太溪穴电针治疗儿童孤独症神经发育障碍的疗效研究  

Study on Therapeutic Effect of Electroacupuncture at Taixi(KI3)on Childhood Autism Neurodevelopmental Disorder

作　　者：林锦韬[1] 李爱武[1] 成云水[1] 宫凤英[1] 刘钊汝[1] 张强[1] 李永春[1] 黄荣铝[1] 吕英[1] LIN Jintao;LI Aiwu;CHENG Yunshui;GONG Fengying;UU Zhaoru;ZHANG Qiang;LI Yongchun;HUANG Ronglyu;LYU Ying(Nanfang Hospital,Nanfang Medical University,Guangzhou 510515,Guangdong,China)

机构地区：[1]南方医科大学南方医院,广东广州510515

出　　处：《中华中医药学刊》2021年第12期178-181,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：广东省中医药局面上项目(20191224);南方医科大学院长基金项目(2019B036)。

摘　　要：目的探讨太溪穴电针治疗儿童孤独症神经发育障碍的疗效,为临床选择治疗方案提供参考。方法选取2019年1月—2019年12月于医院就诊的50例孤独症儿童为研究对象。根据简单随机分组法,分成观察组与对照组各25例。对照组接受综合康复训练,观察组在综合康复训练基础上给予太溪穴电针治疗。治疗4个月后,比较两组患儿的治疗成效、自闭症行为(ABC)量表评分、儿童孤独症评定(CARS)量表评分、各项功能发展量表评分、运动能力和语言表达能力改善时间及不良反应。结果观察组患儿治疗4个月后的有效率为96.00%(24/25),显著高于对照组患儿(76.00%,19/25),差异有统计学意义(P<0.05)。与治疗前相比,治疗4个月后两组患儿的ABC评分、CARS评分均明显下降,且观察组患儿ABC评分、CARS均显著低于对照组患儿,差异有统计学意义(P<0.05)。与治疗前相比,治疗4个月后两组患者的模仿、感知觉、粗动作、精细动作、认知、手眼协调、口语评分均有提高,观察者患儿各项功能发展量表评分均明显高于对照组患儿,差异有统计学意义(P<0.05)。观察者患儿运动能力和语言表达能力改善时间均明显短于对照组患儿,差异有统计学意义(P<0.05)。结论太溪穴电针能够有效提高儿童孤独症神经发育障碍的临床疗效,减轻孤独症临床症状,促进各项功能发育,具有推广应用价值。Objective To explore the therapeutic effect of electroacupuncture at Taixi(KI3)on children with autism neurodevelopmental disorders and provide a reference for clinical treatment options.Methods Fifty autistic children who were treated in hospital were selected from January 2019 to December 2019 as the research subjects.According to a simple random grouping method,the patients were divided into an observation group and a control group,with 25 cases in each group.The control group received comprehensive rehabilitation training.The subjects were given electroacupuncture treatment at Taixi(KI3)based on comprehensive rehabilitation training.After 4 months of treatment,we compared the effectiveness of treatment,autism behavior(ABC)scale score,autism rating(CARS)scale score,concise intelligence test(SM)scale score,various items,the scores of functional development scale,motor ability and improvement time of language expression ability and adverse reactions.Results After 4 months of treatment,the effective rate of observation group was 96.00%(24/25),which was significantly higher than that of control group(76.00%,19/25).The difference was statistically significant(P<0.05).Compared with those before treatment,after 4 months of treatment,the ABC score and cars score of the two groups were significantly decreased,and the ABC score and cars score of the observation group were significantly lower than those of the control group.The difference was statistically significant(P<0.05).After 4 months of treatment,the scores of imitation,perception,coarse action,fine action,cognition,hand eye coordination and spoken language of the two patients were improved compared with those before treatment.The scores of the functional development scale of the observation group were significantly higher than those of the control group(P<0.05).The improvement time of motor ability and language expression ability of the observation group was significantly shorter than that of the control group(P<0.05).Conclusion Electroacupuncture at Taixi(KI3)ca

关 键 词：孤独症 儿童 太溪穴 电针 神经发育 疗效 不良反应 

分 类 号：R245.97[医药卫生—针灸推拿学] R277.749.1[医药卫生—中医临床基础]