摘要
Objective: To observe the clinical efficacy of needling thirteen ghost acupoints for children with autism spectrum disorder. Methods: A total of 90 cases with autism spectrum disorder (ASD) aged between 2 and 6 years were randomly allocated into 2 groups by random number table. The control group (n=45) received routine rehabilitative training, and the treatment group (n=45) received acupuncture at thirteen ghost acupoints plus routine rehabilitative training. The Beijing Gesell developmental (Gesell) scale and autism behavior checklist (ABC) were used to assess the intellectual, language and behavior development before and 3 months after the treatment. Results: After the treatment, the total effective rate in the treatment group was 82.2%, versus 55.6% in the control group, showing a statistical significance (P〈0.05). As for the scores of social, emotional and language in Gesell scale, there were significant intra-group differences in the treatment group (all P〈0.05), and all the five subscales in the Gesell scale in the treatment group were significantly better than those in the control group (all P〈0.05). As for the scores of ABC, there were significant intra-group differences in the treatment group (P〈0.05), and the scores in the treatment group were significantly better than those in the control group (all P〈0.05). Conclusion: Rehabilitation training plus acupuncture at thirteen ghost acupoints can significantly improve the intellectual, language and abnormal behavior in autism spectrum disorder children.
目的:观察针刺十三鬼穴治疗儿童孤独症谱系障碍的临床疗效。方法:将纳入研究的90例2~6岁的孤独症谱系障碍患儿采用随机数字表法随机分为2组,对照组(45例)采用常规康复治疗方法,治疗组(45例)在常规康复治疗基础上加用针刺十三鬼穴治疗。分别于治疗前和疗程完成休息3个月后运用北京盖什尔(Gesell)量表、孤独症行为检查表(ABC)评定患儿智力、语言及行为的变化。结果:治疗后,治疗组总有效率82.2%,明显高于对照组的55.6%(P<0.05)。治疗后,Gesell量表中,治疗组社会适应、个人社交和语言3个能区的治疗前后差异有统计学意义(均P<0.05)。治疗后,治疗组Gesell量表五个能区的评分均优于对照组(均P<0.05)。治疗组治疗前后ABC评分有统计学差异(P<0.05);治疗后,治疗组ABC评分低于对照组,组间差异具有统计学意义(P<0.05)。结论:康复训练加十三鬼穴针刺能有效地改善孤独症谱系障碍患儿智力、语言及行为异常。
基金
supported by Medical Science and Technology Key Project of Foshan Science and Technology Bureau, No.20151021020043~~