头部针刺结合重复经颅磁刺激治疗自闭症合并多动症状患儿行为问题的疗效观察  

Observation on therapeutic effect of scalp acupuncture combined with repeated transcranial magnetic stimulation on behavioral problems in children with autism and ADHD

作　　者：杨和金 余航[2] YANG He-jin;YU Hang

机构地区：[1]江西中医药大学,江西南昌330000 [2]江西中医药大学附属医院/南昌健源康复医院康复科,江西南昌330000

出　　处：《中国疗养医学》2024年第11期34-37,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨头部针刺结合重复经颅磁刺激治疗自闭症合并多动症状患儿的疗效。方法选取江西中医药大学附属医院/南昌健源康复医院2022年10月至2023年10月收治的80例自闭症合并多动症状患儿,使用信封抽取住院号随机分为两组。两组患儿均使用重复经颅磁刺激治疗,研究组40例联合使用头部针刺治疗,两组患儿均治疗3个疗程。比较两组患儿治疗效果[儿童自闭症评估量表(CARS)、注意缺陷/多动评定量表(ADHD-RS)],治疗前后行为表现[儿童自闭症行为量表(ABC)、Swanson儿童行为量表(SNAP-Ⅳ)]、发育商(DQ)。结果两组患儿治疗前CARS、ADHD-RS、ABC、SNAP-Ⅳ评分比较,差异无统计学意义(P>0.05),治疗后两组患儿症状及行为表现均有好转,研究组患儿治疗后CARS评分(35.44±2.37),ADHD-RS评分(23.61±3.18),ABC评分(41.47±1.26),SNAP-Ⅳ评分(24.49±1.42),与对照组患儿(38.92±2.69)分、(27.59±3.27)分、(43.68±1.39)分、(27.43±1.94)分相比差异有统计学意义(P<0.05)。两组患儿治疗前DQ水平相比差异无统计学意义(P>0.05),治疗后研究组患儿DQ(67.52±5.41)分,与对照组患儿(61.25±5.39)分相比差异具有统计学意义(P<0.05)。结论自闭症合并多动症状患儿使用头部针刺结合重复经颅磁刺激治疗可有效提升治疗效果,同时改善患儿行为问题,促进患儿发育。Objective To explore the therapeutic effect of scalp acupuncture combined with repeated transcranial magnetic stimulation on children with autism and ADHD.Methods A total of 80 children with autism combined with ADHD admitted to the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine/Nanchang Jianyuan Rehabilitation Hospital from October 2022 to October 2023 were randomly divided into two groups using an envelope to extract the hospitalization number.Children in both groups were treated with repeated transcranial magnetic stimulation,and 40 cases in the study group were treated with combined scalp acupuncture,and children in both groups were treated for 3 courses.The treatment effects(childhood autism rating scale[CARS];attention deficit hyperactivity disorder rating scale[ADHD-RS]),behavior before and after treatment(children's autism behavior checklist[ABC];Swanson nolan and pelham-Ⅳrating scales[SNAP-Ⅳ])and developmental quotient(DQ)were compared between the two groups.Results There was no significant difference in the scores of CARS,ADHD-RS,ABC and SNAP-Ⅳbetween the two groups before treatment(P>0.05).Symptoms and behavior of the two groups were improved after treatment.After treatment,the study group had CARS score(35.44±2.37),ADHD-RS score(23.61±3.18),ABC score(41.47±1.26),and SNAP-Ⅳscore(24.49±1.42),while the control group had(38.92±2.69),(27.59±3.27),(43.68±1.39),and(27.43±1.94)respectively,and comparison showed the difference was statistically significant(P<0.05).There was no significant difference in DQ level between the two groups before treatment(P>0.05).After treatment,there was difference of statistical significance in DQ level between the study group(67.52±5.41)and the control group(61.25±5.39),P<0.05.Conclusion Scalp acupuncture combined with repeated transcranial magnetic stimulation can effectively improve the therapeutic effect,improve the behavioral problems and promote the development of children with autism and ADHD.

关 键 词：自闭症谱系障碍 注意缺陷多动障碍 重复经颅磁刺激治疗 针灸 

分 类 号：R74[医药卫生—神经病学与精神病学]