[1]何晨,唐晓燕,陈理龙.子午流注针刺联合五音调神法对脑卒中恢复期非流畅性失语患者语言功能及认知水平的影响[J].西部中医药,2026,39(09):170-175.[doi:10.12174/j.issn.2096-9600.2026.09.33]
　HE Chen,TANG Xiaoyan,CHEN Lilong.Effect of Meridian-Flow Acupuncture Combined with Five-Tone Mind-Regulating Therapy on Language Function and Cognitive Level in Patients with Non-fluent Aphasia during Stroke Convalescence[J].Western Journal of Traditional Chinese Medicine,2026,39(09):170-175.[doi:10.12174/j.issn.2096-9600.2026.09.33]
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子午流注针刺联合五音调神法对脑卒中恢复期非流畅性失语患者语言功能及认知水平的影响()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年09期
页码:
170-175
栏目:
特色医疗
出版日期:
2026-09-07

文章信息/Info

Title:
Effect of Meridian-Flow Acupuncture Combined with Five-Tone Mind-Regulating Therapy on Language Function and Cognitive Level in Patients with Non-fluent Aphasia during Stroke Convalescence
作者:
何晨1, 唐晓燕1, 陈理龙2
1.上海市第一人民医院，上海 200080
2.上海市金山区亭林医院，上海 200032
Author(s):
HE Chen1, TANG Xiaoyan1, CHEN Lilong2
1.Shanghai General Hospital, Shanghai 200080, China
2.Tinglin Hospital of Shanghai Jinshan District, Shanghai 200032, China
关键词:
脑卒中; 恢复期; 非流畅性失语; 子午流注; 五音调神; 认知水平; 语言功能
Keywords:
stroke;  convalescent; non-fluent aphasia; meridian-flow; five-tone mind-regulating; cognitive level; language function
分类号:
R256.24
DOI:
10.12174/j.issn.2096-9600.2026.09.33
文献标志码:
B
摘要:
目的研究子午流注针刺法联合五音调神法在脑卒中恢复期非流畅性失语中的应用价值。 方法选择80例脑卒中恢复期非流畅性失语患者，按随机数字表法分为对照组和研究组，每组各40例。对照组采取常规治疗，研究组采用子午流注针刺法联合五音调神法治疗，治疗后比较两组总有效率、西方失语症检查量表（Western Aphasia Battery，WAB）、蒙特利尔认知量表（montreal cognitive assessment，MoCA）、失语商数（aphasia quotient，AQ）指数、改良Barthel指数（modified barthel index，MBI）、语言能力（clinical functional communication profile，CFCP）评分、中医证候积分、生活质量（generic quality of life inventory-74，GQOLI-74）、大脑前、中、后动脉平均血流速度及不良反应。 结果研究组总有效率［92.50%（37/40）］高于对照组［75.00%（30/40）］（P＜0.05）。干预后研究组WAB各项评分，MoCA、AQ指数、MBI及CFCP大脑中动脉、前动脉及后动脉流速均较对照组更高（P＜0.05）；CFCP中舌强语謇、语言不利、神情呆滞、口舌歪斜积分均低于对照组（P＜0.05）。两组不良反应比较差异无统计学意义（P＞0.05）。 结论子午流注针刺法联合五音调神法可促进脑卒中恢复期非流畅性失语患者语言功能提升，改善生活质量和日常生活能力，并快速减轻症状，恢复颅内血流动力学，不良反应少，安全性较高。
Abstract:
ObjectiveTo investigate the application value of meridian-flow acupuncture combined with five-tone mind-regulating therapy in non-fluent aphasia during stroke convalescence. MethodsA total of 80 patients with non-fluent aphasia during stroke convalescence were selected and divided into a control group and a study group using the random number table method, with 40 cases in each group. The control group received conven-tional treatment, while the study group was treated with meridian-flow acupuncture combined with five-tone mind-regulating therapy. After treatment, the two groups were compared in terms of total effective rate, Western Aphasia Battery (WAB), Montreal Cognitive Assessment (MoCA), Aphasia Quotient (AQ) index, Modified Barthel Index (MBI), Clinical Functional Communication Profile (CFCP) scores, TCM syndrome scores, Generic Quality of Life Inventory-74 (GQOLI-74), mean blood flow velocities of the anterior, middle, and posterior cerebral arteries, as well as adverse reactions. ResultsThe total effective rate in the study group [92.50% (37/40)] was higher than that in the control group [75.00% (30/40)] (P<0.05). After intervention, the study group showed significantly higher scores in all subscales of the WAB, as well as higher MoCA, AQ index, MBI, CFCP scores, and mean blood flow velocities in the middle, anterior, and posterior cerebral arteries compared with the control group (P<0.05). In terms of CFCP subitems, the scores for slurred speech with stiff tongue, unfavorable language, mental dullness, and deviation of the mouth and tongue were lower in the study group than in the control group (P<0.05). There was no statistically significant difference in adverse reactions between the two groups (P>0.05). ConclusionThe combination of meridian-flow acupuncture and five-tone mind-regulating therapy effectively improves language function, quality of life, and ADL in convalescent stroke patients with non-fluent aphasia, while rapidly alleviating symptoms and restoring intracranial hemodynamics, with low adverse reaction rates and good safety.

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备注/Memo

备注/Memo:
上海市金山区医药卫生科技创新资金项目（2023WS47）。何晨（1983—），女，主管护师。研究方向：神经内科临床护理。Email：2746456848@qq.com。
更新日期/Last Update: 2026-09-15