首页|"肠神共治"针刺法治疗孤独症谱系障碍的临床疗效观察

"肠神共治"针刺法治疗孤独症谱系障碍的临床疗效观察

Clinical Efficacy of Acupuncture with "Intestine-spirit Joint Therapy"in Treating Autism Spectrum Disorders

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目的:观察"肠神共治"针刺疗法对孤独症谱系障碍(autism spectrum disorder,ASD)的临床疗效.方法:将 64 例ASD患儿随机分为观察组和对照组,对照组 32 例(脱落 2 例),观察组 32 例(脱落 1 例).对照组进行常规康复训练,具体为应用行为分析法、感觉统合训练、言语治疗、重复经颅磁治疗;观察组在对照组的基础上,加用基于"脑-肠轴"理论的"肠神共治"针刺疗法.4 w为 1 个疗程,予以 6 个疗程治疗.分别于治疗前、后比较 2 组患儿孤独症行为量表(ABC)、儿童孤独症评定量表(CARS)、胃肠疾病中医症状评分、孤独症治疗评估量表(ATEC)各项评分.结果:观察组总有效率为 87.1%,对照组为 63.3%,观察组患者总有效率高于对照组(P<0.05).治疗后,2 组患儿ABC、CARS、胃肠疾病中医症状及ATEC各项评分均较同组治疗前下降(P<0.05),且观察组低于对照组(P<0.05).结论:联合应用"肠神共治"针刺疗法及常规康复训练,可有效缓解ASD患儿的临床症状以及胃肠功能问题.
Objective:To observe the clinical efficacy of acupuncture with"Intestine-spirit Joint Therapy"on autism spectrum dis-order(ASDs).Methods:Sixty-four children with ASDs were randomly divided into an observation group and a control group,with 32 cases in the control group(2 cases lost)and 32 cases in the observation group(1 case lost).The control group received routine rehabil-itation training,specifically behavioral analysis,sensory integration training,speech therapy,and repetitive transcranial magnetic ther-apy;On the basis of the control group,the observation group was treated with acupuncture with"Intestine-spirit Joint Therapy" based on the brain-gut axis theory.A course of treatment lasts for 4 weeks,and a total of 6 courses of treatment will be a dministered.The scores of the Autism Behavior Checklist(ABC),Childhood Autism Rating Scale(CARS),Traditional Chinese Medicine Symptom Score for gastrointestinal diseases(TCMSS),and Autism Treatment Evaluation Checklist(ATEC)were compared between the two groups before and after treatment.Results:The total effective rate of the observation group was 87.1%,while that of the control group was 63.3%.The total effective rate in the observation group was higher than that of the control group(P<0.05).After treatment,the scores of ABC,CARS,TCMSS,and ATEC in both groups decreased compared to the same group before treatment(P<0.05),and the observa-tion group was lower than the control group(P<0.05).Conclusion:The combined application of acupuncture with "Intestine-spirit Joint Therapy" and routine rehabilitation training can effectively alleviate the clinical symptoms and gastrointestinal function problems of children with ASDs.

ASDsbrain-gut axisacupunctureDong's unique acupoint

杨阳、刘子晖、黄茂、张明镜、杨亚欣、蒋杰

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河北中医药大学第一附属医院(石家庄 050011)

孤独症谱系障碍 脑-肠轴 针刺 董氏奇穴

河北省科技厅重点研发计划项目

223777147D

2024

河北中医药学报
河北医科大学

河北中医药学报

CSTPCD
影响因子:0.865
ISSN:1007-5615
年,卷(期):2024.39(2)
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