【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 for dysarthria after stroke or cerebral trauma.Methods Sixty-one cases were randomly divided into two groups.The observation group(30 cases)was treated with speech therapy and acupuncture at Lianquan(CV 23),Jinjin(EX-HN 12),Yuye(EX-HN 13),Fengchi(GB 20),Yifeng(TE 17)and Wangu(GB 12)as major acupoints,while the control group(31 cases)was treated with speech therapy only.The changes of speech and acoustics indices were evaluated after 9 weeks treatment.Results The word articulation and correct rate of text of patients in two groups were both obviously improved after treatment(both P<0.01).The total effective rate of 96.7%(29/30)in observation group was superior to that of 67.7%(21/31)in control group(P<0.01).The maximum phonation time(MPT)of patiens tested by aeromechanics analyzer were obviously prolonged in observation group(12 cases)and control group(11 cases)(both P<0.01),and the improvement in observation group was more obvious(P<0.01).Conclusion Acupuncture combined with speech therapy can improve the effect on language and acoustics level for dysarthria.更多还原