目的：分析针刺联合言语康复训练治疗脑卒中后构音障碍的临床效果。方法选取88例脑卒中后构音障碍患者作为研究对象，并以随机数字表法将其分为两组，即对照组与治疗组，每组44例。对照组采用言语康复训练进行治疗，治疗组采用针刺联合言语康复训练进行治疗。治疗结束后，将两组患者的构音疗效、a 项数以及不良反应发生情况进行观察并对比。结果对照组痊愈率（9．09％）与治疗总有效率（77.27％）均明显低于治疗组的（25．00％，97．73％），组间差异均有统计学意义（χ2＝3．94、8．42，均 P ＜0.05）。治疗前，两组患者的 a 项数差异无统计学意义（P ＞0．05），治疗后对照组的 a 项数（7．39±3．67）明显比治疗组（16.32±7．83）低（t ＝4．20，P ＜0．05）；两组不良反应发生率差异无统计学意义（χ2＝3．11，P ＞0.05）。结论对于脑卒中后构音障碍患者而言，针刺联合言语康复训练的治疗效果极佳，而且该方法能够增多患者的 a 项数，并具有较高的安全性，值得广泛地运用于临床治疗中。
Objective To analyze the clinical effect of acupuncture combined with speech rehabilitation training in the treatment of dysarthria after stroke.Methods 88 patients with dysarthria after stroke were selected as study subjects,and they were randomly divided into the control group and the treatment group,44 cases in each group. The control group was treated with speech rehabilitation training,and the treatment group was treated with acupuncture combined with speech rehabilitation training.At the end of treatment,the dysarthria efficacy,a number of ＂a＂and the incidence of adverse reactions were observed and compared between the two groups.Results The cure rate（9.09%） and total effective rate （77.27%）in the control group were significantly lower than those in the treatment group （25.00%,97.73%）,and the differences were statistically significant（χ2 =3.94,8.42,all P 〈0.05）.Before treat-ment,there was no significant difference between the two groups in the number of ＂a＂（P 〉0.05）,after treatment,the number of ＂a＂in the control group was （7.39 ±3.67）,which was significantly lower than （16.32 ±7.83）in the treatment group（t =4.20,P 〈0.05）.The incidence rate of adverse reaction between two groups had no statistically significant difference（χ2 =3.11,P 〉0.05）.Conclusion For post -stroke patients with dysarthria,acupuncture combined with speech rehabilitation training has good treatment effect,and the method can increase the number of ＂a＂of patients,and has high security,it is worthy of widely application in clinic.
Chinese Journal of Primary Medicine and Pharmacy
Speech rehabilitation training
Post articulation disor-der