中国康复理论与实践2025，Vol.31Issue(9)：1009-1016,8.DOI:10.3969/j.issn.1006-9771.2025.09.003
针刺同步构音训练对脑卒中后痉挛型构音障碍的效果
Effect of synchronous acupuncture and articulation training on spastic dysarthria after stroke
摘要
Abstract
Objective To observe the effect of synchronous acupuncture and articulation training on spastic dysarthria after stroke. Methods From January to August,2023,64 stroke patients in the Affiliated Hospital of Shandong University of Tradi-tional Chinese Medicine were selected,and randomly divided into control group(n=32)and synchronous group(n=32).Both groups received routine neurological treatment and basic articulation training.The control group added asynchronous acupuncture,while the synchronous group added synchronous acupuncture,for four weeks.Before and after treatment,the modified Frenchay Dysarthria Assessment(m-FDA),Speech Intelligibility Test(SIT),maximum phonation time(MPT)and maximum counting ability(MCA)were used to evaluate the curative effects. Results After treatment,the scores of m-FDA in all the dimensions decreased in both groups(t>2.882,P<0.01);ex-cept for the jaw dimension,the scores of m-FDA in reflexes,respiration,lips,soft palate,larynx,tongue and speech dimensions were significantly lower in the synchronous group than in the control group(t>2.050,P<0.05).After treatment,the results of SIT,and MPT and MCA significantly increased in both groups(t>21.061,P<0.001),and they were better in the synchronous group than in the control group(t>11.412,P<0.001). Conclusion Synchronous acupuncture and articulation training can effectively alleviate the severity of spastic dysarthria after stroke,which was superior to asynchronous acupuncture and articulation training.关键词
脑卒中/痉挛型构音障碍/针刺/构音训练/言语功能Key words
stroke/spastic dysarthria/acupuncture/articulation training/speech function分类
医药卫生引用本文复制引用
王潇婧,魏婧怡,卫晨,王冉,马赛,刘西花..针刺同步构音训练对脑卒中后痉挛型构音障碍的效果[J].中国康复理论与实践,2025,31(9):1009-1016,8.基金项目
1.国家自然科学基金青年科学基金项目(No.81802239) （No.81802239）
2.山东省中医药科技项目(No.M-2023142) Supported by National Natural Science Foundation of China(Youth)(No.81802239)and TCM Science and Technology Project of Shandong Province(No.M-2023142) （No.M-2023142）
