沙盘游戏联合经颅直流电刺激治疗自闭症儿童的临床研究  

Clinical study of sandplay combined with transcranial direct current stimulation in autistic children

作　　者：张真真 石娜娜[1] ZHANG Zhen-zhen;SHI Na-na

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5期34-38,共5页Chinese Journal of Convalescent Medicine

摘　　要：目的观察沙盘游戏联合经颅直流电刺激治疗自闭症儿童的临床效果。方法选取2023年1月至2024年5月收治的86例自闭症患儿,采用随机数字表分为对照组(n=43)和观察组(n=43)。对照组给予沙盘游戏联合伪刺激干预,观察组给予沙盘游戏联合经颅直流电刺激干预,连续干预6个月。评估两组孤独症治疗评估量表(ATEC)、儿童孤独症评定量表(CARS)、孤独症儿童行为检查量表(ABC)、儿童生活质量普适性核心评定量表(PedsQL4.0)、临床语言功能问卷(CLSQ)评分变化,统计两组相关症状发生率,检测两组脑电波水平。结果治疗前两组相关评分比较,差异无统计学意义(P>0.05);治疗后两组ATEC评分、CARS评分、ABC评分均降低,且观察组低于对照组(P<0.05);两组PedsQL4.0评分、CLSQ评分均升高,且观察组高于对照组(P<0.05)。治疗前两组相关症状发生率差异无统计学意义(P>0.05);治疗后两组胃肠道症状、睡眠障碍、兴奋症状、变态反应发生率均降低,观察组胃肠道症状、兴奋症状发生率低于对照组(P<0.05)。治疗前两组脑电波差异无统计学意义(P>0.05);治疗后两组δ波、θ波、α波、β波均升高,且观察组δ波(0.93±0.15)cm/s、θ波(0.96±0.23)cm/s、α波(0.93±0.21)cm/s、β波(1.22±0.21)cm/s高于对照组δ波(0.84±0.12)cm/s、θ波(0.85±0.19)cm/s、α波(0.82±0.26)cm/s、β波(1.09±0.18)cm/s,P<0.05。结论沙盘游戏联合经颅直流电刺激可减轻自闭症儿童症状,改善脑电波和沟通能力,提高生活质量。Objective To observe the clinical effects of sandplay combined with transcranial direct current stimulation in the treatment of autistic children.Methods Eighty-six autistic children admitted from January 2023 to May 2024 were selected and divided into the control group(n=43)and observation group(n=43)using a random number table.Autistic children in the control group were given sandplay combined with pseudo-stimulation intervention,and those in the observation group were given sandplay combined with transcranial direct current stimulation intervention for 6 consecutive months.Changes in the scores of Autism Treatment Evaluation Checklist(ATEC),Childhood Autism Rating Scale(CARS),Autism Behavior Checklist(ABC),Pediatric Quality of Life Inventory(PedsQL4.0),and Clinical Language Status Questionnaire(CLSQ)in the two groups were assessed.The incidence of the related symptoms,and brain waves in the two groups were recorded.Results Before the treatment,there were no significant differences in the relevant scores between the two groups(P>0.05).After the treatment,the ATEC,CARS and ABC scores all significantly decreased in both groups,which were significantly lower in the observation group than the control group(P<0.05).The PedsQL4.0 and CLSQ scores after the treatment were both significantly elevated in the two groups,which were significantly higher in the observation group than the control group(P<0.05).Before the treatment,there were no significant differences in incidence of related symptoms between the two groups(P>0.05).After the treatment,the incidences of gastrointestinal symptoms,sleep disorders,excitation symptoms and allergic reactions in the two groups were all significantly reduced in both groups,and those of gastrointestinal symptoms and excitation symptoms in the observation group were significantly lower than those of the control group(P<0.05).Before the treatment,there were no significant differences in brain waves between the two groups(P>0.05).After the treatment,theδ,θ,αandβwaves all significantly

关 键 词：沙盘游戏 经颅直流电刺激 自闭症 脑电波 生活质量 

分 类 号：R749.94[医药卫生—神经病学与精神病学]