摘要
【摘 要】 目的：观察针灸治疗缺血性脑卒中后运动性失语的疗效，分析影响其疗效的相关因素。方法：根据治疗方案将 77例缺血性脑卒中后运动性失语患者分为对照组（ 32例）与观察组（ 45例），所有患者均接受降血压、降血脂、抗血小板、脑保护等常规治疗，对照组加用针刺治疗，观察组则加用针刺、温和灸治疗，治疗 1个月后进行疗效评价。然后再将观察组基本痊愈、显效患者定义为 A组，有效、无效患者定义为 B组。结果：①治疗前，观察组与对照组患者失语评分比较差异无统计学意义（ P>0.05）。治疗后，观察组及对照组患者失语评分均显著升高，治疗前后比较差异均有统计学意义（ P<0.05） ;组间比较显示观察组失语评分显著高于对照组（ P<0.05）。②观察组治疗效果显著优于对照组，差异有统计学意义（ P<0.05）。③多因素 Logistic回歸分析显示，后遗症期、脑卒中次数是影响针灸治疗缺血性脑卒中后运动性失语疗效的独立危险因素，性别、年龄、体质指数是其非独立相关因素。结论：针灸治疗缺血性脑卒中后运动性失语的疗效确切，其疗效受病程、脑卒中次数等因素影响。
【关键词】 缺血性脑卒中 ;运动性失语 ;针刺 ;针灸
Objective: To observe the therapeutic effect of acupuncture and moxibustion on motor aphasia after ischemic stroke, and analyze the related factors influencing the curative effect. Methods: according to the treatment plan, 77 patients with motor aphasia after ischemic stroke were divided into control group (32 cases) and observation group (45 cases). All patients received conventional treatment such as lowering blood pressure, reducing blood lipid, antiplatelet and brain protection. The control group was treated with acupuncture, while the observation group was treated with acupuncture and mild moxibustion. The curative effect was evaluated after 1 month of treatment. Then, the patients in the observation group who were basically cured and markedly effective were defined as group A, and those who were effective and ineffective were defined as group B. Results: ① before treatment, there was no significant difference in aphasia score between the observation group and the control group (P > 0.05). After treatment, the aphasia scores of the observation group and the control group were significantly increased, and the differences were statistically significant (P < 0.05); the comparison between the two groups showed that the aphasia score of the observation group was significantly higher than that of the control group (P < 0.05). ② The treatment effect of the observation group was significantly better than that of the control group (P < 0.05). ③ Multivariate logistic regression analysis showed that sequelae period and stroke frequency were the independent risk factors affecting the efficacy of acupuncture and moxibustion treatment of exercise-induced aphasia after ischemic stroke, while gender, age and body mass index were non independent related factors. Conclusion: Acupuncture and moxibustion is effective in the treatment of motor aphasia after ischemic stroke, which is affected by the course of disease, the number of stroke and other factors.
出版日期
2020年09月14日（中国期刊网平台首次上网日期，不代表论文的发表时间）
