Clinical Research Of Tongue Vein Bloodletting In Traditional Mongolian Medicine Treatment Of Speech Disorder After Sa Disease

Objective: To explore the influence of tongue veins bloodletting therapy of Mongolian medicine on speech disorders after "Sa disease",provide effective treatment for speech disorders after Sa disease and provide the basis for optimizing the clinical path of speech disorders after Sa disease.Methods:A total of 63 patients with speech disorder after Sa disease were randomly divided into two groups,3 patients were excluded from the treatment,and 30 patients in the control group received conventional basic treatment and speech rehabilitation training.By the same therapist at a certain time put patients at a quiet,safe place,according to individual circumstance rehabilitation training plan and implement: give priority to with Schuell aphasia stimulation,teach speech presentation skills Automatic speech training.After the training Look at the picture and describe the training to speak according to the progress of live to look at the picture again.Sentence and essay training once a day,30 min each time,a course of treatment(The duration of treatment is 28 days).Other 30 patients in the treatment group received tongue veins bloodletting therapy on the basis of the treatment in the control group.Three days before bloodletting therapy,they began to take 5g three sub soup,take it orally three days a week.After taking the patients into the treatment room with quiet light feet and disinfection,they were placed on a stool or wheelchair,and given water to gargle and clean the mouth.During bloodletting treatment,the patient was asked to open his mouth and extend his tongue.The patient’s tongue was gently rolled up with a gauze wrapped the hemostatic forceps,and the tongue was fixed to fully expose the tongue veins.A special Mitsubishi bloodletting device was used to bloodletting the blood vessels under the tongue on both sides once a week in turn,and the blood volume was 2-5ml each time,gargling with warm water during bleeding or directly pressing the wound with sterile cotton balls.(The duration of treatment is 28 days);WAB scale was used to evaluate the efficacy of the treatment before,after 14 days and after a period of 28 days.Results: After analysis,the total effective rate of observation group was83.33% and control group 63.33%.After 14 days of treatment,single WAB scores in both groups improved,but P > 0.05,there was no significant difference between the two groups.After 28 days of treatment,single WAB scores in both groups improved significantly,P < 0.05,which was statistically significant.Conclusion: 1.Tongue and pulse bloodletting therapy combined with speech rehabilitation training and speech rehabilitation training in Mongolian medicine were effective in the treatment of speech disorders after SARS,but the total effective rate of the observation group was 83.33% better than that of the control group(63.33%)2.After 14 days of treatment,the scores of spontaneous speech naming,listening,comprehension and retelling improved in both groups,but there was no statistical significance between the two groups.After 28 days of treatment,the improvement of spontaneous speech naming,listening,understanding and retelling scores of the WAB was better in the clinical study group than in the pure speech rehabilitation training group,Worthy of promotion in clinic.