目的探讨针康法对脑卒中运动性失语患者抑郁的影响.方法将70患者随机分为针康组和对照组,针康组采用头穴丛刺结合言语康复训练的方法进行治疗,对照组只进行言语康复训练,观察两组患者治疗前后的抑郁程度和失语症程度.结果治疗4周后,针康组不仅失语症程度分级改善优于对照组(P<0.05),而且其抑郁的发生率明显低于对照组(P<0.01),针康组卒中后失语症抑郁量表(SADQ)分值下降也更为显著(P<0.01).结论针康法可很好地改善治疗脑卒中运动性失语患者抑郁状态.%Objective To explore the effect of cluster needling of scalp acupuncture combined with rehabilitation(Tang's Approach) on depression of stroke patients with motor aphasia. Methods 70 stroke patients were randomly divided into the acupuncture with rehabilitation group and the control group. The cluster needle of scalp point with speech rehabilitation training was used in the acupuncture with rehabilitation group, while speech rehabilitation training was used only in the control group. The degree of depression and aphasia were observed in the two groups 4 weeks after treament. Results 4 weeks after the treatment, the classification of aphasia was getting better in the acupuncture with rehabilitation group than in the control group(P＜0.05), and the incidence of depression decreased significantly in the acupuncture with rehabilitation group compared with the control group(P＜0. 01). The score of Stroke Aphasic Depression Scale (SADQ) decreased significantly in the acupuncture with rehabilitation group compared with the control group (P＜0.01). Conclusion Tang's Approach may improve the depression of stroke patients with motor aphasia.
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