Clinical Observation On "Lai's Tongyuan Therapy" In The Treatment Of Aphasia After Stroke

Objective:The study aims to observe the curative effect of "Lai's Tongyuan Therapy" on aphasia after stroke by comparing with the one of conventional acupuncture method,through randomized controlled trials.And to verify the superiority of "Lai's Tongyuan Therapy" in treating aphasia which caused by pseudobulbar,provide a better method,further promote the idea of "Lai's Tongyuan Therapy",applied to clinical better,benefit the patients.Methods:The subjects of this study were all the patients with pseudobulbar paralysis who came from acupuncture and rehabilitation department of Guangdong Second Traditional Chinese Medicine Hospital.A total of 61 patients with pseudobulbar aphasia who met the criteria were randomly assigned to two groups,31 cases in the experimental group and 30 cases in the control group.In general treatment,both of two groups received basic treatment and rehabilitation training.In the treatment of acupuncture,the experimental group carried out acupuncture treatment by ‘Lai's Tongyuan Therapy'.In the meanwhile,routine acupuncture treatment was performed in the control group.Changes of scors and classification of ‘the aphasia battery of Chinese(ABC)‘,‘the Boston diagnostic aphasia test(BDAE)' and ‘the general picture of Chinese functional communication measurement(CFCP)‘ were achieved in these two groups before and after treatment.Using statistics to analyze and compare,then to explore the efficiency of ‘Lai's Tongyuan Therapy'in treating aphasia caused by stroke.Results:1.Baseline analyse: There were no statistical differences comparativelybetween the two groups at age,gender,handedness,culture degree and the diagnosis of type distribution(P > 0.05).2.Evaluation and analysis of observation indexes:(1)ABC:Before the treatment between the two groups,scores of the conversation volume(P = 0.881),level of fluency in conversation(P = 0.270),understanding(P = 0.462),retelling(P = 0.589),named(P = 0.297),reading(P = 0.372),writing(P = 0.534)and the total integrated scattering(TIS)(P = 0.493)were not statistically significant(P > 0.05).All the scores were improved after the treatments,and the differences were statistically distinguishable(P < 0.001).Among them,differences on scores of understanding(P = 0.422)and writing(P = 0.762)between them after the treatments were statistically indistinguishable(P > 0.05),the ones of other dimensions and TIS were statistically significant(P < 0.001).(2)BDAE:The BDAE grading comparison results showed that there was no statistically significant difference between these two groups of patients before treatment(P = 0.284).After the treatments,there was a significant improvement in the severity of aphasia,and the difference was statistically significant(P< 0.01).The results showed that the difference between the two groups was statistically significant before and after treatment,P < 0.01.(3)CFCP:the score comparison results displayed that no statistically significant difference between two groups could be found before the treatments,P = 0.745.The differences in the two groups were statistically significant before and after treatment,indicating that scores of both groups had improved,P < 0.001.After the treatments,the two groups showed statistically significant difference between the two groups,indicating that the treatment group of ‘ lai's Tongyuan Therapy' group was more effective than the conventional acupuncture group for CFCP.3.Curative effect evaluation of the results analysis: clinical curative effect comparison results between two groups of patients after the treatments revealed that differences between groups were statistically significant,P= 0.017,P < 0.05,explaining the effective rate of ‘ lai's Tongyuan Therapy'was higher than conventional ordinary acupuncture.Conclusion:1.Both‘Lai's Tongyuan Therapy‘ and conventional ordinary acupuncture method had good treatment effect at post-stroke aphasia,demonstrated amongthe recovery of language functions such as the conversation,listening comprehension,repetition,named,reading and writing,improvement of aphasia severity grading and daily language communication ability.2.The clinical effects between two methods of acupuncture on stroke patients with aphasia were close.But on talk,retelling,naming,writing,the level of aphasia severity and verbal ability,the clinical curative effect of‘Lai's Tongyuan Therapy‘ is superior to conventional ordinary acupuncture method.