中医药信息2025，Vol.42Issue(4)：45-50,6.DOI:10.19656/j.cnki.1002-2406.20250408
头穴丛刺长留针治疗脑卒中后运动性失语的临床疗效观察
Clinical Observation on the Efficacy of Long Needling Retention Scalp Acupoint Cluster Needling in the Treatment of Post-Stroke Motor Aphasia
摘要
Abstract
Objective:To observe the clinical efficacy of long needling retention scalp acupoint cluster needling in the treatment of post-stroke motor aphasia.Methods:A total of 166 patients with post-stroke motor aphasia who met the inclusion criteria were randomly divided into an observation group and a control group using a random number table.During the treatment,3 cases in the observation group and 3 cases in the control group were lost to follow-up,resulting in 80 patients in each group.The control group received low-frequency rTMS therapy,while the observation group received long needling retention scalp acupoint cluster needling combined with low-frequency rTMS therapy,with one treatment course lasting 8 weeks.Language ability improvement was assessed using the Western Aphasia Battery(WAB)and Aphasia Quotient(AQ)scores,daily communication ability using the CADOL-T scale,and neurological impairment using the NIH Stroke Scale(NIHSS).Serum levels of polyamine oxidase(PAO)and heart-type fatty acid-binding protein(H-FABP)were measured before and after treatment,and clinical efficacy was compared.Results:After treatment,WAB,CADOL-T,and NIHSS scores in both groups showed significant improvement compared to baseline(P<0.05),with the observation group showing greater improvement than the control group(P<0.05).PAO and H-FABP levels significantly decreased in both groups compared to pre-treatment levels(P<0.05),with lower levels in the observation group than in the control group(P<0.05).The total efficacy rate in the observation group was 97.5%(78/80),significantly higher than 83.75%(67/80)in the control group(P<0.05).Conclusion:Long needling retention scalp acupoint cluster needling combined with low-frequency rTMS therapy significantly improves speech function and reduces the degree of neurological impairment in patients with post-stroke motor aphasia,indicating a synergistic effect.关键词
脑卒中/运动性失语/头穴丛刺长留针/重复经颅磁刺激Key words
Stroke/Motor aphasia/Long needling retention scalp acupoint cluster needling/Repetitive transcranial magnetic stimulation引用本文复制引用
姜禄婷,孔艳芳,秦合伟,刘建东..头穴丛刺长留针治疗脑卒中后运动性失语的临床疗效观察[J].中医药信息,2025,42(4):45-50,6.基金项目
河南省中医药科学研究专项课题项目(2023ZY2068) （2023ZY2068）
河南省中医学"双一流"创建科学研究专项课题项目(HSRP-DFCTCM-2023-3-27) （HSRP-DFCTCM-2023-3-27）
河南省中医药拔尖人才培养项目(2022ZYBJ15) （2022ZYBJ15）
中原英才青年拔尖人才项目(豫组通[2021]44号) （豫组通[2021]44号）
