小儿推拿结合针刺治疗自闭症临床研究  

Clinical Study of Infantile Massage Combined with Acupuncture for Autism

作　　者：刘建邦 张雅菁 罗桂青[2] 李磊[2] 

机构地区：[1]庆钰堂中医诊所,香港999077 [2]香港大学中医药学院,香港999077

出　　处：《新中医》2017年第8期122-125,共4页New Chinese Medicine

摘　　要：目的 :通过小儿推拿结合针刺与单纯针刺两种方法治疗小儿自闭症的前瞻性对照研究,观察小儿推拿治疗小儿自闭症的临床疗效。方法:将60例自闭症患儿随机分为2组各30例,治疗组采用小儿推拿疗法结合针刺疗法,对照组予以单纯针刺治疗。2组均每周治疗2次,共治疗30次。结果:在研究过程中,治疗组脱落2例,实际完成28例;对照组脱落5例,实际完成25例。孤独症行为量表(ABC)五种因子(感觉、交往、躯体运动、语言、生活自理)治疗前后比较,治疗组除了语言因子差异无统计学意义(P>0.05);其余各因子差异均有统计学意义(P<0.01,P<0.05)。对照组除了感觉因子差异无统计学意义(P>0.05);其余各因子差异均有统计学意义(P<0.01)。提示治疗组与对照组均能不同程度地改善患儿的感觉、交往、躯体运动、语言和生活自理等五个方面。而2组五种因子治疗前后差值比较,除感觉因子差异有统计学意义(P<0.05)外,其他各因子差异均无统计学意义(P>0.05)。2组ABC量表总分组内治疗前后比较,差异均有统计学意义(P<0.01),提示2组治疗方法均有效。2组ABC量表总分治疗前后差值比较,差异有统计学意义(P<0.01),提示治疗组疗效优于对照组。总有效率治疗组100%,对照组96.0%。2组比较,差异无统计学意义(P>0.05)。结论:小儿推拿结合针刺疗法总体疗效良好,治疗后ABC量表总分的改善优于单纯针刺,总体有效率亦较单纯针刺为优,提示小儿推拿疗法与针刺疗法结合应用可以提高疗效,提示小儿推拿疗法对于治疗儿童自闭症具有可信的临床价值。Objective： To observe the clinical effect of infantile massage for autism through the prospective comparative study of the therapy of infantile massage combined with acupuncture and pure acupuncture therapy for autism. Methods： Divided 60 cases of children with autism into two groups randomly, 30 cases in each group. The treatment group was treated with infantile massage combined with acupuncture therapy, while the control group was only treated with acupuncture therapy. Both groups received treatment twice a week, thirty times in total. Results： In the course of the study, 2 cases of abscission were found in the treatment group, and 28 cases in the treatment group were completed practically; 5 cases of abscission were found in the control group, and 30 cases in the control group were completed practically. In terms of the five factors of autism behavior checklist （ABC） （sensation, communication, physical movement, language, and self-care ability） before and after treatment, in the treatment group, no significant difference was found in the comparison of language （P〉 0.05）, but the comparison of other four factors all showed significance in differences （P〈 0.01, P〈 0.05）： in the control group, no significant difference was found in the comparison of sensation （P〉 0.05）, but the comparison of other four factors all showed significance in differences （P 〈 0.01）. The results indicated that both the treatment group and the control group can improve sensation, communication, physical movement, language, and self-care ability of children to different extent. In terms of the difference of five factors in both groups before and after treatment, the comparison of sensation showed significance in the difference （P〈 0.05）, but no significant difference was found in the comparison of other four factors （P 〉 0.05）. Significant difference was found in the comparison of ABC total scores in both groups before and after treatment （P 〈 0.01）, suggesting that therapies for

关 键 词：自闭症 小儿推拿 针刺疗法 孤独症行为量表(ABC) 临床疗效 

分 类 号：R729[医药卫生—儿科]