首页|穴位电刺激结合应用行为分析疗法对孤独症谱系障碍儿童的疗效观察

穴位电刺激结合应用行为分析疗法对孤独症谱系障碍儿童的疗效观察

Observation on the therapeutic effect of acupoint electrical stimulation combined with behavioral analysis therapy on children with autism spectrum disorders

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目的:探讨穴位电刺激结合应用行为分析疗法(applied behavior analysis therapy,ABA)对孤独症谱系障碍(autism spectrum disorder,ASD)儿童的疗效.方法:选取2021年7月—2022年12月我院门诊收治的ASD儿童109例为研究对象.根据治疗方法的不同将患儿分为观察组(n=54)和对照组(n=55).对照组给予ABA,观察组给予穴位电刺激结合ABA治疗.比较两组患儿临床疗效、CARS评分、C-PEP-3评分、ATEC评分、ABC量表评分及血清细胞因子.结果:观察组总有效率明显高于对照组;治疗后,观察组患儿CARS评分、ATEC评分、ABC评分明显低于对照组,而C-PEP-3评分明显高于对照组;观察组患儿25(OH)D、叶酸、BDNF水平明显高于对照组.结论:穴位电刺激结合ABA能显著提高ASD患儿的治疗效果,改善患儿的临床症状,有利于患儿恢复社会生活能力,具有较高的临床应用价值.
Objective To investigate the efficacy of acupoint electrical stimulation combined with behavioral analysis thera-py(ABA)on autism spectrum disorder(ASD).Methods 109 children with ASD admitted to our outpatient clinic from July 2021 to December 2022 were selected for the study.The children were divided into observation group(n=54)and control group(n=55)according to different treatment methods.The control group was given ABA,and the observation group received acupuncture point electrical stimulation combined with ABA treatment.The clinical efficacy,CARS score,C-PEP-3 score,ATEC score,ABC scale score and serum cytokine were compared between the two groups.Results The total effective rate of the observation group was significantly higher than that of the control group;After treatment,the CARS score,ATEC score,and ABC score of the observation group were significantly lower than those of the control group,while the C-PEP-3 score was significantly higher than that of the control group;The levels of 25(OH)D,folate,and BDNF in the observation group were significantly higher than those in the control group.Conclusion Acupoint acupoint stimulation combined with ABA can significantly improve the treat-ment effect of children with ASD,improve the clinical symptoms of children,conducive to the recovery of social life ability,and have high clinical value.

acuacupoint stimulationapplied behavior analysis therapyautism spectrum disorderefficacy

夏伟桃、区肇真、何海燕、颜观梅、卢志炜、朱燕娜

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肇庆市人民医院儿科,肇庆 526000

中山火炬开发区人民医院,中山 528437

穴位电刺激 应用行为分析疗法 孤独症谱系障碍 疗效

广东省中医药局科研项目

20221456

2024

湖南师范大学学报(医学版)
湖南师范大学

湖南师范大学学报(医学版)

CSTPCD
影响因子:1.389
ISSN:1673-016X
年,卷(期):2024.21(4)