针灸结合西医常规疗法对脑卒中后运动性失语患者语言功能及血液流变学的影响

目的：探讨针灸结合西医常规疗法对脑卒中后运动性失语患者语言功能与血液流变学的影响。方法将符合入选标准的脑卒中后运动性失语患者160例，按随机数字表法分为2组，每组80例。对照组采用西医常规疗法配合语言康复训练，并控制血压、血糖及血脂等至正常水平；针联组在对照组基础上配合解语方针灸治疗。2组均治疗4周。采用LBY-N6A自清洗旋转式黏度计检测全血黏度及血浆黏度，采用温氏分血管法检测红细胞压积，评估患者治疗前后语言功能及神经功能缺损评分，评价临床疗效。结果针联组总有效率为88.8%(71/80)、对照组为70.0%(56/80)，2组比较差异有统计学意义(χ2＝8.590，P＝0.003)。治疗后，针联组神经功能评分(5.5±1.6)分比(7.5±1.5)分，t＝6.893]低于对照组(P＜0.01)；针联组书写能力(44.7±2.5)分比(39.1±2.4)分，t＝2.198]、复述能力(47.1±4.4)分比(35.9±3.6)分， t＝4.433]、阅读能力(77.2±7.6)分比(65.2±6.9)分，t＝3.677]及听理解能力(45.2±2.4)分比(38.9±2.5)分， t＝2.150]评分均高于对照组(P＜0.05)。针联组全血黏度高切(2.67±1.03)mPa?s比(4.12±1.13)mPa?s， t＝4.197]、全血黏度低切(13.9±2.0)mPa?s比(20.1±2.1)mPa?s，t＝3.011]低于对照组(P＜0.01)。结论针灸结合常规疗法可改善脑卒中后运动性失语患者的语言功能，降低血液黏稠度，提高患者的生活质量。

Effect of acupuncture combined with conventional therapies for the patients with post-stroke motor aphasia language function and hemorheology

Objective To investigate the clinical effect of acupuncture combined with conventional therapies for the patients with post-stroke motor aphasia language function and hemorheology. Methods One hundred and sixty patients with post-stroke motor aphasia language function and hemorheology were divided into 2 groups (80 patients in each group). Conventional therapy with language rehabilitational training and controling of blood pressure, blood sugar and blood lipid to the normal levels was used inthe control group. Acupuncture treatment on the basis of the control group was used inthe treatment group. The whole blood viscosity and plasma viscosity wered tested by the LBY-N6A self-cleaning rotary viscosimeter. Red blood cells deposited was tested by the Winchester points vascular method. The language function and neural function defect scale were detected before and after treatment. ResultsThe total effective rate in the treatment group was 88.8% (71/80), and the control group was 70.0% (56/80). The difference between of two groups was statistically significant (χ2=8.590,P=0.003). After treatment, the needle transmitte nerve function score (5.5 ± 1.6vs.7.5 ± 1.5, t=6.893) in the treatment group was significantly lower than that in the control group (P<0.01). The needle transmitte written (44.7 ± 2.5 vs.39.1 ± 2.4, t=2.198), retelling ability (47.1 ± 4.4 vs.35.9 ± 3.6,t=4.433), reading (77.2 ± 7.6 vs.65.2 + 6.9,t=3.677) and listening comprehension (45.2 ± 2.4 vs.38.9 ± 2.5,t=2.150)score after treatment were signigicantly higher than those before treatment (P<0.05). The high shear viscosity (2.7 ± 1.0 mPa?svs.4.1 ± 1.1 mPa?s,t=4.197), low shear viscosity (13.9± 2.0 mPa?svs.20.1±2.1 mPa?s,t=3.011) in the treatment group were significantly lower than those in the control group (P<0.01).ConclusionsAcupuncture combined with conventional therapy can improve the language function and blood rheologyin the patients with post-stroke motor aphasia.