【摘要】 目的:观察针刺配合言语治疗对脑卒中和脑外伤后构音障碍的疗效。方法:将61例构音障碍患者随机分为两组。观察组(30例)在言语治疗同时配合针刺颈项部廉泉、金津、玉液、风池、翳风和完骨为主,对照组(31例)只给予言语治疗,治疗9周后评价言语和声学指标的变化。结果:治疗后两组患者单词清晰度和篇章正答率均明显提高(均P<0.01),观察组总有效率为96.7%(29/30),优于对照组的67.7%(21/31)(P<0.01);治疗后观察组(12例)和对照组(11例)经喉发声空气力学分析仪检测的最长发声时间(MPT)均显著延长(均P<0.01),且观察组改善更明显(P<0.01)。结论:针刺配合言语治疗能改善构音障碍患者的言语和声学水平。更多还原

【Abstract】 Objective To observe the effect of acupuncture combined with speech therapy on dysarthria after stroke or cerebral trauma.Methods Sixty-one cases of dysarthria were randomly divided into two groups.The observation group(30 cases) was treated with speech therapy and acupuncture at major acupoints Liánquán(廉泉 CV 23),Jīnjīn(金津 EX-HN 12),Yùyè(玉液 EX-HN 13),Fēngchí(风池 GB 20),Yìfēng(翳风 TE 17) and Wángǔ(完骨 GB 12),and the control group(31 cases) was treated with speech therapy only.The changes of speech and acoustical indices were evaluated after 9 weeks treatment.Results The word articulation and the correct rate of writings in the two groups were significantly increased after treatment(both P<0.01).The total effective rate of 96.7%(29/30) in the observation group was superior to that of 67.7%(21/31) in the control group(P<0.01).The maximum phonation time(MPT) tested by a phonolaryngeal aeromechanical analyzer was significantly prolonged in both the observation group(12 cases) and the control group(11 cases)(both P<0.01),the improvement in the observation group being more obvious(P<0.01).Conclusion Acupuncture combined with speech therapy can improve the speech and acoustic level in the patient of dysarthria.更多还原