摘要
目的探讨高压氧联合头针治疗脑卒中后运动性失语的疗效。方法选取50例2010年1月至2019年2月于我院接受治疗的脑卒中后运动性失语患者,随机分为对照组和联合治疗组,每组25例。2组均给予常规药物治疗、言语训练、头针治疗,联合治疗组在对照组治疗的基础上给予高压氧治疗。在治疗前和治疗3个疗程后,分别采用汉语失语症成套测验(ABC)和失语症严重程度分级评定运动性失语患者的言语功能。结果对照组和联合治疗组患者ABC评分中的口语表达、听理解、阅读能力、书写能力得分均高于治疗前(P<0.01),联合治疗组治疗后上述4个方面的得分均高于对照组(P<0.05)。2组患者的失语症严重程度分级均优于治疗前(P<0.01),联合治疗组治疗后患者失语症严重程度改善效果好于对照组(P<0.05)。结论高压氧联合头针与常规的康复训练结合能更好地改善脑卒中后运动性失语患者的言语功能。
Objective To observe and analyze the effect of hyperbaric oxygen combined with scalp acupuncture on patients with motor aphasia after stroke.Methods A total of fifty patients with motor aphasia after stroke,admitted to the Affiliated Hospital of Jiangsu University from the January of 2010 to the February of 2019,were randomly divided into control group and combined treatment group with 25 cases in each group.The control group was treated with routine medication,speech training and scalp acupuncture.The combined treatment group was treated with hyperbaric oxygen combined with the treatments of the control group.The language function of patients was measured by using Aphasia Battery of Chinese(ABC)and Boston Diagnostic Aphasia Examination(BDAE)before and after three courses of the treatment.Results After the treatment,the ABC scores of oral expression,listening comprehension,reading,and writing of the patients in the two groups both increased(P<0.01),while the scores in the combined treatment group were all higher than those in the control group(P<0.05).The BDAE aphasia severity grading in both groups after treatment showed better results than those before treatment(P<0.01),while the combined treatment group acted even better than that in the control group(P<0.05).Conclusion Hyperbaric oxygen combined with scalp acupuncture and routine rehabilitation training can better improve the language function of the patients with motor aphasia after stroke.
作者
丁晓燕
周宏图
范宏娟
束彦页
王楠楠
周扬
Ding Xiaoyan;Zhou Hongtu;Fan Hongjuan;Shu Yanye;Wang Nannan;Zhou Yang(Hyperbaric Oxygen Department of Affiliated Hospital of Jiangsu University,Zhenjiang 212001,China)
出处
《中华航海医学与高气压医学杂志》
CAS
CSCD
2020年第2期184-187,共4页
Chinese Journal of Nautical Medicine and Hyperbaric Medicine
关键词
高压氧
头针
脑卒中
运动性失语
Hyperbaric oxygen
Scalp acupuncture
Stroke
Motor aphasia
