神经肌肉电刺激辅助针刺、语言训练治疗运动性失语症

摘要

Objective To carry on a clinical study of neuromuscular stimulation assisted acupuncture and language training for patients with ischemic stroke aphasia.Methods 85 patients with ischemic stroke aphasia enrolled in our hospital from August 2014 to January 2017,were divided into two groups randomly;control group (n=40) accepted acupuncture and language training treatment,and the study group (n=45) adopted neuromuscular stimulation based on the patients in control group.The language function and nerve injury recovery were compared before and after treatment between the two groups,The quality of life and clinical curative effect were evaluated between the two groups.The hemorheology indexes of all patients were detected before and after treatment between two groups.Results After treatment,the language scores including reading,repeat,expression and name of study group were higher significantly than those patients in the control group (P＜0.05);and the NIHSS score of patients on study group was lower significantly than those in the control group (P＜0.05).The CADL-T score of patients in study group was higher than those in the control group,and the difference was significant (P＜0.05).The indexes of low blood viscosity,whole blood viscosity and plasma viscosity in the study group were lower remarkably than those patients in the control group (P＜0.05).And the total efficiency of the study group was higher significantly than that in the control group (P＜0.05).Conclusions Neuromuscular stimulation assisted acupuncture and language training for patients with ischemic stroke aphasia deserve more clinical application.This will not only have remarkable curative effect,but also relive the aphasia symptom and improve the recovery of language function.%目的 探讨神经肌肉电刺激辅助针刺、语言训练治疗缺血性卒中后运动性失语症的疗效.方法 选择2014年8月～ 2017年1月在我院进行治疗的缺血性卒中后失语症患者85例,随机分为对照组(40例)与观察组(45例).比较两组患者治疗前后的语言功能、神经损伤恢复情况,评估两组患者治疗前后的生活质量及临床疗效;比较两组患者治疗前后的血液流变学指标变化情况.结果 观察组患者的语言功能包括朗读、复述、表达、命名等评分显著高于对照组(P＜0.05);NIHSS评分显著低于对照组(P＜0.05);CADL-T评分显著高于对照组(P＜0.05);全血低切黏度、全血高切黏度以及血浆黏度等血液流变学指标显著低于对照组(P＜0.05);其近期总有效率显著高于对照组(P＜0.05).结论 神经肌肉电刺激辅助针刺、语言训练康复治疗缺血性脑卒中后失语症疗效显著,可有效缓解失语症状,有利于语言功能的恢复,值得临床推广应用.