重复经颅刺激辅助常规训练治疗儿童孤独症谱系障碍的效果及对核心症状的影响  

Effect of repetitive transcranial stimulation assisted routine training on children with autism spectrum disorder and its influence on core symptoms

作　　者：王雪丽[1] 张珂 张少华[1] 王贝贝[1] Wang Xueli;Zhang Ke;Zhang Shaohua;Wang Beibei(Department of Pediatrics I,Nanyang First People’s Hospital,Nanyang 473000,China;Department of Children Rehabilitation,Xuecheng District Hospital of Traditional Chinese Medicine,Zaozhuang 277000,China)

机构地区：[1]南阳市第一人民医院儿一科,南阳473000 [2]枣庄市薛城区中医院儿童康复科,枣庄277000

出　　处：《中国实用医刊》2022年第9期66-69,共4页Chinese Journal of Practical Medicine

摘　　要：目的分析重复经颅刺激辅助常规训练治疗儿童孤独症谱系障碍的效果及对核心症状的影响。方法抽取2019年6月至2021年3月南阳市第一人民医院收治的儿童孤独症谱系障碍患儿86例,按随机数字表法分为经颅刺激组和常规组,每组43例。常规组予以常规训练,经颅刺激组在常规组治疗基础上予以重复经颅刺激。比较两组核心症状、情绪识别能力正确率及治疗前后儿童孤独症评定量表(CARS)、孤独症行为量表(ABC)、睡眠习惯问卷(CSHQ)、社交反应量表(SRS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分变化。结果经颅刺激组核心症状改善率(95.35%,41/43)高于常规组(81.40%,35/43),P<0.05。治疗后,经颅刺激组CARS、ABC、SRS、CSHQ、SDS、SAS评分均低于常规组(P均<0.05)。经颅刺激组情绪识别能力中倒置、正立识别正确率[65.12%(28/4),60.47%(26/43)]高于常规组[41.86%(18/43),46.51%(20/43)],P<0.05。结论重复经颅刺激辅助常规训练治疗儿童孤独症谱系障碍,可改善患儿核心症状和睡眠质量,减轻不良情绪,提高社交能力和情绪识别能力。Objective To analyze the effect of repetitive transcranial stimulation assisted routine training in the treatment of children with autism spectrum disorder and its influence on core symptoms.Methods A total of 86 children with autism spectrum disorder treated in Nanyang First People’s Hospital from June 2019 to March 2021 were selected,and they were divided into transcranial stimulation group and routine group according to random number table method,with 43 cases in each group.The routine group received routine training,and the transcranial stimulation group received repeated transcranial stimulation based on the treatment of the routine group.The core symptoms,correct rate of emotion recognition ability and changes of children’s autism rating scale(CARS)score,autism behavior scale(ABC)score,sleep habit questionnaire(CSHQ)score,social response scale(SRS)score,self rating depression scale(SDS)score and self rating anxiety scale(SAS)score were compared between the two groups before and after treatment.Results The improvement rate of core symptoms in the transcranial stimulation group was 95.35%(41/43),which was higher than 81.40%(35/43)in the routine group(P<0.05).After treatment,the scores of CARS,ABC,SRS,CSHQ,SDS and SAS in transcranial stimulation group were lower than those in the routine group(all P<0.05).In the emotion recognition ability test,the correct rate of inversion photo(65.12%,28/43)and upright photo(60.47%,26/43)in the transcranial stimulation group were higher than those in the routine group(41.86%,18/43;46.51%,20/43),P<0.05.Conclusions Repeated transcranial stimulation combined with routine training in the treatment of autism spectrum disorders in children can improve core symptoms and sleep quality,reduce harmful emotions,and improve social ability and emotion recognition ability.

关 键 词：孤独症谱系障碍 重复经颅刺激 常规训练 儿童孤独症评定量表 

分 类 号：R749.94[医药卫生—神经病学与精神病学]