| 姜禄婷1，孔艳芳1*，秦合伟1，刘建东.头穴丛刺长留针治疗脑卒中后运动性失语的临床疗效观察[J].中医药信息,2025,42(4):45-50 |
| 头穴丛刺长留针治疗脑卒中后运动性失语的临床疗效观察 |
| Clinical Observation on the Efficacy of Long Needling Retention Scalp Acupoint Cluster Needling in the Treatment of Post - Stroke Motor Aphasia |
| 投稿时间：2024-07-28 录用日期：2024-08-30 |
| DOI：10.19656/j.cnki.1002-2406.20250408 |
| 中文关键词: 脑卒中 运动性失语 头穴丛刺长留针 重复经颅磁刺激 |
| 英文关键词: Stroke Motor aphasia Long needling retention scalp acupoint cluster needling Repetitive transcranial magnetic stimulation |
| 基金项目:河南省中医药科学研究专项课题(课题编号：2023ZY2068) |
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| 中文摘要: |
| 目的：观察头穴丛刺长留针治疗脑卒中后运动性失语的临床疗效。方法：选择符合纳入标准的脑卒中后运动性失语患者166例，依据随机数字表随机分为观察组和对照组，治疗过程中观察组脱落3例，对照组脱落3例，最终观察组纳入80例，对照组纳入80例。对照组采用低频rTMS疗法，观察组在对照组基础上联合头穴丛刺长留针，8周为1个疗程。观察两组患者治疗前后西方失语症成套检查（WAB）及AQ评分的语言能力改善情况，日常生活交流能力测验量表（CADOL - T）评分和神经功能缺损程度（NIHSS）评分改善情况；检测患者治疗前后血清多胺氧化酶（PAO）和心型脂肪酸结合蛋白（H - FABP）水平，并比较临床疗效。结果：治疗后，两组WAB、AQ评分和CADOL - T、NIHSS评分均较治疗前明显改善（P < 0.05），且观察组改善程度优于对照组（P < 0.05）；两组PAO和H - FABP水平均明显低于治疗前（P < 0.05），且观察组低于对照组（P < 0.05）。观察组总有效率97.5%（78/80），明显高于对照组83.75%（67/80）（P < 0 .05）。结论：采用头穴丛刺长留针联合低频rTMS疗法能够明显改善脑卒中后运动性失语患者的言语功能，改善神经损伤程度，两者联合具有增效的作用。 |
| 英文摘要: |
| Objective： To observe the clinical efficacy of long needling retention scalp acupoint cluster needling in the treatment of post - stroke motor aphasia.Methods： A total of 166 patients with post - stroke motor aphasia who met the inclusion criteria were randomly divided into an observation group and a control group using a random number table. During the treatment， 3 cases in the observation group and 3 cases in the control group were lost to follow - up， resulting in 80 patients in each group. The control group received low - frequency rTMS therapy， while the observation group received long needling retention scalp acupoint cluster needling combined with low - frequency rTMS therapy， with one treatment course lasting 8 weeks. Language ability improvement was assessed using the Western Aphasia Battery （WAB） and Aphasia Quotient （AQ） scores， daily communication ability using the CADOL - T scale， and neurological impairment using the NIH Stroke Scale （NIHSS）. Serum levels of polyamine oxidase （PAO） and heart - type fatty acid - binding protein （H - FABP） were measured before and after treatment， and clinical efficacy was compared.Results： After treatment， WAB， CADOL - T， and NIHSS scores in both groups showed significant improvement compared to baseline （P < 0.05）， with the observation group showing greater improvement than the control group （P < 0.05）. PAO and H - FABP levels significantly decreased in both groups compared to pre - treatment levels （P < 0.05）， with lower levels in the observation group than in the control group （P < 0.05）. The total efficacy rate in the observation group was 97.5% （78/80）， significantly higher than 83.75% （67/80） in the control group （P < 0.05）.Conclusion： Long needling retention scalp acupoint cluster needling combined with low - frequency rTMS therapy significantly improves speech function and reduces the degree of neurological impairment in patients with post - stroke motor aphasia， indicating a synergistic effect. |
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