头穴丛刺结合感知觉训练治疗孤独症的效果  

Effect of scalp acupuncture combined with sensory perception training in the treatment of autism

作　　者：任婷 李宏玉 张春艳[3] 朱路文[4] 唐强[4] 王鸿旭 李志刚[5] 李保龙 REN Ting;LI Hongyu;ZHANG Chunyan;ZHU Luwen;TANG Qiang;WANG Hongxu;LI Zhigang;LI Baolong(Ward One,Department of Neurorebilitation,Hanan Branch of the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150000,China;the First Department of Rehabilitation,the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150000,China;Rehabilitation Center,the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150000,China;Department of Rehabilitation,the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150000,China;the Second Department of Orthopedics and Traumatology,the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150000,China)

机构地区：[1]黑龙江中医药大学附属第二医院哈南分院神经康复科一病区,黑龙江哈尔滨150000 [2]黑龙江中医药大学附属第二医院康复一科,黑龙江哈尔滨150000 [3]黑龙江中医药大学附属第二医院康复中心,黑龙江哈尔滨150000 [4]黑龙江中医药大学附属第二医院康复科,黑龙江哈尔滨150000 [5]黑龙江中医药大学附属第二医院骨伤二科,黑龙江哈尔滨150000

出　　处：《中国医药导报》2022年第32期138-141,146,共5页China Medical Herald

基　　金：黑龙江省中医药科研项目(ZHY2020-138);黑龙江中医药大学附属第二医院孙申田青年人才基金项目(2020KY-04)。

摘　　要：目的探讨头穴丛刺结合感知觉训练治疗孤独症的效果。方法选取2020年5月至2021年10月黑龙江中医药大学附属第二医院康复科门诊及病房收治的2~10岁的孤独症患儿72例,通过计算机生成的随机分组程序,将符合纳入标准的患儿按照1∶1∶1分配到结合组、感知训练组和头针组,各24例。结合组采用头穴丛刺结合感知觉训练治疗,感知训练组采用听觉、触觉、本体感觉及知觉训练治疗,头针组采用于氏七区划分法进行功能区头穴丛刺长留针治疗。比较各组治疗前后儿童孤独症(自闭症)评定量表(CARS)、孤独症行为量表(ABC)评分。结果整体分析发现:CARS、ABC评分组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:三组治疗16、32周的CARS、ABC评分均低于治疗前,三组治疗32周的CARS、ABC评分均低于治疗16周,差异有统计学意义(P<0.05);组间比较:结合组治疗16、32周的CARS、ABC评分均低于感知训练组与头针组同期,差异有统计学意义(P<0.05)。结论头穴丛刺结合感知觉训练较单纯感知觉训练及单纯头穴丛刺治疗孤独症患儿的效果显著,更有利于孤独症患儿的尽早恢复。Objective To explore the effect of scalp acupuncture combined with sensory perception training in the treatment of autism.Methods Seventy-two autistic children aged two to ten years admitted to the outpatient department and ward of Department of Rehabilitation,the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine from May 2020 to October 2021 were selected and allocated.According to the computer-generated randomization procedure,the children who met the inclusion criteria were assigned to the combination group,the perception training group and the head acupuncture group according to 1∶1∶1,with 24 cases in each group.The combination group was treated with scalp acupuncture combined with sensory perception training.The perception training group was treated with hearing,touch,proprioception and perception training.The scalp acupuncture group was treated with long retaining needle of scalp acupuncture in the functional area of Yu’s seven zone division method.Childhood autism rating scale(CARS)and autism behavior checklist(ABC)scores before and after treatment in each group were compared.Results The overall analysis showed that there were statistically significant differences in group comparison,time point comparison and interaction of CARS and ABC scores(P<0.05).Further pairwise comparison,intra group comparison:the CARS and ABC scores of the three groups after 16 and 32 weeks of treatment were lower than those before treatment,the CARS and ABC scores of the three groups after 32 weeks of treatment were lower than those after 16 weeks of treatment,the differences were statistically significant(P<0.05).The group comparison:the CARS and ABC scores in the combination group were lower than those in the perception training group and the scalp acupuncture group after 16 and 32 weeks of treatment,the differences were statistically significant(P<0.05).Conclusion The effect of scalp acupuncture combined with sensory perception training in the treatment of autistic children is significantly better

关 键 词：孤独症 感知觉 头穴丛刺 行为 障碍 

分 类 号：R277.7[医药卫生—中医学]