言语训练结合头皮针灸治疗卒中失语症患者的疗效分析

目的 探讨分析言语训练结合头皮针灸在卒中失语症患者中改善言语功能、认知功能和日常生活活动能力的临床疗效。 

Therapeutic Effect of Speech Training Combined with Scalp Acupuncture in Stroke Patients with Aphasia: A Retrospective Analysis

Objective To explore the therapeutic effect of speech training combined with scalp acupuncture in
improving speech, cognitive function and activities of daily living in stroke patients with aphasia.
Methods A retrospective analysis was made on 90 patients with apoplectic aphasia admitted to
rehabilitation department and neurology department of our hospital from January 2016 to January
2017. They were divided into speech training combined with scalp needle group, speech training
group and control group. Speech training combined with scalp needle group and speech training
group served as observation groups, and compared before and after treatment. The functional
recovery after treatment for 1 month and 3 months, and the long-term therapeutic effect at 9
months after discontinuation of treatment were evaluated by Barthel index (BI), Montreal cognitive
assessment (MoCA) and aphasia quotient.
Results (1) The BI, MoCA score and aphasia quotient of each group were all improved after 1 month
and 3 months of treatment and at 9 months after ceasing treatment. (2) MoCA scores and aphasia
quotient of the two observation groups both showed continuous improvement after treatment (P <0.001).
(3) MoCA score and aphasia quotient of speech training combined with scalp needle group were better
than that of speech training group and control group (P <0.05); the BI of speech training combined
with scalp needle group was better than that of speech training group after 3 months of treatment
(P <0.05).Conclusions Speech training combined with scalp needle rehabilitation therapy can obviously
improve speech and cognitive impairment, and improve activities of daily living more better in a
short term.