头针联合脑电生物反馈疗法治疗儿童注意缺陷多动障碍:随机对照研究

Attention deficit hyperactivity disorder treated with scalp acupuncture and EEG biofeedback therapy in children:a randomized controlled trial

目的:比较头针联合脑电生物反馈疗法与单纯脑电生物反馈疗法治疗儿童注意缺陷多动障碍(ADHD)的临床疗效差异,寻找治疗ADHD的较佳方法。方法:将100例患儿随机分为观察组与对照组,每组50例。对照组采用单纯的脑电生物反馈治疗,观察组在生物反馈的基础上加头针治疗,头针取顶中线、顶旁1线、百会、四神聪等。治疗10次为一疗程,共治疗4个疗程后,观察两组治疗前后韦氏智力测验FIQ值、Conners儿童行为问卷CIH评分、脑电图的θ波/β波比值、视听整合连续性测试的综合反应控制力商数(FRCQ)和综合注意力商数(FAQ)的评定情况及临床综合疗效。结果:观察组脱落3例,对照组脱落2例。两组治疗后FIQ值、FRCQ与FAQ评分均增高(P<0.01,P<0.05),观察组治疗后较对照组增高更显著(均P<0.05);两组治疗后CIH评分、θ波/β波比值均显著下降(P<0.01,P<0.05),观察组较对照组降低更明显(均P<0.05);观察组总有效率为91.5%(43/47),优于对照组的83.3%(40/48,P<0.01)。结论:头针联合脑电生物反馈疗法治疗儿童注意缺陷多动障碍疗效优于单纯生物反馈治疗,可快速改善ADHD患者的核心症状,从根本上改变患儿脑电波波形且疗效显著而巩固。

Objective To compare the difference in clinical efficacy on children attention deficit hyperactivity disorder（ADHD）between the combined therapy of scalp acupuncture and EGG biofeedback and the simple EEG biofeedback therapy so as to search the better therapeutic method for ADHD.Methods One hundred patients were randomized into an observation group and a control group,50 cases in each one.In the control group,the simple EEG biofeedback therapy was adopted.In the observation group,on the basis of biofeedback therapy,scalp acupuncture was added and applied to Dingzhongxian（MS 5）,Dingpangyixian（MS 8）,Baihui（GV 20）,Sishencong（EX-HN 1）,etc.The ten treatments made one session.After four sessions of treatment,FIQ value in Wechsler intelligence scale,CIH score in Conners children behavior questionnaire,the ratio ofθwave andβwave in EEG,FRCQ and FAQ in the integrated visual and auditory continuous performance test（IVA-CPT）and clinical comprehensive efficacy were observed before and after treatment in the two groups separately.Results Three cases were dropped out in the observation group and 2 cases were out in the control group.In the two groups,FIQ,FRCQ and FAQ were all increased after treatment（P〈0.01,P〈0.05）;the increases in the observation group were much more significant than those in the control group after treatment（all P〈0.05）.In the two groups,CIH score and the ratio ofθwave andβwave were all reduced after treatment（P〈0.01,P〈0.05）;the reduction in the observation group were much more apparent as compared with those in the control group（both P〈0.05）.The total effective rate was 91.5%（43/47）in the observation group and better than 83.3%（40/48,P〈0.01）in the control group.Conclusion The combined therapy of scalp acupuncture and EEG biofeedback achieves the superior efficacy on children ADHD as compared with the simple biofeedback therapy.This combined therapy rapidly relieves the essential symptoms of ADHD and improves EEG waveform in children patients.Importantly,this therapy obtains and consolidates the significant efficacy.