电针听会、本神对孤独症谱系障碍患儿听觉反应异常的影响  

Effect of electroacupuncture at Tinghui(GB 2) and Benshen(GB 13) on abnormal auditory response in children with autism spectrum disorder

作　　者：阙秀琴 郭伟 傅萍 吴强[2] QUE Xiu-qin;GUO Wei;FU Ping;WU Qiang(Department of Rehabilitation,Longyan Hospital of TCM,Longyan 364000,Fujian Province,China;Fujian University of TCM)

机构地区：[1]龙岩市中医院康复科,福建龙岩364000 [2]福建中医药大学

出　　处：《中国针灸》2023年第1期36-39,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较电针听会、本神联合常规康复训练与单纯常规康复训练对孤独症谱系障碍(ASD)患儿听觉反应异常的影响。方法:将70例ASD患儿随机分为观察组和对照组,每组35例。对照组采用常规康复训练治疗;观察组在对照组基础上予电针听会、本神(疏密波,频率2 Hz/10 Hz)治疗,每次20 min,治疗6 d后休息1d,两组均连续治疗12周。比较两组患儿治疗前后听觉反应异常发生率及儿童孤独症评定量表(CARS)、孤独症行为量表(ABC)评分。结果:治疗后,两组患儿听觉反应异常总发生率及观察组患儿听觉反应迟钝、听觉反应过敏发生率均较治疗前降低(P<0.05),观察组患儿听觉反应异常总发生率及听觉反应过敏发生率低于对照组(P<0.05)。治疗后,两组患儿CARS、ABC评分均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05)。结论:电针听会、本神联合常规康复训练可降低ASD患儿听觉反应异常发生率,改善ASD患儿核心症状,临床疗效优于单纯常规康复训练。Objective To compare the effect of electroacupuncture at Tinghui(GB 2) and Benshen(GB 13) combined with routine rehabilitation training and simple routine rehabilitation training on abnormal auditory response in children with autism spectrum disorder(ASD). Methods A total of 70 children with ASD were randomly divided into an observation group and a control group, 35 cases in each group. The control group was given routine rehabilitation training. On the basis of the treatment in the control group, the observation group was given electroacupuncture at Tinghui(GB 2) and Benshen(GB 13),disperse-dense wave, frequency in 2 Hz/10 Hz, 20 min each time, and 1 day off after 6 days of treatment. Both groups were treated for 12 weeks. The incidence of abnormal auditory response, the scores of childhood autism rating scale(CARS) and autism behavior checklist(ABC) were compared between the two groups before and after treatment. Results After treatment, the total incidences of abnormal auditory response in the two groups and the incidences of dull and hypersensitive auditory response in the observation group were lower than those before treatment(P<0.05). The total incidence of abnormal auditory response and the incidence of hypersensitive auditory response in the observation group were lower than those in the control group(P<0.05). After treatment, CARS and ABC scores of both groups were lower than those before treatment(P<0.05), and those in the observation group were lower than the control group(P<0.05). Conclusion Electroacupuncture at Tinghui(GB 2) and Benshen(GB 13) combined with routine rehabilitation training can reduce the incidence of abnormal auditory response and improve the core symptoms in children with ASD, and the clinical effect is better than the simple routine rehabilitation training.

关 键 词：孤独症谱系障碍 电针 穴 听会 穴 本神 听觉反应异常 

分 类 号：R246.4[医药卫生—针灸推拿学]