Aacupuncture Combined With Language Training On Brain Injury After Motor Aphasia Rehabilitation

Objective:Observation of acupuncture combined with language training on brain injury after motoraphasia rehabilitation, and to explore the acupuncture combined with speech training ondifferent grade (Boston aphasia classification) motor aphasia efficacy if there exists different,as there is for to carry out rehabilitation of the language provide a theoretical basis for clinicalapplication.Methods:1Clinical data： All the cases of the Department of Hebei University Hospitalrehabilitation and neurosurgery head injury patients admitted since October2008-June2011，including408patients with varying degrees of motor aphasia. According to patientsand their families will be patients were divided into two groups, a group of speech trainingand rehabilitation, as compared to the control group; the other groups except the daily speechtraining treatment, also combined with acupuncture therapy, as a treatment group. Inclusioncriteria: a history of trauma, and the CT or MRI diagnosed as "brain contusion and laceration",before the injured without serious internal diseases, without hearing impairment, right hand,the aphasia in Chinese Standard Aphasia Examination Method diagnosed with motor aphasia.Exclusion criteria: dementia or combined with the other organ injury rehabilitation training ofpatients cannot tolerate. The treatment group and the control group of patients with sex, age,course of disease and clinical manifestation of basic balance, statistical tests, the differencewas not statistically significant (P>0.05), comparable.2Treatment method：The use of Benson classification of aphasia, screened motor aphasiapatients, using the Boston Diagnostic Aphasia Examination in aphasia severity grading (0-5)evaluation. In the control group: the speech therapy room by the same therapist one-on-onetraining, training at the time of30minutes,5times a week, two days of rest, for threeconsecutive months, including the organs of speech training, English training and skillstraining. The treatment group: patients except per day were compared with a control group ofequal language rehabilitation training, also were treated by acupuncture, acupuncture pointselection Baihui,Fengchi, Jin Jin, YuYe, Lian Quan,Tong Li, Hegu, Zusanli, but modificationaccording to symptoms, in addition to Jin Jin, YuYe.LianQuanquick pin,other points of each routine needle-retaining time40minutes, daily once, every20days for a course of treatment,5days of rest, into the next period, for3consecutive months.3Curative effect：The two groups of aphasic patients before and after treatment for theBoston aphasia severity rating compared and carried on statistics processing, after3monthsof treatment the patients with oral expression and communication ability has been improved,but four level of patients the efficacy of the control group was not significantly different, and0-3grade heavier patients, the treatment group than the control group.4Statistical method：Application of PEMS software on recovery rate, significantefficiency of interval estimation,χ2testing.Results:The use of acupuncture combined with rehabilitation training in the language ofIntegrated Traditional and Western treatments motor aphasia, for the Boston DiagnosticAphasia test for grading the severity of aphasia in four patients with treatment group andcontrol group no significant,difference between the0-3level patients, the treatment groupthan the control group.Conclusion:The results show that: Although motor aphasia is more easily treated in the aphasia, butaccording to our observation, there are some serious cases, natural recovery is difficult,Boston aphasia severity classification of the more serious, more unsatisfactory efficacy.Integrated Traditional and Western treatment for four patients with mild, Chinese and Westernmedicine and Western medicine was no significant difference in speech training, and forpatients with grade0-3, the effect was better than western medicine. So the Chinese andWestern medicine in patients with positive speech rehabilitation is very necessary, and as soonas possible, for a long time, family members to actively participate in, for patients to creategood language environment, continuous exchange, will have better curative effect.