灵龟八法治疗急性脑梗塞痉挛性构音障碍的临床研究

目的:对比观察灵龟八法与石氏醒脑开窍法对急性脑梗塞痉挛性构音障碍的临床疗效。方法:将受试者随机分为灵龟八法组、醒脑开窍组、灵龟加醒脑组3组,每组各31例,均进行3周治疗。结果:(1)治疗1周、2周、3周后,各组日本言语和嗓音医学学会GRBAS分级G项等级分布情况、Frenchay相关评分均较前1周有显著性差异(P<0.05);治疗3周后,灵龟加醒脑组较灵龟组、醒脑组有显著性差异(P<0.05)。(2)治疗3周后,灵龟组总有效率71.0%,醒脑组74.2%,两组无显著性差异(P>0.05),灵龟加醒脑组93.5%,与前两组比较,均有显著性差异(P<0.05)。结论:灵龟八法、醒脑开窍法对急性脑梗塞痉挛性构音障碍都有较好治疗效果,两者疗效相似,且联用后疗效明显优于任一单用疗法。灵龟八法取穴少而精,方便安全,刺激量小,值得临床推广运用。

Clinical Study of Acupuncture Guided by Liugui 8 Methods Theory for Spasmodic Dysarthria Caused by Cerebrovascular Infarction

Objective:To estimate the validity of acupuncture guided by Liugui 8 Methods Theory for Spasmodic Dysarthria caused by Cerebrovascular Infarction.Methods:93 patients were randomly distributed into Lingui Group(group A),Xingnao Kaiqiao Group(group B),Lingui plus Xingnao Kaiqiao Group(group C),with 31 cases in each group.Results:We used GRBAS and Frenchay Index as efficacy indexes.After 1,2 and 3 weeks,we found all groups showed significant changes compared with the beginning point(P<0.05).After 3 weeks,we found Group C earned better scores both in GRBAS and Frenchay Index compared with the other 2 groups(P<0.05).After 3 weeks’ therapy,Group A gained 71% efficacy,Group B gained 74.2%,and Group C 93.5%.Conclusion:Both Linagui Methods and Xingnao Kaiqiao showed satisfying similar effect on Spasmodic Dysarthria caused by Cerebrovascular Infarction,however,when the 2 methods were combined,better effects would be gained.