不同療程解語丹藥棒治療腦卒中后運動性失語的臨床研究

　　摘要：目的 觀察不同療程解語丹藥棒治療腦卒中后運動性失語的療效。方法 80例腦梗死病人，隨機分為觀察組和對照組各40例，對照組予以卒中基礎(chǔ)治療，并予以語言康復訓練和靳三針治療，觀察組在對照組的基礎(chǔ)上予以解語丹藥棒治療（解語丹由石菖蒲、遠志、天麻、膽南星、僵蠶、地龍、全蝎等組成），治療2周及1月（2個療程）后，通過WAB法（西方失語成套試驗中國化）評定語言功能，通過計算失語商（Aphasia quotient，AQ）判斷嚴重程度，并進行療效評價和安全性評價。結(jié)果 與對照組比較，在治療1個及2個療程后：觀察組治療后自發(fā)談話流暢性、復述及閱讀評分、AQ值和臨床療效比較，差異均有統(tǒng)計學意義（P<0.05），且治療2個療程療效優(yōu)于治療1個療程，差異有統(tǒng)計學意義（P<0.05）。結(jié)論 解語丹藥棒治療腦卒中后運動性失語療效顯著，尤其對于自發(fā)談話流暢性、復述、閱讀評分以及失語商改善明顯，治療2周和1月均有效，但治療2個療程療效優(yōu)于治療1個療程。
　　關(guān)鍵詞：解語丹；藥棒；運動性失語；療效；療程
　　中圖分類號：R743 文獻標志碼：B 文章編號：1007-2349（2018）02-0036-03
　　Clinical Study on Treatment of Exercise Aphasia after Stroke with Different Medications of Jieyudan Rod
　　WANG Shu-qing， ZHOU Yi-jie， WEI Hua-jun， WANG Pei-li， WEI Bi-qing， LIAO Mei-rong
　�。═raditional Chinese Medicine Hospital of Guilin City， Guilin 541002， China）
　　【Abstract】Objective： To observe the curative effect of Jieyudan Rod on the treatment of exercise aphasia after stroke with different medications of Jieyudan rod. Methods： 80 patients with cerebral infarction were randomly divided into a treatment group and a control group， 40 cases per group. The control group was given basic treatment of apoplexy and language rehabilitation training and Jin three-needle treatment. On the base of the basic treatment of the control group， the treatment group was added Jieyudan Rod which consisted of Acorusgramineus， Polygala， Gastrodia， Arisaema cum bile， Stiff silkworm， Earthworm， Scorpio and etc. After 2-week and 1-month treatment （2 courses）， WAB method （Western Aphasia Package Test， sinicized ） was used to make assessment of language function， and aphasia quotient （AQ） was calculated to determine its severity， and the efficacy evaluation and safety evaluation were made. Results： Compared with the control group， the treatment group after one and two courses of treatment showed significant differences in spontaneous conversation fluency， repetition and reading scores， AQ value and clinical curative effect （P<0.05） And the curative effect of two courses of treatment is better than that of one course of treatment， and the difference was statistically significant （P<0.05）. Conclusion： Jieyudan Rod is very effective in treatment of exercise aphasia after stroke， especially for the improvement of spontaneous conversation fluency， repetition， reading scores and aphasia quotient. Both 2-week and 1-month treatment are effective， but the curative effect of 2 courses of treatment is better than that of 1 course of treatment.
　　【Key words】Jieyudan， medicine rod， exercise aphasia， curative effect， course of treatment

相關(guān)熱詞搜索：失語 療程 臨床研究 腦卒中 治療