观察醒脑开窍针刺法结合舌部针刺治疗脑梗死后构音障碍的临床疗效。

选取2015年1月至2020年1月在中国人民武装警察部队特色医学中心住院的脑梗死合并构音障碍患者130例，采用SPSS软件生成随机数字表，按入组时间顺序1 ∶1随机分为治疗组和对照组，每组65例。2组患者在西医治疗的基础上，治疗组给予醒脑开窍针刺法结合舌部针刺治疗，对照组给予传统针刺结合舌部针刺治疗，每日1次，14 d为1个疗程，共治疗2个疗程。比较2组患者治疗前后中国康复研究中心《构音障碍检查方法》评定等级和改良的Frenchay构音障碍评分，比较2组患者治疗前后中国脑卒中临床神经缺损程度评分量表(CSS)评分和Barthel指数(BI)评分，并评定2组临床疗效。

治疗2个疗程后，治疗组患者中国康复研究中心构音障碍评定等级高于对照组(Z＝－2.348，P<0.05)，治疗组患者改良的Frenchay构音障碍评分低于对照组(t＝－4.023，P<0.05)。治疗组患者CSS评分低于对照组(t＝－3.178，P<0.05)，BI指数评分高于对照组(t＝3.866，P<0.05)。治疗组总有效率88.9%(56/63)，对照组总有效率76.2%(48/63)，2组疗效比较差异具有统计学意义(χ²＝8.505，P<0.05)。

醒脑开窍针刺法结合舌部针刺治疗脑梗死后构音障碍疗效显著，可有效促进患者肢体功能康复和日常生活活动能力的提高。

The aim of the research is to observe the therapeutic effect of Xingnao Kaiqiao acupuncture and tongue acupuncture in treatment of dysarthria after cerebral infarction.

130 cases of cerebral infarction patients with dysarthria in Characteristic Medical Center of Chinese People′s Armed Police Force, were selected from Januray 2015 to Januray 2020, and SPSS software was used to generate random numbers table. Patients were enrolled into the treatment group and control group with a ratio of 1 ∶1 and each group had 65 patients. On the basis of symptomatic treatment of western medicine , patients in the treatment group were also treated with Xingnao Kaiqiao acupuncture and tongue acupuncture therapy, meanwhile, patients in the control group were treated with traditional acupuncture and tongue acupuncture therapy. The treatments were performed one time each day, and lasted for 14 days as 2 courses.The assessment grade of the " Method for Dysarthria Examination" and the modified Frenchay Dysarthria Assessment were observed before and after treatment, and the changes of Chinese Stroke Scale (CSS) score and Barthel index (BI) were compared between the two groups before and after treatment, and the clinical efficacy was evaluated in the two groups.

Dysarthria efficacy: after 2 courses, patients in the treatment group had higher grade of " Method for Dysarthria Examination" (Z=-2.348 , P<0.05), and had better score inmodified Frenchay Dysarthria Assessment than the control group with statistically significant difference(t=-4.023, P<0.05). After treatment for 2 courses, the score of CSS was lower in the treatment group(t=-3.178, P<0.05)and the BI increase value was higher in the treatment group(t=3.866, P<0.05). The total effective rate was 88.9%(56/63) in the treatment group and 76.2%(48/63) in the control group, with statistically significant difference(χ²=8.505, P<0.05).

Xingnao Kaiqiao acupuncture combined with tongue acupuncture therapy is effective in treating dysarthria after cerebral infarction, which can effectively promote patients′ rehabilitation of limb function and improve the ability of daily living.