Clinical study of scalp electroacupuncture combined with language training on post-stroke aphasia patients / 中国康复医学杂志

ABSTRACT

Objective:To study the scalp electroacupuncture combined with language training on the language function of post-stroke aphasia patients.Method:Ninety patients were divided into experimental group and control group by random number table method.The patients in the experimental group were treated by language rehabilitation training combined with electroacupuncture,while the control group was treated only by verbal training.Schuell stimulation was performed by one to one training and different types of aphasia patients focued on the different types of training.A course of treatment consisted of 2 weeks training with 30mins for each time,5 times a week.For acupuncture treatment,scalp acupuncture points were employed with motor area for motor aphasia,sensory area for sensory aphasia and three language areas for complete language aphasia,also combined with Baihui,wind House,dumb gate and other points.All patients received a course of treatment.The language function was evaluated by using Chinese Aphasia Test and the scores of spontaneous speech,language comprehension,repetition and nomenclature were compared before and after treatment.The degree of aphasia was assessed by the Boston Diagnostic Aphasia Examination (BDAE).The total efficacy was compared by Boston Diagnostic Aphasia.Result:There were significant differences in spontaneous speech,verbal comprehension,repetition,nomenclature and aphasia scores in the experimental group before and after treatment(P=0.01,0.03,0.02,0.02,0.02,P＜0.05)There were significant differences(P=0.02,0.03,0.01,0.02,0.03,P＜0.05) in the spontaneous speech,verbal comprehension,repetition and nomenclature and aphasia scores in the control group before and after treatment.There were significant differences in spontaneous speech,verbal comprehension,repetition,nomenclature and aphasia scores between the two groups(P=0.03,0.03,0.03,0.02,0.03,P＜0.05).There was significant difference in the total curative effect between the two groups(P=0.03,P＜0.05).Conclusion:The scalp electroacupuncture combined with language training can significantly improve spontaneous speech,verbal comprehension,repetition and naming degree score and aphasia for post-stroke patients,and has better curative effect than pure language training.