Clinical observation on the adjuvant therapy of meridian-based acupuncture for 50 pediatric patients with autism and cognitive-speech articulatory disorders
Objective To observe the clinical efficacy of meridian-based acupuncture as adjuvant therapy for pediatric patients with autism and cognitive-speech articulatory disorders.Methods A total of 100 pediatric pa-tients with autism and cognitive-speech articulatory disorders admitted to the Rehabilitation Center of Hunan Chil-dren's Hospital from December 2018 to December 2022 were enrolled and divided into a control group and a treat-ment group based on their filing order,with 50 patients in each group.The control group received language cognitive training and oral muscle training,while the treatment group received meridian-based acupuncture in addition to the treatment methods of the control group.Both groups were treated continuously for 3 months,and the Autism Treat-ment Evaluation Checklist(ATEC),Autism Behavior Checklist(ABC),Childhood Autism Rating Scale(C-PEP),articulatory clarity,oral motor function scores,and patients'compliance with medical advice were observed in both groups.Results Before treatment,there were no statistically significant differences in language,social,behavioral,and sensory scores on the ATEC scale between the two groups(P＞0.05),indicating comparability.After treatment,the scores for language,social,behavioral,and sensory aspects on the ATEC scale were lower in both groups com-pared with those before treatment(P＜0.01),and the scores for all dimensions of the ATEC scale were lower in the treatment group than in the control group(P＜0.05).Before treatment,there were no statistically significant differ-ences in sensory,somatomotor,social interaction,self-care,and language scores on the ABC scale between the two groups(P＞0.05),indicating comparability.After treatment,the scores for sensory,somatomotor,social interaction,self-care,and language aspects on the ABC scale were lower in both groups compared with those before treatment(P＜0.05),and the scores for all dimensions of the ABC scale were lower in the treatment group than in the control group(P＜0.05).Before treatment,there were no statistically significant differences in oral cognitive,sensory,imita-tion,gross motor,cognitive performance,and fine motor scores on the C-PEP scale between the two groups(P＞0.05),indicating comparability.After treatment,the scores for oral cognitive,sensory,imitation,gross motor,cognitive performance,and fine motor aspects on the C-PEP scale were higher in both groups compared with those before treatment(P＜0.05),and the scores for all dimensions of the C-PEP scale were higher in the treatment group than in the control group(P＜0.05).Before treatment,there were no statistically significant differences in articulato-ry clarity and oral motor function(including tongue motor function,lip motor function,and jaw motor function)scores between the two groups(P＞0.05),indicating comparability.After treatment,the scores for these functions were higher in both groups compared with those before treatment(P＜0.01),and the scores for these functions were higher in the treatment group than in the control group(P＜0.05).The compliance rate with medical advice was 68.00％(34/50)in the control group and 88.00％(44/50)in the treatment group,with a statistically significant difference between the two groups(P＜0.05).Conclusion Meridian-based acupuncture as adjuvant therapy for pe-diatric patients with autism and cognitive-speech articulatory disorders can effectively improve their clinical symp-toms,behavior,articulatory clarity,and oral motor function,and enhance their compliance with medical advice,dem-onstrating clinical practical value.
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