岐黄针治疗孤独症谱系障碍伴睡眠障碍:多中心随机对照试验  

Qihuang needle therapy for autism spectrum disorder with sleep disorder:a multi-center randomized controlled trial

作　　者：金炳旭 刘琪珍 汤嘉豪 赵勇 辛晶 周园 蔡海燕 霍湛新 陈晓虹 白艳 JIN Bingxu;LIU Qizhen;TANG Jiahao;ZHAO Yong;XIN Jing;ZHOU Yuan;CAI Haiyan;HUO Zhanxin;CHEN Xiaohong;Bai Yan(Department of Rehabilitation,Panyu District TCM Hospital of Guangzhou City,Guangzhou 511200,Guangdong Province,China;Department of Pediatric Rehabilitation,Nanhai Maternity and Children Hospital Affiliated to Guangzhou University of CM;Department of Pediatric Rehabilitation,Foshan Fosun Chancheng Hospital)

机构地区：[1]广州市番禺区中医院康复科,广东广州511200 [2]广州中医药大学附属南海妇产儿童医院儿童康复科 [3]佛山复星禅诚医院儿童康复科

出　　处：《中国针灸》2025年第3期322-326,共5页Chinese Acupuncture & Moxibustion

基　　金：广东省中医药局科研课题项目:20232129;广州市中医药特色诊疗技术项目(岐黄针疗法)。

摘　　要：目的:观察岐黄针疗法治疗孤独症谱系障碍(ASD)伴睡眠障碍患儿的临床疗效。方法:将60例ASD伴睡眠障碍患儿随机分为观察组和对照组,每组30例。两组均予结构化教育干预措施,每次60 min,每天1次,每周6d。观察组予岐黄针疗法治疗,于印堂、百会和双侧厥阴俞、心俞行合谷刺,不留针,每周2次,每次治疗时间间隔不少于2 d;对照组予行为干预疗法。两组均治疗12周。分别于治疗前后观察两组患儿睡眠习惯问卷(CSHQ)、孤独症行为量表(ABC)、儿童孤独症评定量表(CARS)和克氏孤独症行为量表(CABS)评分。结果:治疗后,两组患儿CSHQ、ABC、CARS和CABS评分均较治疗前降低(P<0.01),且观察组低于对照组(P<0.05)。结论:岐黄针疗法可有效治疗ASD伴睡眠障碍,改善患儿ASD核心症状及睡眠质量。Objective To observe the clinical efficacy of Qihuang needle therapy for autism spectrum disorder(ASD)children with sleep disorder.Methods A total of 60 ASD children with sleep disorder were randomly divided into an observation group and a control group,30 cases in each group.Both groups were treated with structured education intervention,60 min each time,once a day,6 times a week.Qihuang needle therapy was applied at Yintang(GV24+),Baihui(GV20)and bilateral Jueyinshu(BL14),Xinshu(BL15)in the observation group,multi-direction needling was delivered and without needle retaining.The treatment was given 2 times a week,each treatment was delivered at interval of 2 days at least.Behavioral intervention was adopted in the control group.Treatment for consecutive 12 weeks was required in both groups.Before and after treatment,the scores of children's sleep habits questionnaire(CSHQ),the autism behavior checklist(ABC),the childhood autism rating scale(CARS),and the childhood autism behavior scale(CABS)were observed in the two groups.Results After treatment,the scores of CSHQ,ABC,CARS and CABS were decreased compared with those before treatment(P<0.01),and the above scores in the observation group were lower than those in the control group(P<0.05).Conclusion Qihuang needle therapy can effectively treat ASD with sleep disorder,improve the core symptoms of ASD and the sleep quality.

关 键 词：孤独症谱系障碍 睡眠障碍 针刺 岐黄针 行为干预 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]