目的 观察靳氏舌三针联合Schuell刺激法治疗脑卒中后Broca失语的临床疗效.方法 将符合纳入标准的61例患者按随机数字表法分为试验组(31例)和对照组(30例),试验组采用靳氏舌三针联合Schuell刺激法训练,对照组采用常规Schuell刺激法语言训练,1次/d,每周5次,每次每个项目30 min,共治疗3周.分别于治疗前后采用中国功能性语言沟通能力检查法(CFCP)评价患者语言沟通能力的变化,用波士顿失语症严重程度分级标准(BDAE)评价病情变化情况.结果 2组治疗前CFCP评分差异无统计学意义(P>0.05);治疗后2组CFCP评分均较治疗前有显著提高(P<0.01),且试验组CFCP评分增加更为显著,与对照组相比差异有统计学意义(P<0.05).试验组临床总有效率为87.10%,对照组为76.67%,2组比较差异无统计学意义(P>0.05).结论 靳氏舌三针联合Schuell刺激法可以改善脑卒中后Broca失语患者的言语沟通能力,优于单纯的语言训练,具有较好的临床疗效.%Objective To observe the clinical effect of Jin's three needles therapy combined with Schuell stimulation method in the treatment of Broca aphasia after Stroke .Methods The cases were randomly divided into treatment group (n=31) and con-trol group (n=30) .The treatment group received Jin's three needles therapy and Schuell stimulation method ,while the control group only received Schuell stimulation method .Patients received the treatment once a day ,5 times a week for 3 weeks .CFCP and BDAE were used to evaluate the language capability before and after treatment .Results There was significant difference on CFCP scores between the two groups after treatment (P<0.01) .The CFCP scores of the treatment group were significantly higher than that of the control group(P<0.05) .The effective rates were 87.10% and 76.67% in treatment group and control group respec-tively .Conclusion The results indicate that Jin ' s three needles therapy combined with Schuell stimulation method can significantly improve the language and communication abilities of stroke patients with Broca aphasia ,and have a better clinical therapeutic effect than the Schuell stimulation method .
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