Clinical observation of scalp acupuncture plus speech rehabilitation for Broca’s aphasia after cerebral stroke

Abstract

Objective

To explore the clinical efficacy of scalp acupuncture plus speech rehabilitation in treating Broca’s aphasia after cerebral stroke, for providing novel evidences for the treatment.

Methods

Ninety-one eligible patients with Broca’s aphasia after cerebral stroke were randomized into an observation group and a control group. Forty-six cases in the observation group were intervened by scalp acupuncture plus speech rehabilitation, while 45 cases in the control group were treated by speech rehabilitation alone. The aphasia battery of Chinese (ABC) and Boston diagnostic aphasia examination (BDAE) were adopted to evaluate the clinical efficacy.

Results

After the treatment, the scores of oral expression, reading and writing and global score in the observation group were significantly higher than those in the control group (all P<0.05). There was a significant difference in comparing the BDAE grading between the two groups after the treatment (P<0.05). After intervention, the basically-recovered plus markedly-effective rate was 45.7% in the observation group versus 24.4% in the control group, and the between-group difference was statistically significant (P<0.05).

Conclusion

Scalp acupuncture plus speech rehabilitation is effective in treating Broca’s aphasia after cerebral stroke, and worth promoting.

摘要

目的

探讨头针联合语言康复训练治疗脑卒中运动性失语的临床疗效, 为临床治疗提供新的证据。

方法

选将符合研究标准的91 例脑卒中后运动性失语的患者随机分为观察组和对照组, 观察组46 例予以头针联合语言康复训练治疗, 对照组45 例仅予以语言康复治疗。采用汉语失语症检查法及波士顿诊断性失语症测验(BDAE)分级法评价两组患者的临床疗效。

结果

治疗后, 观察组口语表达、阅读、书写及总评分均明显高于对照组, 组间差异具有统计学意义(均P<0.05)。治疗后两组患者组间BDAE 分级比较, 差异具有统计学意义(P<0.05)。治疗后,观察组患者显效率为45.7%, 对照组患者显效率为24.4%, 两组患者显效率比较, 差异具有统计学意义(P<0.05)。

结论

头针联合语言康复训练治疗脑卒中运动性失语临床疗效肯定, 值得推广。