穴位埋线对自闭症儿童共同注意及社交沟通能力的影响:随机对照研究

Effect of acupoint catgut embedding therapy on joint attention and social communication in children with autism spectrum disorder: a randomized controlled trial

目的:比较穴位埋线配合康复训练与单纯康复训练治疗自闭症(ASD)儿童共同注意及社交沟通能力的临床疗效。方法:将60例自闭症患儿随机分为观察组和对照组,每组30例。对照组给予常规ASD康复训练,包括引导式教育、言语训练、音乐疗法,每日1次;观察组在此基础上选取神庭、百会、神门、视区,进行穴位埋线治疗,每周1次。两组均4周为一疗程,疗程间隔1周,共治疗3个疗程。采用孤独症治疗评估量表(ATEC)社交维度和孤独症行为量表(ABC)评分判断两组治疗效果。结果:治疗后两组ATEC社交维度各项评分及ABC(感觉、交往、躯体运动、语言、生活自理)评分均低于治疗前(P<0.01),且治疗后观察组各项评分均低于对照组(P<0.05)。结论:穴位埋线配合康复训练疗法能有效改善ASD儿童的共同注意及社交沟通能力,疗效优于单纯康复训练。

Objective To compare the clinical effect on the joint attention and social communication in children with autism spectrum disorder(ASD) between the combined treatment of acupoint catgut embedding therapy with rehabilitation training and the simple application of rehabilitation training. Methods A total of 60 children with ASD were randomized into an observation group and a control group, 30 cases in each one. In the control group, the routine ASD rehabilitation training was adopted, including conductive education, speech training and music therapy, once a day. In the observation group, on the base of the treatment as the control group, the catgut embedding therapy was applied to Shenting(GV 24), Baihui(GV 20), Shenmen(HT 7) and the optic area(the point of scalp acupuncture), once a week. In the two groups, the treatment for 4 weeks was as one course, at the interval of 1 week between the courses. A total of 3 courses of treatment were required. The social domain of the autism treatment evaluation checklist(ATEC) and the autism behavior checklist(ABC) were adopted to assess the therapeutic effect of the two groups. Results After treatment, the scores of each item of the social domain in ATEC and the scores of ABC(feeling, communication, physical movement, language and healthy behavior) were all lower than those before treatment in the two groups(P<0.01). The scores of each item in the observation group were lower than those in the control group after treatment(P<0.05). Conclusion The combined treatment of acupoint catgut embedding therapy with the rehabilitation training effectively improves in the joint attention and social communication. The therapeutic effect of this combined treatment is better than the simple application of rehabilitation training.