Clinical Research on Broca Aphasia from Ischemic Apoplexy Treated by Acupuncture Associtated with Language Training

OBJECTIVE:To observe the therapeutic effect of aphasia from ischemic apoplexy treated by acupuncture asso-ciated with language training.And discuss treatment mechanism of acupuncture for the disease.METHEDS:There were sixty patients with broca aphasia from ischemic apoplexty involved in the trial.All patients completed whole study process without missing or eliminated and were randomly divided into the treatment group（acupuncture associated with language training） and the control group（language training only）.Acupuncture treatment mainly includes tongue-acupuncture therapy and language training includes the training of organ of speech,mouth-shape and voice,spoken language expression and practical exchange ability.Two groups were given language examination evaluation according to Aphasia Battery of Chinese（ABC） and accident correlated electric potential（P300） examination before and after the period of treatment.RESULTS: All patients were uniformly divided into two groups and every group completed the trial well.The conditions of two groups were comparable（P ＞ 0.05）.The trial showed that there were obvious differences between the control group and treatment group.The treatment effect of treatment group was better than that of the control group（P ＜ 0.05）.According to the evaluation of all items of ABC（information measure,fluent character,repeat speak,vocabulary denominate,color denominate,response denominate,whether or not,hear dialectics,carry out instruction）,the score of treatment group was remarkably higher than that of control group.There were obvious differences between the control group and treatment group（P ＜ 0.05）.After a period of treatment the incubation period N2,P3 of accident correlated electric potential（P300） had been markedly shortened（P ＜ 0.05）,and the amplitude P3 had been obviously raised.The treatment effect of treatment group was remarkable difference compared to that of control group（P ＜ 0.05）.CONCLUSION: The treatment effect of broca aphasia from apoplexy treated by acupuncture associated with language training was remarkable.Obviously the treatment group was superior to the control group（language training only）.The score of all items of ABC（information measure,fluent character,repeat speak,vocabulary denominate,color denominate,response denominate,whether or not,hear dialectics,carry out instruction） had been increased.The incubation period N2,P3 of accident correlated electric potential（P300） had been shortened（P ＜ 0.05）,and the amplitude P3 had been raised.It could be regarded as one of indexes of appraising and predicting acupuncture clinical curative effect and one of therapeutic mechanism as well.