针刺同步言语训练对卒中后运动性失语患者的效果

doi:10.3969/j.issn.1006-9771.2025.09.002

《中国康复理论与实践》 ›› 2025, Vol. 31 ›› Issue (9): 1000-1008.doi: 10.3969/j.issn.1006-9771.2025.09.002

• 专题　言语与语言康复 • 上一篇下一篇

针刺同步言语训练对卒中后运动性失语患者的效果

魏婧怡¹, 王潇婧¹, 王冉², 卫晨², 马赛², 刘西花²()

¹ 山东中医药大学康复医学院，山东济南市 250355
² 山东中医药大学附属医院康复科，山东济南市 250014

收稿日期:2025-01-15 修回日期:2025-08-27 出版日期:2025-09-25 发布日期:2025-10-10
通讯作者: 刘西花(1983-)，女，汉族，山东德州市人，博士，主任医师，博士研究生导师，主要研究方向：中西医结合康复，E-mail： xihualiu0629@163.com。
作者简介:魏婧怡(2002-)，女，汉族，天津市人，硕士研究生，主要研究方向：中西医结合康复。
基金资助:
1. 国家自然科学基金青年科学基金项目(81802239);2. 山东省中医药科技项目(M-2023142)

Effect of acupuncture synchronized speech training on post-stroke motor aphasia

WEI Jingyi¹, WANG Xiaojing¹, WANG Ran², WEI Chen², MA Sai², LIU Xihua²()

¹ School of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Ji'nan, Shandong 250355, China
² Department of Rehabilitation, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Ji'nan, Shandong 250014, China

Received:2025-01-15 Revised:2025-08-27 Published:2025-09-25 Online:2025-10-10
Contact: LIU Xihua, E-mail: xihualiu0629@163.com
Supported by:
National Natural Science Foundation of China (Youth)(81802239);Shandong Traditional Chinese Medicine Science & Technology Project(M-2023142)

摘要/Abstract

摘要：

目的观察针刺同步常规言语训练对卒中后运动性失语患者言语功能的影响。

方法选取2023年1月至8月山东中医药大学附属医院住院的卒中后运动性失语患者60例，随机分为对照组(n = 30)和同步组(n = 30)。两组均接受针刺和常规言语训练，对照组针刺和言语训练分别于同一天上、下午进行，同步组则在针刺的同时进行言语训练，共3周。治疗前后，采用中国康复研究中心汉语标准失语症检查量表(CRRCAE)、非言语认知功能评定(NLCA)、日常生活交流能力测试(CADL)进行评定。

结果治疗后，两组CRRCAE各维度分、NLCA各维度分和CADL评分均提高(|t| > 2.081, P < 0.05)，且同步组各项评分均优于对照组(|t| > 2.680, P < 0.05)。

结论相比序列治疗模式，针刺同步言语训练能更有效地改善卒中后运动性失语患者的言语功能。

关键词: 卒中后运动性失语, 针刺, 言语训练

Abstract:

Objective To observe the effect of acupuncture synchronized with speech training on speech function of patients with post-stroke motor aphasia.

Methods Sixty inpatients with post-stroke motor aphasia were selected from the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, from January to August, 2023. They were randomly divided into control group (n = 30) and synchronous group (n = 30). Both groups received acupuncture and speech training; the control group received acupuncture in the morning and speech training in the afternoon, while the synchronous group received acupuncture and speech training synchronously, for three weeks. They were assessed with Chinese Rehabilitation Research Center Standard Aphasia Examination (CRRCAE), Non-Language-Based Cognitive Assessment (NLCA) and Communication Activities of Daily Living (CADL) before and after treatment.

Results The subscores of CRRCAE and NLCA, and score of CADL increased in both groups (|t| > 2.081, P < 0.05) after treatment, and they were better in the synchronous group than in the control group (|t| > 2.680, P < 0.05).

Conclusion Synchronous mode of acupuncture and speech training is more effective on post-stroke motor aphasia than time-sequence mode.

Key words: post-stroke motor aphasia, acupuncture, speech training

中图分类号:

R743.3

魏婧怡, 王潇婧, 王冉, 卫晨, 马赛, 刘西花. 针刺同步言语训练对卒中后运动性失语患者的效果[J]. 《中国康复理论与实践》, 2025, 31(9): 1000-1008.

WEI Jingyi, WANG Xiaojing, WANG Ran, WEI Chen, MA Sai, LIU Xihua. Effect of acupuncture synchronized speech training on post-stroke motor aphasia[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(9): 1000-1008.

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组别	n	性别 (男/女)/n	年龄/岁	体质量指数/(kg·m^-2)	病程/n			卒中类型 (梗死/出血)/n	受教育年限/年
组别	n	性别 (男/女)/n	年龄/岁	体质量指数/(kg·m^-2)	< 3个月	3~6个月	> 6个月	卒中类型 (梗死/出血)/n	受教育年限/年
对照组	30	20/10	60.62±12.57	24.71±4.62	17	6	7	16/14	6.13±1.78
同步组	30	21/9	59.28±10.86	26.02±3.71	18	6	6	17/13	5.87±1.61
t/χ²值		0.248	-0.690	1.890	0.476			0.067	-0.594
P值		0.622	0.493	0.064	0.787			0.795	0.554

维度	组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
听理解	对照组	30	前测	114.57±24.53	2.081	0.045
			后测	127.73±24.58
	同步组	30	前测	117.50±28.49	4.412	0.001
			后测	149.33±27.18
	治疗前两组均值差			2.93±5.79	0.430	0.671
	治疗后两组均值差			21.60±16.65	3.230	0.002
复述	对照组	30	前测	93.57±23.29	2.092	0.043
			后测	107.10±29.16
	同步组	30	前测	96.40±27.24	4.865	< 0.001
			后测	130.90±27.76
	治疗前两组均值差			2.83±6.05	0.430	0.667
	治疗后两组均值差			23.80±20.92	3.240	0.002
说	对照组	30	前测	65.43±15.43	6.124	< 0.001
			后测	76.67±15.94
	同步组	30	前测	65.23±19.21	8.965	< 0.001
			后测	94.83±22.40
	治疗前两组均值差			-0.20±5.77	-0.040	0.965
	治疗后两组均值差			18.17±16.46	3.620	< 0.001
出声读	对照组	30	前测	74.70±19.54	6.483	< 0.001
			后测	84.53±17.05
	同步组	30	前测	77.13±23.29	8.342	< 0.001
			后测	99.07±16.53
	治疗前两组均值差			2.38±5.41	0.440	0.663
	治疗后两组均值差			14.53±9.33	3.350	0.001
阅读理解	对照组	30	前测	102.00±21.35	6.735	< 0.001
			后测	114.30±23.11
	同步组	30	前测	105.90±23.79	9.012	< 0.001
			后测	131.97±27.79
	治疗前两组均值差			3.90±4.19	0.670	0.507
	治疗后两组均值差			17.67±13.28	2.680	0.010

维度	组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
记忆力	对照组	30	前测	9.00±2.53	6.823	< 0.001
			后测	12.30±2.05
	同步组	30	前测	8.17±2.35	12.342	< 0.001
			后测	16.00±2.21
	治疗前两组均值差			-0.83±3.01	1.321	0.192
	治疗后两组均值差			3.70±2.91	6.713	0.001
注意力	对照组	30	前测	12.57±3.33	7.152	< 0.001
			后测	16.33±3.21
	同步组	30	前测	12.40±2.59	9.870	< 0.001
			后测	22.77±2.86
	治疗前两组均值差			1.23±3.54	0.216	0.830
	治疗后两组均值差			6.43±5.44	8.196	< 0.001
逻辑推理能力	对照组	30	前测	3.50±1.20	4.935	< 0.001
			后测	4.90±0.96
	同步组	30	前测	3.33±1.21	11.564	< 0.001
			后测	7.10±0.85
	治疗前两组均值差			-0.17±0.70	0.536	0.594
	治疗后两组均值差			2.20±1.00	9.430	< 0.001
视空间能力	对照组	30	前测	5.77±1.48	6.212	< 0.001
			后测	8.37±1.33
	同步组	30	前测	6.10±1.42	10.890	< 0.001
			后测	11.33±1.90
	治疗前两组均值差			0.33±1.75	0.890	0.377
	治疗后两组均值差			2.97±1.16	10.062	< 0.001
执行能力	对照组	30	前测	4.33±1.30	5.485	< 0.001
			后测	5.90±1.42
	同步组	30	前测	3.77±0.97	13.452	< 0.001
			后测	7.80±1.27
	治疗前两组均值差			-0.57±1.25	1.917	0.060
	治疗后两组均值差			1.90±1.52	6.285	< 0.001

组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
对照组	30	前测	52.27±8.98	6.580	< 0.001
		后测	66.70±7.98
同步组	30	前测	54.50±12.46	13.730	< 0.001
		后测	97.87±12.00
治疗前两组均值差			2.23±10.88	0.797	0.429
治疗后两组均值差			31.17±10.98	11.848	< 0.001

针刺同步言语训练对卒中后运动性失语患者的效果

Effect of acupuncture synchronized speech training on post-stroke motor aphasia

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