头针联合镜像神经元训练改善脑卒中后非流利性失语症的作用

陈柱; 夏家怡; 徐倩; 陈韵佳; 孙勇; 单春雷

您当前的位置：

首页 >

文章列表页 >

头针联合镜像神经元训练改善脑卒中后非流利性失语症的作用

康复教育 | 更新时间：2026-10-28

- 头针联合镜像神经元训练改善脑卒中后非流利性失语症的作用
- Effect of Scalp Acupuncture Combined with Mirror Neuron Activation Training on Nonfluent Aphasia after Stroke
- 中国听力语言康复科学杂志 2022年20卷第3期页码：222-225
- 作者机构：
  
  1. 上海市第二康复医院
  2. 上海市宝山区中西医结合医院
  3. 上海中医药大学康复医学院,上海,201203
- 作者简介：
- 基金信息：
  
  上海市卫生健康委员会科研课题（20204Y0373）;上海市宝山区科委科技创新项目（19-E-26）
- DOI：
  中图分类号： R743.3;R493
- 纸质出版：2022
- 稿件说明：
移动端阅览
陈柱, 夏家怡, 徐倩, 等. 头针联合镜像神经元训练改善脑卒中后非流利性失语症的作用[J]. 中国听力语言康复科学杂志, 2022,20(3):222-225.

陈柱, 夏家怡, 徐倩, et al. Effect of Scalp Acupuncture Combined with Mirror Neuron Activation Training on Nonfluent Aphasia after Stroke[J]. 2022, 20(3): 222-225.
陈柱, 夏家怡, 徐倩, 等. 头针联合镜像神经元训练改善脑卒中后非流利性失语症的作用[J]. 中国听力语言康复科学杂志, 2022,20(3):222-225. DOI：

陈柱, 夏家怡, 徐倩, et al. Effect of Scalp Acupuncture Combined with Mirror Neuron Activation Training on Nonfluent Aphasia after Stroke[J]. 2022, 20(3): 222-225. DOI：

摘要

目的探讨头针联合镜像神经元激活训练对脑卒中后非流利性失语症的临床疗效。方法选取2019年4月～2020年1月上海市第二康复医院住院治疗的脑卒中后非流利性失语患者45例，随机分为头针组、镜像神经元组和联合治疗组。在每天30min的常规言语治疗基础上，分别给予头针治疗、镜像神经元系统治疗及头针结合镜像神经元的联合治疗。观察治疗前后3组的西方失语症成套测试（western aphasia battery

WAB）、命名测试、BDAE失语症严重程度（the boston diagnostic aphasia

BDAE）、非语言认知评估量表（non-language-based cognitive assessment

NLCA）评分变化。通过问卷调查各组疗效满意度，并进行随访评估。结果治疗后3组的失语商（aphasi quotieat

AQ)、操作商（performance quotient

PQ）、NLCA、命名得分、BDAE等级较同组治疗前明显改善（P<0.05）。3组间比较，联合治疗组WAB疗效、患者满意度、NLCA改善幅度均高于其他组，其BDAE改善幅度明显优于其他组（P<0.05）；镜像神经元治疗组命名改善最佳。结论在常规语言训练和头针治疗基础上辅以镜像神经元训练，可提高脑卒中后非流利性失语患者语言、认知功能。

Abstract

Objective To investigate the clinical effect of scalp acupuncture combined with mirror neuron activation on non-fluency aphasia after stroke. Methods 45 patients with post-stroke non-fluency aphasia from The Second Rehabilitation Hospital of Shanghai from April 2019 to January 2020 were randomly divided into scalp acupuncture group

mirror nerve tuple and combined treatment groups. Based on the routine speech therapy of 30 min per day

three groups were treated with scalp acupuncture

mirror neuron system therapy and combined therapy with mirror neuron respectively. The scores of Western Aphasia（WAB）

naming

BDAE Aphasia severity grading and nonverbal cognitive assessment scale（NLCA） were observed in the three groups before and after 4 weeks treatment. After 4 weeks

the satisfaction degree of each group was investigated by questionnaire. After two weeks of treatment

a follow-up evaluation was performed using BDAE. Results The AQ score

PQ score

NLCA score

naming score and BDAE grade of the three groups were significantly improved after treatment（P<0.05）.The efficacy of WAB

patient satisfaction and NLCA improvement of the combined treatment group were higher than other two groups

and the BDAE improvement was significantly better than that of the other two groups（P<0.05）; The mirror neuron treatment group improved most in naming. Conclusion The language and cognitive function of non-fluency aphasia patients after stroke can be further improved by training with mirror neurons based on conventional language training and scalp acupuncture.

关键词

Keywords

references

Dong Xin-Shu,Song Guang-Fu,Wu Cheng-Ji,Zou Chun-Yin,Sun Guang-Tao,Huang Zuo-Yi.Effectiveness of rehabilitation training combined with acupuncture on aphasia after cerebral hemorrhage: A systematic review protocol of randomized controlled trial.[J].Medicine,2019.

Looeiyan Nooshin,Kianfar Faranak,Ghasisin Leila.The introduction of IMITATE-R and its comparison with the IMITATE treatment method in the naming ability of two Persian speaking aphasic patients.[J].Neuropsychological rehabilitation,2018.

Aoyama Naoki,Fujii Osamu,Yamamoto Toshikatsu.Efficacy of Parietal Acupoint Therapy: Scalp Acupuncture for Neck/Shoulder Stiffness with Related Mood Disturbance.[J].Medical acupuncture,2017.

Lina M. Chavez,Shiang-Suo Huang,Iona MacDonald,Jaung-Geng Lin,Yu-Chen Lee,Yi-Hung Chen.Mechanisms of Acupuncture Therapy in Ischemic Stroke Rehabilitation: A Literature Review of Basic Studies[J].International Journal of Molecular Sciences,2017.

Mozaffarian Dariush,Benjamin Emelia J,Go Alan S,Arnett Donna K,Blaha Michael J,Cushman Mary,Das Sandeep R,de Ferranti Sarah,Després Jean-Pierre,Fullerton Heather J,Howard Virginia J,Huffman Mark D,Isasi Carmen R,Jiménez Monik C,Judd Suzanne E,Kissela Brett M,Lichtman Judith H,Lisabeth Lynda D,Liu Simin,Mackey Rachel H,Magid David J,McGuire Darren K,Mohler Emile R,Moy Claudia S,Muntner Paul,Mussolino Michael E,Nasir Khurram,Neumar Robert W,Nichol Graham,Palaniappan Latha,Pandey.Heart Disease and Stroke Statistics-2016 Update: A Report From the American Heart Association.[J].Circulation,2016.

Valery L Feigin,Mohammad H Forouzanfar,Rita Krishnamurthi,George A Mensah,Myles Connor,Derrick A Bennett,Andrew E Moran,Ralph L Sacco,Laurie Anderson,Thomas Truelsen,Martin O'Donnell,Narayanaswamy Venketasubramanian,Suzanne Barker-Collo,Carlene M M Lawes,Wenzhi Wang,Yukito Shinohara,Emma Witt,Majid Ezzati,Mohsen Naghavi,Christopher Murray.Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010[J].The Lancet,2014.

Zaharchuk Greg.Arterial spin-labeled perfusion imaging in acute ischemic stroke.[J].Stroke,2014.

Ellis Charles,Simpson Annie N,Bonilha Heather,Mauldin Patrick D,Simpson Kit N.The one-year attributable cost of poststroke aphasia.[J].Stroke,2012.

Lee Jaime,Fowler Robert,Rodney Daniel,Cherney Leora,Small Steven L.IMITATE: An intensive computer-based treatment for aphasia based on action observation and imitation.[J].Aphasiology,2010.

Price Cathy J.The anatomy of language: a review of 100 fMRI studies published in 2009.[J].Annals of the New York Academy of Sciences,2010.

Michael C. Corballis.Mirror neurons and the evolution of language[J].Brain and Language,2009.

Zhi-Qi Zhao.Neural mechanism underlying acupuncture analgesia[J].Progress in Neurobiology,2008.

Wade D T,Hewer R L,David R M,Enderby P M.Aphasia after stroke: natural history and associated deficits.[J].Journal of neurology, neurosurgery, and psychiatry,1986.

夏彬,李晶,朱洪山.经颅磁刺激联合星状神经节阻滞对脑卒中后语言功能障碍恢复和生活质量的影响[J].实用医院临床杂志,2020(06).

尚郁峰,朱金妹,钱贞,张翎,何俊.中药穴位熏蒸联合镜像神经元康复训练治疗中风后失语症疗效观察[J].上海针灸杂志,2020(03).

徐倩,王萍,施伯瀚,王健.镜像神经元系统在失语症中的应用进展[J].中国康复理论与实践,2019(07).

汪洁,吴东宇,宋为群,袁英.图命名的视觉语言加工双流模型[J].中国康复医学杂志,2019(06).

朱利,苏同生.针刺治疗中风后失语症研究进展[J].陕西中医,2019(06).

王艳珊.语言康复训练、经颅磁刺激联合针灸疗法治疗早期脑梗死后运动性失语症的效果[J].当代医药论丛,2019(06).

Wen-Li Chen,Qian Ye,Si-Cong Zhang,Yang Xia,Xi Yang,Ti-Fei Yuan,Chun-Lei Shan,Jian-An Li.Aphasia rehabilitation based on mirror neuron theory: a randomized-block-design study of neuropsychology and functional magnetic resonance imaging[J].Neural Regeneration Research,2019(06).

张莉,佘文莉,任婷,周慧.言语训练型认知干预联合心理暗示对老年脑卒中失语症患者MMSE,SAS评分的影响[J].国际精神病学杂志,2018(06).

杨建平.镜像疗法治疗脑卒中运动性失语的效果及采用fMRI技术评价的意义[J].中国实用医药,2018(15).

黎翠玲,蔡娥,李芙蓉,刘少锋,张兵,黄江,董宝春,刘萌,闫蓉,韩永耀.三联针配合康复训练治疗失语症的临床分析[J].湖北中医杂志,2016(09).

唐强,李宏玉,朱路文,叶涛,王艳,李季,赵彬,薛谨婷.针康法对脑卒中后非流畅性失语患者言语功能的影响[J].针灸临床杂志,2016(07).

陈文莉,夏扬,杨玺,叶芊,季相通,陈巍,袁逖飞,单春雷.手动作观察训练对脑卒中失语症患者语言功能的影响[J].中国康复医学杂志,2014(02).

张浪,许军峰.针刺结合语言康复治疗脑卒中后运动性失语[J].长春中医药大学学报,2013(04).

王荫华.西方失语症成套测验(WAB)介绍(二)[J].中国康复理论与实践,1997(03).

脑卒中患者临床神经功能缺损程度评分标准（1995）[J].中华神经科杂志,1996(06).

浏览量

262

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

口部运动训练在脑卒中后构音障碍患者康复治疗中的作用

听障儿童阅读困难预测因素及干预路径研究进展

孤独症谱系障碍合并言语语言障碍诊治研究进展

听障学生父母亲职压力实证研究

“听力重建启聪行动”人工耳蜗救助项目受助对象术后康复走向分析