俞募配穴结合六字诀训练治疗脑卒中后构音障碍的临床观察

目的:拟采用俞募配穴结合六字诀训练治疗脑卒中后构音障碍,观察其疗效。方法:将脑卒中伴有构音障碍患者60例,将患者随机分为六字诀组、俞募配穴组、结合组,每组各20例,六字诀组患者接受常规治疗与六字诀训练,俞募配穴组患者接受常规治疗与揿针针刺心俞、巨阙穴治疗,结合组患者接受常规治疗、六字诀训练与揿针针刺心俞、巨阙穴,训练前及训练2周后,测定言语清晰指标、改良版Frenchay构音障碍评定法、发声功能评测。结果:训练2周后,3组言语清晰指标、改良版Frenchay构音障碍评定法、发声功能评测评分均高于治疗前(P<0.05),结合组言语清晰指标、改良版Frenchay构音障碍评定法、发声功能评测数据高于六字诀组与俞募配穴组(P<0.05),六字诀组与俞募配穴组各项评分比较差异无统计学意义。结论:俞募配穴结合六字诀训练可以改善脑卒中患者构音障碍。

Clinical observation on the treatment of poststroke articulation disorder with Shu and mu acupoints combined with Liuzijue qigong

Objective: To use Shu and mu acupoints combined with Liuzijue qigong to treat post-stroke dysarthria, and to observe the effect of Shu and mu acupoints combined with Liuzijue qigong on dysarthria in stroke patients. Methods: A total of 60 patients with dysarthria who had stroke were randomly divided into the Liuzijue qigong group, Shu and mu acupoints group, and the combined group, with 20 cases in each group. The patients in the Liuzijue qigong group received conventional treatment and Liuzijue qigong, the patients in the Shu and mu acupoints group received conventional treatment and acupuncture of Xinshu and Juque acupoints, and the patients in the combined group received conventional treatment, Liuzijue qigong and acupuncture of Xinshu and Juque acupoints. After 2 weeks of training, speech indexes, improved Frenchay dysarthria assessment method and vocal function evaluation were used. Results: After 2 weeks of rehabilitation training, there were statistically significant differences among the three groups in scores of speech indicators, the modified Frenchay dysarthria assessment method, and the patient’s vocal function evaluation before and after treatment (P<0.05). The scores of speech indicators, the modified Frenchay dysarthria assessment method, and the patient’s vocal function evaluation in the combined group were significantly higher than those in the Liuzijue qigong group and the Shu and mu acupoints group, but there was no significant difference between the Liuzijue qigong group and Shu and mu acupoints group. Conclusion: Shu and mu acupoints combined with Liuzijue qigong can improve dysarthria in stroke patients.