<italic style="font-style: italic">Kaiqiao Liyan</italic> acupuncture therapy combined with six-character exercise in treatment of post-stroke dysarthria: a randomized controlled trial

CHEN Suhui; BO Xueping; SONG Jianxia; ZHANG Yang; XU Peng; TANG Wei

doi:10.13703/j.0255-2930.20250306-k0006

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Kaiqiao Liyan acupuncture therapy combined with six-character exercise in treatment of post-stroke dysarthria: a randomized controlled trial

Clinical Research | 更新时间：2026-01-16

- Kaiqiao Liyan acupuncture therapy combined with six-character exercise in treatment of post-stroke dysarthria: a randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 46, Issue 1, Pages: 3-8(2026)
- 作者机构：
  
  安徽中医药大学针灸推拿学院，合肥　230012
  中国科学技术大学附属第一医院康复医学科，安徽合肥　230000
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20250306-k0006
  CLC：
- Received：06 March 2025，
  
  Online First：22 October 2025，
  
  Published：12 January 2026
- 稿件说明：
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CHEN Suhui, BO Xueping, SONG Jianxia, et al. Kaiqiao Liyan acupuncture therapy combined with six-character exercise in treatment of post-stroke dysarthria: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 3-8. DOI: 10.13703/j.0255-2930.20250306-k0006.
DOI：

CHEN Suhui, BO Xueping, SONG Jianxia, et al. Kaiqiao Liyan acupuncture therapy combined with six-character exercise in treatment of post-stroke dysarthria: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 3-8. DOI: 10.13703/j.0255-2930.20250306-k0006. DOI：

摘要

目的：

观察“开窍利咽”针刺联合六字诀训练治疗脑卒中后构音障碍的临床疗效。

方法：

将75例脑卒中后构音障碍患者随机分为综合组（25例，脱落1例）、针刺组（25例）、六字诀组（25例，剔除1例）。3组患者均接受基础治疗和常规康复功能训练。针刺组予“开窍利咽”针刺治疗，穴取百会、四神聪、廉泉、舌三针、风府、哑门及双侧风池、翳风，每次20 min，每日1次；六字诀组予六字诀训练，每次20 min，每日1次；综合组予针刺及六字诀训练治疗。均治疗6 d后休息1 d，共治疗2周。分别于治疗前后评定各组患者发声功能[响度、最长发声时间（MPT）、最大数数能力（MCA）]、言语清晰度、改良Frenchay构音障碍评价量表（FDET）评分，并评定临床疗效。

结果：

治疗后，各组患者发声功能（响度、MPT、MCA）、言语清晰度、改良FDET各项评分及总分均较治疗前升高（

0.05）；综合组响度、言语清晰度，改良FDET呼吸、软腭、言语评分及总分均高于针刺组及六字诀组（

0.05），综合组和六字诀组MPT、MCA、改良FDET喉评分高于针刺组（

0.05），针刺组言语清晰度高于六字诀组（

0.05），综合组和针刺组改良FDET舌评分高于六字诀组（

0.05）。综合组总有效率为88%（22/25），高于六字诀组的60%（15/25）和针刺组的64%（16/25，

0.05）。

结论：

“开窍利咽”针刺联合六字诀训练可改善脑卒中后构音障碍患者言语及发声能力。

Abstract

Objective

To observe the clinical effect of

Kaiqiao Liyan

(opening orifices and benefiting the throat) acupuncture therapy combined with six-character exercise in treatment of post-stroke dysarthria.

Methods

Seventy-five patients with post-stroke dysarthria were randomly divided into a comprehensive therapy group (25 cases

1 case dropped out)

an acupuncture group (25 cases)

and a six-character exercise group (25 cases

1 case was eliminated). The patients of the three groups received basic treatment and conventional rehabilitation training. In the acupuncture group

Kaiqiao Liyan

acupuncture therapy was used at Baihui (GV20)

Sishencong (EX-HN1)

Lianquan (CV23)

three-tongue points (Extra)

Fengfu (GV16)

Yamen (GV15)

and bilateral Fengchi (GB20) and Yifeng (TE17). Acupuncture intervention was given once daily

20 min each time. In the six-character exercise group

the patients practiced the six-character exercise for 20 min each intervention

once daily. In the comprehensive therapy group

both acupuncture therapy and the six-character exercise were delivered. Once after consecutive 6 days of treatment

the intervention was discontinued for 1 day

and 2 weeks of intervention were required in each group. The patients' vocal function (loudness

maximum phonation time [MPT

]

and maximum counting ability [MCA

]

)

speech intelligibility

and the score of the modified Frenchay dysarthria evaluation table (FDET) were evaluated before and after treatment. The clinical effect was assessed in each group.

Results

After treatment

all three groups showed the improvements in vocal function (loudness

MPT and MCA)

speech intelligibility

and the scores of each item and the total scores of the modified FDET compared with those before treatment (

0.05). The comprehensive group demonstrated the improvements in loudness

speech intelligibility

the

scores for respiration

soft palate and speech and the total score of the modified FDET when compared with the acupuncture group and the six-character exercise group

respectively (

0.05). In the comprehensive therapy group and the six-character exercise group

the MPT

MCA and scores for laryngeal function of the modified FDET were better than those of the acupuncture group (

0.05). The speech intelligibility in the acupuncture group was superior to the six-character exercise group (

0.05). The scores for the tongue function in the modified FDET in the comprehensive therapy group and the acupuncture group were higher when compared with the six-character exercise group (

0.05). The total effective rate in the comprehensive therapy group was 88% (22/25)

higher than that of the six-character exercise group (60%

15/25) and the acupuncture group (64%

16/25

0.05)

respectively.

Conclusion

The combination of

Kaiqiao Liyan

acupuncture therapy and six-character exercise improves speech and vocal function in patients with post-stroke dysarthria.

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⁰

Kaiqiao Liyan acupuncture therapy combined with six-character exercise in treatment of post-stroke dysarthria: a randomized controlled trial

DOI：10.13703/j.0255-2930.20250306-k0006

摘要

Abstract

关键词

Keywords

references