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针灸联合经颅磁刺激治疗小儿孤独症疗效观察

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目的 探讨针灸联合经颅磁刺激治疗小儿孤独症的临床效果.方法 将 106 例孤独症患儿随机分为观察组和对照组,各 53 例.对照组患儿给予经颅磁刺激治疗,观察组患儿在对照组基础上给予针灸治疗,治疗前后采用儿童孤独症量表(CARS)、孤独症儿童行为检查量表(ABC)、发育商(DQ)、中文版心理教育评定系统(C-PEP)及自闭症治疗评价量表(ATEC)评估两组患儿临床症状、临床疗效、行为情况、认知功能、发展功能、社交能力.结果 治疗后,两组患儿CARS、ATEC社交能力维度及ABC各维度评分较治疗前降低,且观察组低于对照组(P<0.01);两组患儿DQ、C-PEP各维度评分较治疗前升高,且观察组高于对照组(P<0.01).观察组患儿临床疗效总有效率高于对照组(P<0.05).结论 针灸联合经颅磁刺激治疗小儿孤独症,效果理想,值得临床推广.
Curative effect of acupuncture combined with transcranial magnetic stimulation in the treatment of infantile autism
Objective To explore the clinical effect of acupuncture combined with transcranial magnetic stimulation(TMA)in the treatment of infantile autism.Methods A total of 106 children with infantile autism were divided into observation and control group,with 53 ones in each.Controls received the TMS and observation group did acupuncture treatment on the basis of controls.Before and after treatment the Childhood Autism Rating Scale(CARS),Autism Behavior Checklist(ABC),Developmental Quotient(DQ),Chinese version of Psychoeducational Profile(C-PEP)and Autism Treatment Evaluation Checklist(ATEC)were used to assess clinical symptoms,clinical effects,behavior condition,cognitive function,development function and social ability in both groups,respectively.Results After treatment,the CARS scores,social ability scores of the ATEC and each dimension scores of the ABC lowered in both groups compared with pre-treatment and those were lower in observation than control group(P<0.01),each dimension scores of both the DQ and C-PEP elevated and those were higher in observation than control group(P<0.01).The total clinical effective rate was higher in observation than control group(P<0.05).Conclusion The combination of acupuncture and TMS has an ideal effect in infantile autism and is worthy of clinical promotion.

acupuncturetranscranial magnetic stimulationinfantile autismbehavioral situation

师晓敏、张萌、李维佳、李伟、魏晨曦、孔梨梨

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450000(河南·郑州)河南中医药大学第一附属医院儿科医院(河南中医药大学儿科医学院)

针灸 经颅磁刺激 小儿孤独症 行为情况

2025

临床心身疾病杂志
河南省精神病医院(新乡医学院第二附属医院)

临床心身疾病杂志

影响因子:1.01
ISSN:1672-187X
年,卷(期):2025.31(1)