定神针刺法联合认知行为疗法治疗注意力缺陷伴多动障碍儿童的临床研究  

Clinical study on the treatment of children with attention deficit and hyperactivity disorder by centering acupuncture combined with cognitive behavioral therapy

作　　者：汤新晶 TANG Xin-jing

机构地区：[1]郑州大学第五附属医院,河南郑州450000

出　　处：《中国疗养医学》2025年第4期27-31,共5页Chinese Journal of Convalescent Medicine

摘　　要：目的 观察定神针刺法联合认知行为疗法治疗注意力缺陷伴多动障碍(ADHD)儿童的临床效果。方法 选取2023年1月至2024年8月郑州大学第五附属医院收治的ADHD儿童86例,采用随机数字表分为两组,对照组给予认知行为疗法干预,观察组在其基础上给予定神针刺法干预。检测两组治疗前后、脑电图指标、大脑动脉平均血流速度变化,评估两组治疗前后中国修订版韦氏儿童智力测验(C-WISC)评分、注意缺陷多动障碍评估量表(SNAP-Ⅳ)评分差异。结果 两组治疗前脑电图指标比较,差异无统计学意义(P>0.05);两组治疗后β波、感觉运动节律(SMR)均较治疗前升高,观察组β波、SMR高于对照组(P<0.05);两组治疗后θ波均较治疗前降低,观察组θ波低于对照组(P<0.05)。两组治疗前C-WISC评分、SNAP-Ⅳ评分比较,差异无统计学意义(P>0.05);两组治疗后PIQ评分、VIQ评分、FIQ评分均较治疗前升高,观察组C-WISC评分高于对照组(P<0.05);两组治疗后多动/冲动症状评分、注意力缺陷症状评分均较治疗前降低,观察组SNAP-Ⅳ评分低于对照组(P<0.05)。两组治疗前大脑动脉平均血流速度比较,差异无统计学意义(P>0.05);观察组治疗后双侧中动脉(MCA)、前动脉(ACA)、后动脉(PCA)均较治疗前升高,观察组大脑动脉平均血流速度高于对照组(P<0.05)。结论 定神针刺法联合认知行为疗法治疗ADHD可改善脑电图和大脑动脉平均血流速度,减轻症状。Objective To observe the clinical effect of centering acupuncture combined with cognitive behavioral therapy on children with attention deficit and hyperactivity disorder(ADHD).Methods A total of 86 children with ADHD admitted to the Fifth Affiliated Hospital of Zhengzhou University from January 2023 to August 2024 were selected and divided into two groups by random number table.The control group was given cognitive behavioral therapy intervention,and the observation group was given centering acupuncture intervention on the basis of cognitive behavioral therapy.The changes of electroencephalogram(EEG)index and average cerebral artery blood flow velocity in the two groups were detected before and after treatment,and the differences of Chinese revised Wechsler Intelligence Scale for Children(C-WISC)score and Swanson,Nolan,and Pelham,version IV scale(SNAP-Ⅳ)score were evaluated between the two groups before and after treatment.Results There was no difference of statistical significance in EEG index between the two groups before treatment(P>0.05).After treatment,βwave and sensorimotor rhythm(SMR)in both groups were higher than those before treatment,andβwave and SMR in the observation group were higher than those in the control group(P<0.05).After treatment,θwave in both groups was lower than that before treatment,andθwave in the observation group was lower than that in the control group(P<0.05).There was no difference of statistical significance in C-WISC score and SNAP-Ⅳscore between the two groups before treatment(P>0.05).After treatment,PIQ(performance intelligence quotient)scores,VIQ(verbal intelligence quotient)scores and FIQ(full intelligence quotient)scores were higher than those before treatment,and C-WISC scores in the observation group were higher than those in the control group(P<0.05).The scores of hyperactivity/impulsivity symptoms and attention deficit symptoms after treatment were lower than those before treatment,and the SNAP-Ⅳscores in the observation group were lower than those in the con

关 键 词：定神针刺法 认知行为疗法 注意力缺陷伴多动障碍 脑电图 

分 类 号：R246.6[医药卫生—针灸推拿学]