Clinical Observation On The Treatment Of Aphasia After Stroke By The Combination Of "Xingshen" And "Tongluo" Therapy

Objective:To observe the clinical curative effect of treating aphasia after stroke with the methods of " xingshen " and "tongluo" by needling shuigou,neiguan,yongquan combined with local acupoints,lianquan,yamen and tongli.To prove the effectiveness of the combination of "xingshen" and "tongluo" in the recovery of aphasia after stroke,and to explore the theoretical mechanism of the treatment of aphasia after stroke with this scheme,so as to provide a new idea for the clinical treatment of aphasia after stroke.Methods:In this study,60 cases of aphasia after stroke were selected as clinical subjects,and the enrolled cases were randomly divided into the treatment group(the group with the combination of "xingshen" and "tongluo" method)and the control group(the traditional head acupuncture group)with 30 cases each.In the treatment group,shuigou、neiguan and yongquan were selected to "xingshen ",lianquan,yamen and tongli to "tongluo".In the control group,traditional head acupoints(2/5 below the anterior tropia temporalis,2/5 below the anterior tropia temporalis,2/5 below the posterior tropia temporalis),lianquan,yamen and tongli were selected as the main points for treatment.In both groups,the acupuncture was kept for 30 min after qi was acquired in all points except lianquan,once a day,and rest for 1 day every 6 days,1 course of treatment in 21 days and 3 courses of treatment.The "Chinese aphasia checklist(ABC)method" was used to score the conversations,retelling,understanding and naming before and after treatment,observe the treatment effect of the treatment group and the control group,and finally evaluate the effect.Results:1.Intra-group comparison: the repeated measurement analysis of the conversation,understanding,retelling and naming evaluation branches of the two groups showed that the score of the four observation indicators: P(time)< 0.05,indicating that the conversation,understanding,retelling and naming functions of the two groups were improved with the increase of time.2.Comparison between groups: four observation indicators were evaluated by the independent t-test of each branch,and the results showed that: P > 0.05 before and after 1 course of treatment for conversation and understanding,and P < 0.05 after 2 and 3 courses of treatment,indicating that there was a significant difference between the two groups from the second course of treatment,and the therapeutic effect of the treatment group was better than that of the control group.Retelling and naming: P > 0.05 before treatment,P < 0.05 after treatment 1,2 and 3 courses,indicating that there was a significant difference between the two groups from the first course of treatment,and the therapeutic effect of the treatment group was better than that of the control group.3.The test results of mann-whitmeyu on the efficacy of the two groups showed that Z=-2.022 P=0.043 < 0.05,indicating that there was a significant difference in the efficacy between the two groups.In addition,because the effective rate of the treatment group was higher than that of the control group,the efficacy of "awakening the mind" and "tongluo" method in the treatment of aphasia after stroke was more significant.Conclusions:1."Xingshen" and "Tongluo" combined with scalp acupuncture have a curative e1.The combination of "xingshen" and "tongluo" and head acupuncture all have curative effect in the treatment of aphasia after stroke,but the clinical observation of "xingshen" and "tongluo" in the treatment of aphasia after stroke is better,which is worthy of clinical promotion.2.In the process of aphasia after stroke,the recovery of retelling and naming function is earlier than that of conversation and understanding by using the combination of "xingshen" and "tongluo".