世界中医药

作者	单位
杨玲1，郭耀光1，李德华1，王锦2	1 成都中医药大学附属医院针灸康复科，成都，610072； 2 西南民族大学校医院，成都，610041

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中文摘要:

目的：探讨言语训练配合“颞三针”治疗中风后构音障碍疗效观察。方法：选取2015年6月至2017年成都中医药大学附属医院收治的中风后构音障碍患者120例，按随机数字法分为3组，各40例。联合组采用言语训练配合“颞三针”；颞三针组采用“颞三针”；言语训练组采用言语训练。观察比较3组治疗后言语功能、Frenchay构音评定、临床疗效、生命质量及不良反应情况。结果：治疗后，联合组患者言语功能均较颞三针组、言语训练组显著改善，差异有统计学意义（Hc=11.763,P＝0.002）；治疗后联合组Frenchay构音障碍程度明显较颞三针组、言语训练组减轻，差异有统计学意义（Hc=11.635,P＝0.002）；治疗后，联合组显效率为47.50%优于颞三针组、言语训练组（20.00%，22.50%），差异有统计学意义（χ2=6.76，χ2=5.49,P<0.05）；联合组治疗临床总有效率为95.00%优于颞三针组、言语训练组（65.00%，62.50%），差异有统计学意义（χ2=11.25，χ2=12.62,P<0.01）；治疗后，3组患者在生理领域、心理领域、环境领域和社会关系等的评分均较治疗前升高，且联合组四个领域评分升高的幅度较颞三针组、言语训练组大，差异有统计学意义（P<0.001）。结论：言语训练配合“颞三针”治疗中风后构音障碍患者有助于促进患者构音障碍的恢复，提高患者生命质量。

English Summary:

To investigate the efficacy of speech training combined with “Niesanzhen” in dysarthria after stroke. Methods:From June 2015 to 2017, 120 cases of stroke patients with dysarthria were divided into two groups according to the random number method, each of which was divided into three groups （n=40）. The joint group was provided with speech training and “Niesanzhen”,“Niesanzhen” group “Niesanzhen” and speech training group speech training. Speech function, Frenchay sound evaluation, clinical efficacy, quality of life and adverse reactions of the three groups after treatment were observed and compared. Results:After the treatment, the patients in the joint group had greater improvement in were speech function than the others, and the difference was statistically significant （Hc=11.763,P＝0.002）; combined treatment group had less Frenchay dysarthria, and the difference was statistically significant （Hc=11.635,P＝0.002）; after the treatment. The efficiency rate of the joint group was 47.50%, better than that of the temporal group and the speech training group （20%, 22.50%）, and the difference was statistically significant （χ2=6.76, χ2=5.49, P<0.05）; the clinical total effective rate of the joint group was 95%, higher than that of the temporal group and the speech training group （65%, 62.50%）, and the difference was statistically significant （χ2=11.25, χ2=12.62, P<0.01）; after treatment, three groups of patients had better score in the fields of physical and psychological, environmental and social relations, and the combined group had largest improvement, and the difference was statistically significant （P<0.001）. Conclusion:Speech training combined with “Niesanzhen” helps stroke patients with dysarthria recovery, improves the quality of life of patients.

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