, retaining needle needle twice, needle 1 - 2 min/times; 1/d. Speech rehabilitation training with the control group. The continuous treatment of 4 weeks for 1 course of treatment. Observation of clinical symptoms, reflection, breathing, lips, tongue, jaw, the soft palate and throat, speech and adverse reactions. For 2 course of treatment, the curative effect. [ Result ] The treatment group 19 cases were markedly effective, 10 cases were effective, 1 had no effect, total effective rate was 96.67%. The control group were 2 cases, 12 cases effective, ineffective in 16 cases, total effective rate was 46.67%. The treatment group curative effect is better than that of control group （ P〈 0.05 ） . Dysarthria in the two groups were improved （ P 〈0.05 ）, the treatment group is better than that of control group （ P〈0.05 ） . [ Conclusion ] Acupuncture at Neck Points, Tongue Acupuncture plus rehabilitation with speech rehabilitation therapy post-stroke dysarthria, curative effect is satisfied, no side effects, is worth promoting.
出处
《实用中医内科杂志》
2014年第5期135-137,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
脑卒中后构音障碍
项针
舌针
言语康复训练
改良Frenchay构音障碍评价
随机平行对照研究
Post-Stroke Patients with dysarthria
Acupuncture at Neck Points
Tongue Acupuncture
Speech rehabilitation Training
Improved Frenchay dysarthria evaluation
Random parallel control study
