目的:比较头针、梅花针叩刺头部区域结合语言训练和单纯语言训练两种不同方法治疗缺血性中风失语患者的临床疗效.方法:选择60例缺血性中风失语患者随机分为观察组和对照组,每组30例.对照组予语言训练治疗;观察组在语言训练基础上,取顶颞前斜线、顶颞后斜线、顶中线行针刺治疗,出针后,在顶颞前斜线、顶中线、顶颞后斜线、曲鬓穴和悬厘穴连线四线固定区域,用梅花针轻叩 2～3遍.采用<汉语失语成套测验>计分标准,比较两组患者失语检查法各亚项评分.结果:两组在治疗后信息量、流利性、复述、词命名、颜色命名、反应命名、回答是否题、听辨认、执行指令各亚项的评分均较治疗前明显提高(均P<0.05),且观察组治疗后以上各项评分均较对照组增加明显(均P<0.05).结论:针刺、梅花针叩刺配合语言训练治疗缺血性中风失语疗效显著,其效果优于单纯语言训练治疗缺血性中风失语.%Objective To compare clinical therapeutic effects of scalp acupuncture, plum-blossom needles tapping the head area combined with speech training and simple speech training on aphasia of ischemic apoplexy. Methods Sixty cases of aphasia of ischemic apoplexy were randomly divided into an observation group and a control group, 30 cases in each group. The patients in the control group received speech training, and in the observation group, on the basis of speech training, acupuncture was given at the anterior oblique line of vertex temporal, the posterior oblique line of vertex temporal and the middle line of vertex, and after withdrawal of the needles, the area enclosed by the 4 lines of the anterior oblique line of vertex temporal, the middle line of vertex, the posterior oblique line of times with plum-blossom needles. The assessment criteria in Chinese Aphasia Set Tests were used for comparison of scores of all the sub-items between the two groups. Results After treatment, scores of information amount, fluency, retelling, naming of words, naming of colors, naming of response, answer to yes or no question, hearing and recognizing, executing an order, etc. were significantly increased in both the two groups (all P<0.05), and the scores of all the above items in the observation group were more significantly increased as compared with those in the control group (all P<0.05). Conclusion Scalp acupuncture, plum-blossom needle tapping combined with speech training has a significant therapeutic effect on aphasia of ischemic apoplexy, which is better than that of simple speech training.
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