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

Abstract

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

CLC Number:

R743.3

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.

Figures/Tables 4

Table 1

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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

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

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