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目的:观察针刺配合言语治疗对脑卒中和脑外伤后构音障碍的疗效.方法:将61例构音障碍患者随机分为两组.观察组(30例)在言语治疗同时配合针刺颈项部廉泉、金津、玉液、风池、翳风和完骨为主,对照组(31例) 只给予言语治疗,治疗9周后评价言语和声学指标的变化.结果:治疗后两组患者单词清晰度和篇章正答率均明显提高(均P＜0.01),观察组总有效率为96.7%(29/30),优于对照组的67.7%(21/31)(P＜0.01);治疗后观察组(12例)和对照组(11例)经喉发声空气力学分析仪检测的最长发声时间(MPT)均显著延长(均JP＜0.01),且观察组改善更明显(P＜0.01).结论:针刺配合言语治疗能改善构音障碍患者的言语和声学水平.“,”Objective To observe the effect of acupuncture combined with speech therapy on dysarthria after stroke or cerebral trauma. Methods Sixty-one cases of dysarthria were randomly divided into two groups. The observation group (30 cases) was treated with speech therapy and acupuncture at major acupoints Liánquán (廉泉 CV 23), Jīnjīn (金津 EX-HN 12), Yùyè (玉液 EX-HN 13), Fēngchí(风池 GB 20), Yìfēng (翳风, TE 17) and Wánggǔ (完骨GB 12), and the control group (31 cases) was treated with speech therapy only. The changes of speech and acoustical indices were evaluated after 9 weeks treatment. Results The word articulation and the correct rate of writings in the two groups were significantly increased after treatment (both P＜0.01). The total effective rate of 96.7%(29/30) in the observation group was superior to that of 67.7%(21/31) in the control group (P＜0.01). The maximum phonation time (MPT) tested by a phonolaryngeal aeromechanical analyzer was significantly prolonged in both the observation group (12 cases) and the control group (11 cases) (both P＜0.01), the improvement in the observation group being more obvious (P＜0.01). Conclusion Acupuncture combined with speech therapy can improve the speech and acoustic level in the patient of dysarthria.