世界中医药

目的：探讨针灸联合中药组方对中风失语疗效，以期提高临床诊治水平，降低中风后并发症。方法：选取2012年5月至2014年12月86例中风失语患者为研究对象，分成2组，对照组43例，予西医结合功能康复治疗，观察组43例，针灸联合中药组方治疗，观察治疗后相关指标变化比较。结果：2组治疗后复述、口语表达、听说理解、阅读、说、出声读评分和失语成套测验法评分上较治疗前均明显提高，在神经功能缺损程度评分较治疗前显著下降，治疗前后比较有统计学意义（P<005），观察组治疗后复述、口语表达、听说理解、阅读、说、出声读评分、失语成套测验法评分、神经功能缺损程度评分改善水平较对照组治疗后更加显著(P<005)；总疗效上，对照组基本治愈率1628%、总有效率8372%，观察组基本治愈率3023%、总有效率9202%，2组比较有统计学意义(P<005)。结论：针灸联合中药组方能改善中风失语症状，提高疗效。

English Summary:

To investigate the efficacy of acupuncture combined with Chinese medicine prescriptions on stroke aphasia and improve the level of clinical diagnosis and treatment and reduce complications after the stroke.Methods:There were 86 stroke patients with aphasia from May 2012 to December 2014，who were divided into two groups as objects，a control group of 43 patients，given the Integrative functional rehabilitation treatment，and an observation group of 43 cases，applied with acupuncture combined with Chinese medicine prescription treatment，under observation for comparing changes of related indicators before and after treatment.Results:After treatment，repeat，oral expression，heard comprehension，reading，speaking，reading aloud and Aphasia test score were significantly improved and scores of nerve deficiency scale experienced a notable decline，showing the significant difference before and after the treatment(P<005)； repeat，oral expression，heard comprehension，reading，speaking，reading aloud，Aphasia test and nerve deficiency scale scores showed larger improvement than the control group after treatment(P<005)； as to the total effect，the cure rate of the control group was 1628% and the total efficiency 8372%,while for the observation group，the basic cure rate was 3023% and the total efficiency of 9202%.The difference was significant(P<005).Conclusion:Acupuncture combined with Chinese medicine prescriptions improved the efficacy of stroke aphasia.

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