穴位按摩结合语言训练对自闭症儿童语言交流障碍的疗效观察

The effect of language therapy combined with point massage on communion disability in autism children

目的探讨穴位按摩结合语言训练对自闭症儿童语言交流障碍的疗效。方法30例孤独症儿童随机分为穴位按摩组和对照组。穴位按摩组16例采用穴位按摩结合语言训练,语言训练包括对视、注意力、配对、模仿口部肌肉运动和发音、家庭的强化训练,穴位按摩为对口周和面部穴位以及头部穴位（如迎香、水沟、地仓、下关、翳风、颊车、承浆、印堂、百会、脑户、风府、哑门、大椎）进行顺时针方向按揉,每穴按摩0.5-1min。对照组14例采用常规语言训练。训练前后根据CRRC版S-S法语言发育迟缓检查法对患儿进行评估。结果经过6-9个月治疗后两组均有显著进步,在难度小的操作性课题评估上两组无显著差异,而穴位按摩组患儿在图形辨别、言语模仿、手势模仿、词汇的理解和表达、临床疗效明显好于对照组（P〈0.05）,日常生活交流态度明显好于对照组（P〈0.01）。结论按摩结合语言训练是自闭症儿童语言交流障碍的有效治疗方法。

Objective To study the effect of language therapy combined with point massage on communion disability in autism children. Methods Totally 30 autism children were randomly divided into test group （ 16 children ） and control group（ 14 children ）. The test group children were treated with conventional language therapy and point massage. The language therapy included look at each other, attention, partnership, mouth movement imitation, pronunciation, point massage therapy was kneading and massage the acupuncture points of head and face. The control groui9 children were treated with conventional language therapy only. They were evaluated with CRRC sign-signification relations assessment before treatment and once a month. Results All the 30 children were involved in the result analysis. After treatment the cases of 2 groups were better than before treatment. There were no significant difference at the less-difficult items of operating tasks evaluation between the 2 groups. At the figure identify, speech imitate, gesture imitate, words understanding and expressions the test group was better than the control group（ P 〈 0. 05 ）. The children＇ s communion attitude of test group were better markedly than control group （ P 〈 0. 001 ）. Conclusion Language therapy combined with point massage is effective for communion disability in autism children.