通督调神针刺法联合康复训练治疗儿童孤独症谱系障碍的疗效观察  

Observation on the Curative Effect of Tongdu Tiaoshen Acupuncture(通督调神针刺法)combined with Rehabilitation Training on Children with Autism Spectrum Disorder

作　　者：陈志蕊 李芸芸 吴德[1] 孙培养[2] 李难[2] CHEN Zhirui;LI Yunyun;WU De;SUN Peiyang;LI Nan(The First Affiliated Hospital of Anhui Medical University,Hefei Anhui 230022,China;The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei Anhui 230000,China)

机构地区：[1]安徽医科大学第一附属医院,安徽合肥230022 [2]安徽中医药大学第二附属医院,安徽合肥230000

出　　处：《中医药导报》2023年第11期89-93,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号);安徽省教育厅高校科学研究项目(KJ2020A0404)。

摘　　要：目的:观察通督调神针刺法联合康复训练治疗儿童孤独症谱系障碍的临床疗效。方法:采用随机数字表法将纳入的60例孤独症患儿分为治疗组和对照组,每组30例。两组患儿均接受综合康复训练(行为矫正训练、言语训练、多感官游戏训练、结构化教学训练),治疗组同时采用通督调神针刺法治疗。两组均每日治疗1次,每周治疗5次,1个月为1个疗程,共4个疗程。观察比较两组患儿治疗前后儿童孤独症评定量表(CARS)评分、孤独症疗效评定量表(ATEC)评分、孤独症儿童心理教育评定量表第3版(PEP-3)评分、儿童功能独立性量表(WeeFIM)评分变化情况,并对比两组临床疗效。结果:两组患儿治疗后ATEC各因子(言语交流、社交能力、感知觉、行为)评分均较治疗前降低(P<0.05),PEP-3各项评分及WeeFIM总评分均较治疗前升高(P<0.05);两组治疗后比较,治疗组患儿ATEC各因子(言语交流、社交能力、感知觉、行为)评分及CARS总分均低于对照组(P<0.05),PEP-3各项评分及WeeFIM总评分均高于对照组(P<0.05)。治疗组总有效率明显高于对照组(P<0.05)。结论:通督调神针刺法联合康复训练治疗儿童孤独症谱系障碍疗效更优,能更好地提高儿童的言语表达及社交能力,改善患儿生活质量。Objective:To observe the clinical effect of Tongdu Tiaoshen acupuncture(通督调神针刺法)combined with rehabilitation training on children with autism spectrum disorder.Methods:60 children with autism were divided into treatment group and control group according to random number table,with 30 cases in each group.Children in both groups received comprehensive rehabilitation training(behavior modification training,speech training,multi-sensory game training,structured teaching training),and the treatment group received Tongdu Tiaoshen acupuncture therapy.Both groups were treated once a day,5 times a week,for 4 consecutive weeks as a course of treatment,a total of 4 courses of treatment.Children's Autism Rating Scale(CARS),Autism Efficacy Rating Scale(ATEC),Autism Psychoeducational Rating Scale for Children(PEP-3),and Children's Functional Independence Scale(WeeFIM)were used to evaluate the two groups of children before and after treatment,and the clinical efficacy of the two groups was compared.Results:After treatment,the scores of ATEC factors(speech communication,social ability,sensory perception,behavior)in both groups of children decreased compared to before treatment(P<0.05),while the scores of PEP-3 and the total score of WeeFIM increased compared to before treatment(P<0.05).After treatment,compared with the two groups,the ATEC scores of various factors(speech communication,social ability,sensory perception,behavior)and the total CARS score of the treatment group were lower than those of the control group(P<0.05),while the PEP-3 scores and the WeeFIM total score were higher than those of the control group(P<0.05).The total effective rate of the treatment group was significantly higher than that of the control group(P<0.05).Conclusion:The treatment of autism spectrum disorder with the combination of acupuncture therapy and rehabilitation training is more effective,can better improve the speech expression and social ability of children,and improve their quality of life.

关 键 词：儿童孤独症谱系障碍 通督调神 针刺 康复训练 疗效观察 

分 类 号：R246.4[医药卫生—针灸推拿学]