【目的】 观察开窍解喑法针刺联合语言训练治疗在脑卒中后失语症（PSA）的临床疗效。【方法】 选取 2022 年 10 月至 2024 年10月海军青岛特勤疗养中心收治的80例明确诊断为PSA的患者为研究对象。按随机数字表将患者随机分为观察组和 对照组，每组各 40 例。对照组给予常规语言训练，观察组在对照组治疗的基础上，给予开窍解喑法针刺治疗。连续治疗 4周。治疗1个月后，评价2组临床疗效，观察2组患者治疗前后中医证候积分的变化情况，以及大脑前动脉（ACA）、大脑中 动脉（MCA）、大脑后动脉（PCA）血流速度的情况。比较2组患者治疗前后西方失语症成套测验（WAB）量表评分、波士顿诊断 性失语症检查法（BDAE）等级评分、脑卒中失语症生活质量（SAQOL-39g）量表评分的变化情况。【结果】（1）观察组总有效率 为95.00%（38/40），对照组为80.00%（32/40），观察组疗效优于对照组，差异有统计学意义（P＜0.05）。（2）治疗后，2组患者的 脑血流速度明显改善（P＜0.05），且观察组在改善脑血流速度方面明显优于对照组，差异有统计学意义（P＜0.05）。（3）治疗 后，2组患者的WAB评分、BDAE等级评分明显改善（P＜0.05），且观察组在改善WAB评分、BDAE等级评分方面明显优于对照组，差异有统计学意义（P＜0.05）。（4）治疗后，2组患者的中医证候积分、SAQOL-39g评分明显改善（P＜0.05），且观察 组在改善中医证候积分、SAQOL-39g评分方面明显优于对照组，差异有统计学意义（P＜0.05）。【结论】 开窍解喑法针刺联合 语言训练治疗脑卒中失语症，能明显提高患者的脑血流速度，改善患者的临床症状及失语症严重程度，促进患者语言功能 恢复，从而提高患者的生活质量，疗效显著。

Objective To observe the clinical efficacy of “Kaiqiao Jieyin” acupuncture method combined with language training in the treatment of post-stroke aphasia （PSA）. Methods A total of 80 patients diagnosed with PSA at the Navy Qingdao Special Service Sanatorium from October 2022 to October 2024 were selected as study subjects. Patients were randomly divided into an observation group and a control group using a random number table method，with 40 cases in each group. The control group received conventional language training，while the observation group received “Kaiqiao Jieyin” acupuncture method in addition to the conventional language training. Treatment was administered continuously for 4 weeks. After one month of treatment， the clinical efficacy was evaluated， changes in traditional Chinese medicine （TCM） syndrome scores were observed， and blood flow velocities in the anterior cerebral artery （ACA），middle cerebral artery （MCA），and posterior cerebral artery （PCA） were measured. Changes in Western Aphasia Battery （WAB） scores， Boston Diagnostic Aphasia Examination （BDAE） severity ratings， and Stroke Aphasia Quality of Life （SAQOL-39g） scale scores were compared between the two groups before and after treatment. Results（1） The total effective rate was 95.00% （38/40） in the observation group and 80.00% （32/40） in the control group， with the observation group showing significantly superior efficacy compared to the control group， the difference being statistically significant （P＜ 0.05）.（2） After treatment，cerebral blood flow velocities were significantly improved in both groups （P＜0.05）， and the improvement in the observation group was significantly greater than that in the control group， the difference being statistically significant （P＜0.05）.（3） After treatment，WAB scores and BDAE severity ratings were significantly improved in both groups （P＜0.05）， and the observation group showed significantly greater improvement in these scores compared to the control group， the difference being statistically significant （P＜ 0.05）.（4） After treatment， TCM syndrome scores and SAQOL-39g scores were significantly improved in both groups （P＜0.05），and the improvement in the observation group was significantly superior to that in the control group，the difference being statistically significant （P＜0.05）. Conclusion “Kaiqiao Jieyin” acupuncture method combined with language training significantly improves cerebral blood flow velocity，alleviates clinical symptoms and aphasia severity，promotes the recovery of language function，and enhances the quality of life in patients with post-stroke aphasia，demonstrating significant therapeutic efficacy.

R246.9

青岛市医药卫生科研计划资助项目（编号：2021-WJZD257）