针刺同步构音训练对脑卒中后痉挛型构音障碍的效果

doi:10.3969/j.issn.1006-9771.2025.09.003

Abstract

Abstract:

Objective To observe the effect of synchronous acupuncture and articulation training on spastic dysarthria after stroke.

Methods From January to August, 2023, 64 stroke patients in the Affiliated Hospital of Shandong University of Traditional Chinese Medicine were selected, and randomly divided into control group (n = 32) and synchronous group (n = 32). Both groups received routine neurological treatment and basic articulation training. The control group added asynchronous acupuncture, while the synchronous group added synchronous acupuncture, for four weeks. Before and after treatment, the modified Frenchay Dysarthria Assessment (m-FDA), Speech Intelligibility Test (SIT), maximum phonation time (MPT) and maximum counting ability (MCA) were used to evaluate the curative effects.

Results After treatment, the scores of m-FDA in all the dimensions decreased in both groups (t > 2.882, P < 0.01); except for the jaw dimension, the scores of m-FDA in reflexes, respiration, lips, soft palate, larynx, tongue and speech dimensions were significantly lower in the synchronous group than in the control group (t > 2.050, P < 0.05). After treatment, the results of SIT, and MPT and MCA significantly increased in both groups (t > 21.061, P< 0.001), and they were better in the synchronous group than in the control group (t > 11.412, P< 0.001).

Conclusion Synchronous acupuncture and articulation training can effectively alleviate the severity of spastic dysarthria after stroke, which was superior to asynchronous acupuncture and articulation training.

Key words: stroke, spastic dysarthria, acupuncture, articulation training, speech function

CLC Number:

R743.3

WANG Xiaojing, WEI Jingyi, WEI Chen, WANG Ran, MA Sai, LIU Xihua. Effect of synchronous acupuncture and articulation training on spastic dysarthria after stroke[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(9): 1009-1016.

Figures/Tables 4

Table 1

Table 2

Comparison of m-FDA scores between two groups pre- and post-treatment"

维度	组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值	维度	组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
反射	对照组	32	前测	5.69±1.28	3.741	< 0.001	软腭	对照组	32	前测	7.13±1.46	3.893	0.001
	对照组	32	后测	4.88±1.16		< 0.001				后测	6.13±1.34
	同步组	32	前测	5.97±1.56	6.792	< 0.001		同步组	32	前测	7.31±1.60	6.951	< 0.001
	同步组	32	后测	4.28±1.18		< 0.001				后测	5.41±1.40
	治疗前两组均值差			-0.28±0.26	-0.790	0.435		治疗前两组均值差			-0.18±0.12	-0.510	0.614
	治疗后两组均值差			0.60±0.22	2.050	0.044		治疗后两组均值差			0.72±0.18	2.450	0.017
呼吸	对照组	32	前测	4.13±0.87	3.112	0.004	喉	对照组	32	前测	10.31±1.91	2.882	0.007
	对照组	32	后测	3.53±0.88		0.004				后测	9.29±1.69
	同步组	32	前测	3.91±0.78	7.823	< 0.001		同步组	32	前测	11.19±2.36	7.432	< 0.001
	同步组	32	后测	2.41±0.61		< 0.001				后测	8.22±1.45
	治疗前两组均值差			0.22±0.13	1.250	0.216		治疗前两组均值差			-0.88±0.45	-1.760	0.083
	治疗后两组均值差			1.12±0.66	5.160	< 0.001		治疗后两组均值差			1.07±0.28	3.410	0.001
唇	对照组	32	前测	11.44±2.34	2.972	0.006	舌	对照组	32	前测	14.25±2.74	3.451	0.002
	对照组	32	后测	10.09±2.20		0.006				后测	12.50±2.53
	同步组	32	前测	11.88±2.54	6.323	< 0.001		同步组	32	前测	15.38±3.41	6.583	< 0.001
	同步组	32	后测	8.94±2.31		< 0.001				后测	11.14±2.23
	治疗前两组均值差			-0.44±0.22	-0.770	0.446		治疗前两组均值差			-0.13±0.67	-1.630	0.108
	治疗后两组均值差			1.15±0.64	2.250	0.028		治疗后两组均值差			1.36±0.46	2.710	0.009
颌	对照组	32	前测	3.88±0.82	6.212	< 0.001	言语	对照组	32	前测	11.75±2.30	3.672	< 0.001
	对照组	32	后测	2.76±0.88		< 0.001				后测	10.09±2.18
	同步组	32	前测	3.85±0.79	8.141	< 0.001		同步组	32	前测	12.09±2.64	7.251	< 0.001
	同步组	32	后测	2.44±0.75		< 0.001				后测	8.16±2.33
	治疗前两组均值差			0.03±0.03	0.160	0.873		治疗前两组均值差			-0.34±0.26	-0.580	0.566
	治疗后两组均值差			0.32±0.13	1.701	0.094		治疗后两组均值差			1.89±0.52	3.660	0.001

Table 2

Table 3

Table 4

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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			受教育年限/年	卒中类型/n
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	受教育年限/年	脑梗死	脑出血
对照组	32	21/11	60.37±11.87	25.71±3.23	18	7	7	6.32±1.74	18	14
同步组	32	23/9	59.86±11.76	25.51±3.79	19	7	6	5.93±1.64	15	17
t/χ²值		0.252	-0.710	1.620	0.518			-0.612	0.069
P值		0.529	0.476	0.081	0.774			0.572	0.832

Effect of synchronous acupuncture and articulation training on spastic dysarthria after stroke

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组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
对照组	32	前测	48.79±2.68	32.791	< 0.001
对照组	32	后测	77.22±4.11		< 0.001
同步组	32	前测	49.37±4.02	43.702	< 0.001
同步组	32	后测	87.26±2.81		< 0.001
治疗前两组均值差			-0.58±0.85	0.683	0.134
治疗后两组均值差			-10.04±0.88	11.412	< 0.001

项目	组别	n	测试	$\stackrel{-}{x}\pm s$	t值	P值
MPT/s	对照组	32	前测	11.94±1.01	21.061	< 0.001
	对照组	32	后测	15.71±1.02		< 0.001
	同步组	32	前测	11.42±0.93	61.193	< 0.001
	同步组	32	后测	22.74±1.18		< 0.001
	治疗前两组均值差			0.52±0.24	1.552	0.113
	治疗后两组均值差			-7.03±1.14	25.483	< 0.001
MCA/n	对照组	32	前测	12.25±0.76	39.134	< 0.001
	对照组	32	后测	17.10±0.62		< 0.001
	同步组	32	前测	12.01±0.88	78.163	< 0.001
	同步组	32	后测	26.40±1.15		< 0.001
	治疗前两组均值差			0.24±0.15	1.172	0.247
	治疗后两组均值差			-9.30±0.65	40.263	< 0.001

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