首页|头针联合穴位贴敷治疗孤独症儿童睡眠障碍的疗效观察

头针联合穴位贴敷治疗孤独症儿童睡眠障碍的疗效观察

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目的:探讨应用头针联合穴位贴敷对孤独症(ASD)儿童睡眠障碍的临床效果。方法:选取120例睡眠障碍的ASD儿童,按随机数字表法分为头针组(40例,脱落2例)、贴敷组(40例,脱落2例)、联合组(40例,脱落1例),各组均应用常规康复治疗,包括沙盘游戏、行为干预。头针组患儿加用头针,贴敷组患儿加用穴位贴敷,联合组患儿加用头针联合穴位贴敷。以4周作为1个疗程,共治疗3个疗程,在治疗前及3个疗程后分别采用儿童睡眠习惯调查问卷(CSHQ)、家庭睡眠习惯调查(FISH)、汉密尔顿抑郁量表(HAMD)睡眠障碍因子及孤独症治疗评估量表(ATEC)评估治疗效果。结果:联合组临床总有效率为92。31%,优于头针组71。05%、贴敷组68。42%(P<0。05);头针组患儿总有效率与贴敷组相比,差异无统计学意义(P>0。05)。治疗后,3组患儿CSHQ评分(就寝习惯、入睡潜伏期、睡眠焦虑、睡眠持续时间、夜醒)、FISH评分、HAMD评分、ATEC评分均优于治疗前,差异均有统计学意义(P<0。05);治疗后,联合组CSHQ评分、FISH评分、HAMD睡眠因子总分及ATEC总分水平均优于头针组、贴敷组(P<0。05);头针组患儿治疗后各项评分与贴敷组比较,差异均无统计学意义(P>0。05)。结论:头针联合穴位贴敷对改善ASD儿童睡眠障碍疗效确切。
Efficacy of Scalp Acupuncture Combined with Acupoint Application to Treat Sleep Disorders in Children with Autism
Objective:To investigate the efficacy of scalp acupuncture combined with acupoint application on children's sleep disorder of autism(ASD).Methods:A total of 120children with ASD were included and then divided into the scalp acupuncture group(40 cases,2 dropout cases),the application group(40 cases,2 dropout cases),and the combined group(40 cases,1 dropout case)using the random number table method.All groups were treated with conventional rehabilitation therapy,including sand-play and be-havioral intervention.The scalp needle group was further treated with the scalp needle,the application group was further treated with acupoint application,and the combined group was further treated with similar scalp needle combined with acupoint application.Four weeks of treatment is one treatment.The treatment lasted for three treatment courses.Children's sleep habits questionnaire(CSHQ),family inventory of sleep habits(FISH),Hamilton Depression Scale(HAMD)sleep factors and Autism Treatment Evaluation Scale(ATEC)were used to evaluate the therapeutic effect before and after the treatment.Results:The total clinical effective rate of the combined group was 92.31%,which was better than that of scalp acupuncture group(71.05%)and application group(68.42%)(P<0.05).There was no significant difference in the total effective rate between the scalp acupuncture group and the application group(P>0.05).After treatment,CSHQ score(bedtime habit,sleep latency,sleep anxiety,sleep duration,night wake),FISH score,HAMD score and ATEC score in 3 groups were all improved compared with before treatment,with statistical difference(P<0.05).After treatment,CSHQ score,FISH score,HAMD sleep factor total score and ATEC total score in the combined group were better than those in scalp acupuncture group and application group(P<0.05).There was no significant difference in scores between the scalp acupuncture group and the application group after treatment(P>0.05).Conclusion:Scalp acupuncture combined with acupoint application is effective in improving sleep disorders in children with ASD.

autism spectrum disordersleep disordersscalp acupunctureacupoint applicationrehabilitation training

刘子晖、杨阳、张明镜、杨亚欣、张周、黄茂

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河北中医药大学第一附属医院,河北石家庄 050011

孤独症谱系障碍 睡眠障碍 头针 穴位贴敷 康复训练

河北省重点研发计划"中医药创新专项"项目

223777147D

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(4)
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