电针配合行为疗法对孤独症患儿行为能力及智能的影响

Effects of electroacupuncture combined with behavior therapy on intelligence and behavior of children of autism

目的:探寻治疗孤独症的有效疗法。方法:将60例孤独症患儿随机分为电针行为疗法组(30例)和行为疗法组(30例)。两组均进行常规行为疗法,电针行为疗法组在此基础上穴取百会、四神聪、神庭、本神、印堂、脑户、脑空、内关及头针语言一区、语言二区、语言三区进行电针。观察两组疗效及治疗前后分别进行图片词汇量表(PPVT)、孤独症行为能力的测试。结果:电针行为疗法组总有效率为86.7%,优于行为疗法组的56.7%(P<0.05)。电针行为疗法组在感觉、交往、躯体、自理能力方面均较治疗前有显著性提高(P<0.05),且在感觉、躯体及自理因子方面优于行为疗法组(P<0.05)。两组PPVT治疗后分值无明显改善(P>0.05)。结论:电针行为疗法组可以明显改善孤独症的临床症状,但对智能改善不明显。

Objective To find out an effective therapy for autism. Methods Sixty children of autism were randomly divided into an electroacupuncture （EA） plus behavior therapy group and a behavior therapy group, 30 cases in each group. The patients in the two groups were treated with routine behavior, with EA at Baihui （GV 20）, Sishencong （EX-HN 1）, Shenting （GV 24）, Benshen （GB 13）, Yintang （EX-HN 3）, Naohu （GV 17）, Naokong （GB 19）, Neiguan （PC 6） and scalp acupuncture at Speech Areas Ⅰ , Ⅱ ,Ⅲ added for the EA plus behavior therapy group. Their therapeutic effects were observed, and the picture and vocabulary scale （PPVT） and behavior ability were detected. Results The total effective rate was 86.7 % in the EA plus behavior therapy group which was better than 56.7 % of the behavior therapy group, and had significant enhancement in sensation, association, body, and ability of self-care （P〈0.05） and Was better than the behavior therapy group in sensation, body and self-care factors, with no significantly improvement in the scores of PPVT in the two groups （P〉0.05）. Conclusion EA com- bined with behavior therapy can significantly improve clinical symptoms of autism, but does not improve intelligence.