地黄饮子治疗肝肾两虚证中风失语临床观察

目的:观察地黄饮子加减对肝肾两虚证引起的中风失语语言功能的影响。方法:30例患者采用住院前后随机按数字表法分为对照组和治疗组各15例。两组患者均给予常规治疗。对照组采取舒尔氏(Schuell)刺激法进行言语康复训练,30 min/次,3次/周;治疗组在对照组治疗的基础上给予地黄饮子加减治疗,1剂/d,分早晚2次温开水冲服。两组疗程均为2个月。采用中国康复研究中心汉语标准失语症检查(CRRCAE),功能性语言沟通能力量表(CFCP),失语商(AQ)和波士顿诊断性失语症检查法(BDAE)评定两组患者语言功能。结果:对照组临床愈显率为26.67%,治疗组愈显率为73.33%;治疗组明显优于对照组(P0.05);治疗组治疗后CRRCAE各项分值均明显高于对照组(P0.01);治疗组治疗后CFCP和AQ评分均高于对照组,比较有统计学意义(P0.01);治疗组治疗后BDAE分级比较优于对照组(P0.01)。结论:在常规治疗的基础上,采用地黄饮子加减配合Schuell语言训练,可改善肝肾两虚证的中风失语患者的言语功能,能提高患者的CRRCAE,CFCP和AQ评分,减轻BDAE评分。

Clinical Observation of Dihuang Yinzi on Aphasia from Apoplexy with Syndrome of Liver and Kidney Deficiency

Objective: To observe the effect of addition and subtraction Dihuang Yinzi on language function of aphasia from apoplexy with syndrome of both liver and kidney deficiency. Method: Thirty patients were randomly divided into control group and treatment group by random number table method, with 15 cases in each group. The conventional therapy was given to all patients in both groups. Patients in control group were treated with Schuell language training, 30 min/time, 3 times/week. Based on the treatment in control group, the patients in treatment group also received addition and subtraction Dihuang Yinzi treatment, 1 dose/d, tid with warm water. The treatment course was 2 months for all cases. Speaking function of the patients in two groups was evaluated by China rehabilitation research center aphasia examination (CRRCAE), Chinese functional communication profile (CFCP), aphasia quotient (AQ), and Boston diagnostic aphasia examination (BDAE). Result: The markedly clinical effective rate was 73.33% in treatment group, which was significantly superior to 26.67% in control group (P<0.05). After treatment, score in each item of CRRCAE in treatment group was significantly higher than that in control group (P<0.01). Scores of CFCP and AQ were higher than those in control group after treatment with statistical significance (P<0.01). After treatment, BDAE grading in treatment group was superior to that in control group (P<0.01). Conclusion: On the basis of the conventional therapy in control group, addition and subtraction Dihuang Yinzi plus Schuell's language training in treatment group improves language function of patients with aphasia from apoplexy with syndrome of both liver and kidney deficiency, increases scores of CRRCAE, CFCP,and AQ, and decreases BDAE score.