目的观察低频脉冲穴位电刺激联合通督调神针刺治疗对脑卒中后失语患者语言功能、交流能力及生存质量的影响。方法将60例患者随机分为两组,两组均采用基础语言康复训练,观察组加用低频脉冲穴位电刺激联合通督调神针刺治疗,对照组加用传统针刺治疗,均治疗2周。比较两组患者治疗前后西部失语成套测试(western aphasia battery,WAB)失语商、日常生活交流能力(communicative abilities in daily living,CADL)评分、脑卒中失语症患者生活质量量表(stroke and aphasia quality of life-39 generic version,SAQOL-39g)评分。结果与治疗前比较,两组患者治疗后WAB失语商、CADL评分、SAQOL-39g评分均显著升高,差异有统计学意义(P<0.05)。观察组治疗后WAB失语商、CADL评分、SAQOL-39g评分升高值均大于对照组,差异有统计学意义(P<0.05)。结论低频脉冲穴位电刺激联合通督调神针刺治疗可提高脑卒中后失语症患者的语言功能、交流能力及生存质量。
On the basis of relevant literature and evidence, Clinical Practice Guidelines of Acupuncture-moxibust^on .for Cervical 5pondyloffc Radiculopathy has been formulated according to the quality of evidences and by adopting the method of Grades of Recommendations Assessment, Development and Evaluation (GRADE), in which the objective of guidelines formulation, the scope of application of the guidelines, the principle of acupuncture-moxibustion treatment of cervical spondylotic radiculopathy, the time for intervention and different acupuncture-moxibustion regimens, etc. were specified.