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头针结合言语训练治疗脑卒中后运动性构音障碍临床观察OA

Clinical Observation of Scalp Acupuncture Combined with Speech Training for Motor Dysarthria After Stroke

中文摘要英文摘要

目的:观察头针结合言语训练治疗脑卒中后运动性构音障碍的临床疗效.方法:将2022年1月至2023年6月诊治的60例脑卒中后运动性构音障碍患者按照随机数字表法分为对照组和观察组,每组各30例.对照组给予言语训练,观察组给予头针结合言语训练.观察两组患者治疗前后言语清晰度、Frenchay构音障碍评估量表(French articulation disorder assessment scale,FDA)评分、嗓音障碍指数(voice handicap index,VHI)、最大数数能力(maximum counting ability,MCA)和最长声时(maxi-mum phonation time,MPT)测定、美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)和改良 Barthel 指数(modified barthel index,MBI)变化情况.结果:观察组治疗后言语清晰度、MBI评分高于对照组,FDA评分、VHI评分、NIHSS评分低于对照组,MCA和MPT长于对照组,差异有统计学意义(P<0.05).结论:头针结合言语训练可改善脑卒中后运动性构音障碍患者构音障碍、嗓音障碍,提高言语清晰度.

Objective:To observe the clinical efficacy of scalp acupuncture combined with speech training on motor dysarthria after stroke.Methods:A total of 60 patients with motor dysarthria after stroke from January 2022 to December 2022 were divided into the con-trol group and the observation group according to the random number table method,with 30 cases in each group.The control group was given speech training,while the observation group was given scalp acupuncture combined with speech training.The changes in speech intelligibility,French articulation disorder assessment scale(FDA),voice handicap index(VHI),maximum counting ability(MCA),maximum phonation time(MPT),National Institute of Health stroke scale(NIHSS)and modified Barthel index(MBI)of the two groups before and after treatment were observed.Results:After treatment,the speech intelligibility and MBI score of the observation group were higher than those of the control group,while the FDA score,VHI score and NIHSS score were lower than those of the control group,and the MCA and MPT were longer than those of the control group,with statistically significant differences(P<0.05).Conclu-sion:Scalp acupuncture combined with speech training can improve the dysarthria and voice disorder of patients with motor dysarthria after stroke,and enhance the speech intelligibility.

黄小燕;廖文舟;段学铭

广东省人民医院赣州医院,赣州市立医院,江西赣州 341000

中医学

脑卒中运动性构音障碍头针言语训练言语清晰度嗓音障碍

strokemotor dysarthriascalp acupuncturespeech trainingspeech intelligibilityvoice disorder

《河南中医》 2024 (006)

915-919 / 5

赣州市科技计划项目(20222ZDX8224)

10.16367/j.issn.1003-5028.2024.06.0169

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