| Objectives: Through the treatment of the acupuncture method of regulating mind and resolving speech in the treatment of post ischemic stroke dysarthria,objectively evaluate its clinical efficacy,so as to find out a more effective and feasible treatment plan for post ischemic stroke dysarthria,and provide a scientific basis for the more extensive application of the acupuncture method of regulating mind and resolving speech in clinical practice,so as to promote the clinical development of acupuncture.Methods: According to the method of random grouping,60 patients with dysarthria after ischemic stroke were divided into the treatment group and the control group,with 30 patients in each group.The treatment group adopted the acupuncture method of regulating mind and resolving speech,the control group adopted the common acupuncture method,and the patients in the two groups were treated once a day,six times a week,and rested on Sunday,two weeks in total.After the end,the clinical effects of the two groups were observed and compared.In this study,Frenchay dysarthria scale was used to assess the speech function of the patients.The stroke scale(NIHSS)of the National Institutes of health and the stroke specific quality of life scal(SS-QOL)were used to assess the neurological deficit and quality of life of the patients.The patients were assessed before treatment and 2 weeks after treatment respectively.And the results were analyzed by spss25.0 statistical software,comprehensive evaluation of the two groups of patients with clinical efficacy and comparative analysis,the results are statistically significant(P<0.05).Results:1.The evaluation results of the speech function of the two groups before and after the treatment by Frenchay scale:(1)The results of Frenchay scale scores in the two groups were as follows:(1)Comparison within the group,from the total score of Frenchay scale,after treatment,the speech function of the two groups was improved(P<0.01);from the score of sub items,the scores of "reflex","lip","jaw","tongue" and "speech" in the control group were higher than before treatment,the score of "reflex","lip","jaw","soft palate","larynx","tongue" and "speech" in the treatment group was higher than before treatment,and the P value was lower than 0.05,thedifference was statistically significant.(2)Comparison between the two groups,according to the total score of Frenchay scale,the total score of Frenchay scale in the two groups before treatment was comparable(P>0.05),and the total score of the two groups after treatment was significantly different(P<0.01);from the score of sub items,there were statistical differences in the five sub-items of "lip","soft palate","larynx","tongue" and "speech" between the two groups(P<0.05).(2)Comparison of the levels of dysarthria in the two groups:(1)Comparison within the group:the levels of dysarthria in the two groups were improved compared with those before treatment(P<0.01);(2)Comparison between the two groups: the levels of dysarthria in the two groups were not statistically significant before and after treatment(P>0.05).2.The evaluation results of NIHSS scale on the neurological impairment before and after treatment of the two groups of patients:(1)Comparison within the group: the scores of NIHSS in the two groups were improved compared with those before and after treatment(P<0.01);(2)Comparison between the two groups: the total scores of the two groups before treatment were comparable(P>0.05),and the differences between the two groups after treatment were statistically significant(P<0.01),and the scores of NIHSS in the treatment group were improved more significantly than those in the control group.3.The quality of life of the two groups before and after treatment was evaluated by SS-QOL scale:(1)Comparison within the group: the scores of SS-QOL scale in the two groups were improved compared with that before treatment(P<0.01);(2)Comparison between the groups: the total scores of the two groups before treatment were comparable(P>0.05),and the differences between the two groups after treatment were statistically significant(P<0.01),and the score of SS-QOL scale in the treatment group were improved more significantly than that in the control group.4.Comparison of the clinical effects of the two groups: the total effective rate of the treatment group was 86.67%;The total effective rate of the control group was 66.67%.According to the rank-sum test,Z=-2.897,P=0.036,and P<0.05,the difference was statistically significant.Conclusions:1.Both the acupuncture method of regulating mind and resolving speech and the common acupuncture method can effectively improve the speech construction function of patients,and the acupuncture method of regulating mind and resolving speech is superior to the common acupuncture method,which has obvious effect in improving "lip","soft palate","throat","tongue" and "speech";2.The acupuncture method of regulating the mind and resolving the language is superior to the common acupuncture method in improving the quality of life and the degree of nerve function defect;3.The acupuncture method of regulating mind and resolving speech is simple,safe and effective.It is worth to be further used in the treatment of dysarthria after ischemic stroke. |
PDF Full Text Request