初发脑卒中后构音障碍的中医针刺、言语训练联合电刺激干预效果

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英文篇名：Effects of Acupuncture of Traditional Chinese Medicine and Speech Training Combined with Electrical Stimulation on Primary Post-stroke Dysarthria 作者：段红莉 ; 张中平 ; 许秀 ; 江潭耀 英文作者：Duan Hongli;Zhang Zhongping;Xu Xiu;Jiang Tanyao;Clifford Hospital; 关键词：初发 ; 脑卒中后构音障碍 ; 中医针刺 ; 言语训练 ; 电刺激 ; 干预效果 英文关键词：Primary onset;;Post-stroke dysarthria;;Acupuncture of traditional Chinese medicine;;Speech training;;Electrical stimulation;;Intervention effects 中文刊名：SJZA 英文刊名：World Chinese Medicine 机构：广州中医药大学祈福医院; 出版日期：2019-01-15 出版单位：世界中医药 年：2019 期：v.14 基金：广东省自然科学基金项目:广东省中医药管理局课题(20151046) 语种：中文; 页：SJZA201901039 页数：4 CN：01 ISSN：11-5529/R 分类号：206-209

摘要

目的:探讨初发脑卒中后构音障碍(PSD)的中医针刺、言语训练联合电刺激干预效果。方法:选取2016年9月至2017年12月广州中医药大学祈福医院收治的初发PSD患者100例,按照随机数字表法随机分为对照组和观察组,每组50例,对照组给予中医针刺、言语训练干预,观察组在此基础上给予电刺激干预,比较2组Frenchay构音障碍分级、干预效果、生命质量。结果:观察组和对照组干预后Frenchay构音障碍分级明显高于干预前,观察组干预后Frenchay构音障碍分级明显高于对照组,差异有统计学意义(P <0. 05);观察组干预有效率明显高于对照组,差异有统计学意义(P <0. 05);观察组和对照组干预后生命质量量表(WHQQL-100)评分明显高于干预前,观察组干预后WHOQOL-100评分明显高于对照组,差异有统计学意义(P <0. 05)。结论:中医针刺、言语训练联合电刺激干预可有效改善初发PSD患者构音障碍症状,有利于提高患者的干预效果及生命质量,值得临床作进一步推广。
        Objective: To discuss the effects of acupuncture and speech training combined with electrical stimulation on primary post-stroke dysarthria (PSD). Methods: A total of 100 patients with PSD were selected from September 2016 to December 2017 in Clifford Hospital and were divided into control group and observation group according to the random number table,with 50 cases in each group. The control group received intervention of acupuncture of traditional Chinese medicine and speech training,on the basis of which the observation group received electrical stimulation. Frenchay dysplasia classification,intervention effects and life quality of the two groups were compared. Results: After the intervention,Frenchay dysarthria classification of control group and observation group significantly increased,and the classification of observation group was significantly higher than that of the control group,and the difference was statistically significant (P < 0. 05). The efficacy of the observation group was significantly higher than that of the control group,and the difference was statistically significant (P < 0. 05). After the intervention,scores of life quality scale (WHOQOL-100) of the observation group and control group significantly increased,and the scores of the observation group was significantly higher than that of the control group,and the difference was statistically significant (P < 0. 05). Conclusion: Acupuncture and speech training combined with electrical stimulation can effectively improve the symptoms of patients with primary PSD patients. It is beneficial to clinical efficacy and the life quality of the patients,which is worth further clinical promotion.

引文

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