辨证针刺干预联合综合康复训练课对孤独症谱系障碍患儿社交能力的影响  

Effect of Acupuncture Based on Syndrome Differentiation Combined with Comprehensive Rehabilitation Training Courses on Social Ability of Children with Autism Spectrum Disorder

作　　者：刘丹[1] 许诗浩 贺勋 LIU Dan;XU Shi-hao;HE Xun(Pediatric Rehabilitation of Shangqiu First People's Hospital,Shangqiu 476100,Henan Province,China)

机构地区：[1]商丘市第一人民医院儿科康复,河南商丘476100

出　　处：《罕少疾病杂志》2023年第12期106-107,共2页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20160073)。

摘　　要：目的研究辨证针刺干预联合综合康复训练课对孤独症谱系障碍(ASD)患儿社交能力的影响。方法取本院自2019年5月至2020年6月收治的60例ADS患儿,采用随机数字表法分为对照组30例与观察组30例。对照组接受综合康复训练干预,观察组采用辨证针刺联合综合康复训练课干预。比较两组患儿临床疗效、孤独症儿童社会技能评定量表评分(ASSS)、儿童自闭症行为量表(ABC)。结果干预后观察组总有效率93.33%,高于对照组70.00%(P<0.05);干预后两组自我调控、社会认知、社会参与等ASSS评分显著高于干预前,且干预后观察组高于对照组(P<0.05);干预后两组自理能力、语言能力、运动能力等ABC评分显著低于干预前,且干预后观察组低于对照组(P<0.05)。结论对ADS患儿采用辨证针刺联合综合康复训练课干预效果较好,明显改善患儿社交能力,优于单一综合康复训练课。Objective To study the effect of acupuncture based on syndrome differentiation combined with comprehensive rehabilitation training courses on social ability of children with autism spectrum disorder(ASD).Methods Sixty children with ADS admitted to the hospital from May 2019 to June 2020 were divided into a control group(30 cases)and an observation group(30 cases)by random number table method.The control group received comprehensive rehabilitation training,while the observation group received acupuncture based on syndrome differentiation combined with comprehensive rehabilitation training course intervention.Clinical efficacy,the Autism Social Skills Scale(ASSS)score,and autism behavior checklist(ABC)score were compared between the groups.Results The total effective rate in the observation group after intervention(93.33%)was higher than that in the control group(70.00%)(P<0.05).After intervention,the ASSS scores for self-regulation,social cognition,and social participation in the two groups were significantly higher than before intervention.The observation group had higher scores than the control group(P<0.05).After intervention,the ABC scores for self-care ability,language competence,and motor ability in the two groups were significantly lower than those before intervention.The observation group had lower scores than the control group(P<0.05).Conclusion Acupuncture based on syndrome differentiation combined with comprehensive rehabilitation training courses can significantly improve social ability of children with ASD.

关 键 词：孤独症谱系障碍 辨证针刺 综合康复训练课 社交能力 

分 类 号：R473.72[医药卫生—护理学]