“调肠治神”针法联合感觉统合训练治疗孤独症谱系障碍的疗效观察  

Observations on the Efficacy of Intestine-regulating and Mind-treating Acupuncture plus Sensory Integration Training for Autism Spectrum Disorder

作　　者：张丽丽[1] 陈栋[2] 徐道明[2] 鲍超[2] 黄煜 朱力立 刘静[2] 孙耀金 ZHANG Li-li;CHEN Dong;XU Dao-ming;BAO Chao;HUANG Yu;ZHU Li-li;LIU Jing;SUN Yao-jin(Nanjing Medical University Children’s Hospital,Nanjing 210008,China;Nanjing University of Traditional Chinese Medicine Hospital,Nanjing 210029,China)

机构地区：[1]南京医科大学附属儿童医院,南京210008 [2]南京中医药大学附属医院,南京210029

出　　处：《上海针灸杂志》2021年第11期1363-1367,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家自然科学基金青年项目(82004456);江苏省科技厅面上项目(BE2017769)。

摘　　要：目的观察“调肠治神”针法联合感觉统合训练治疗孤独症谱系障碍(ASD)患者的临床疗效。方法将55例ASD患者随机分为治疗组28例和对照组27例。治疗组采用“调肠治神”针法联合感觉统合训练,对照组采用感觉统合训练。分别于治疗前、治疗3个月后和治疗6个月后,采用儿童孤独症评定量表(CARS)、孤独症行为量表(ABC)、孤独症治疗评估表(ATEC)进行评估,并比较两组临床疗效。结果3个不同时间点CARS评分、ABC评分和ATEC评分比较,差异有统计学意义(P<0.05);3个不同时间点的两两比较,差异有统计学意义(P<0.05);组别与时间交互作用有统计学意义(P<0.05);对照组与治疗组比较,差异有统计学意义(P<0.05)。治疗组总有效率为85.7%,对照组为70.4%,两组比较差异有统计学意义(P<0.05)。结论“调肠治神”针法联合感觉统合训练对ASD患者的自闭程度及行为状态有较明确的改善作用,并可以提高ASD的临床疗效。Objective To investigate the clinical efficacy of intestine-regulating and mind-treating acupuncture plus sensory integration training in treating patients with autism spectrum disorder(ASD).Methods Sixty patients with autism spectrum disorder were randomized to treatment and control groups,with 30 cases in each group.The treatment group received intestine-regulating and mind-treating acupuncture plus sensory integration training and the control group,sensory integration training.An assessment was made using the childhood autism rating scale(CARS),the autism behavior checklist(ABC)and the autism treatment evaluation checklist(ATEC)before and after three and six months of treatment.The clinical therapeutic effects were compared between the two groups.Results There were statistically significant differences in the CARS,ABC and ATEC scores among the three time points(P<0.05)and between each two of the three time points(P<0.05).There was a statistically significant interaction between group and time(P<0.05).There were statistically significant differences between the treatment and control groups(P<0.05).The total efficacy rate was 85.7%in the treatment group and 70.4%in the control group with a statistically significant difference(P<0.05).Conclusions Intestine-regulating and mind-treating acupuncture plus sensory integration training has a definite improving effect on the degree of autism and behavioral status in ASD patients.It can heighten the clinical therapeutic effect on ASD.

关 键 词：针刺疗法 感觉统合训练 孤独症谱系障碍 自闭症 

分 类 号：R246.4[医药卫生—针灸推拿学]