鬼穴结合辨证分型针刺治疗对孤独症谱系障碍儿童核心症状的影响

Effect on the core symptoms in children with autism spectrum disorder treated with acupuncture at “ghost points” combined with the acupoints selected by syndrome differentiation

目的:探讨鬼穴结合辨证分型针刺治疗对孤独症谱系障碍儿童核心症状的影响。方法:将孤独症谱系障碍儿童124例按随机数字表法分为对照组和治疗组,每组62例。对照组儿童均接受常规康复治疗,治疗组儿童在常规康复治疗基础上接受鬼穴结合辨证分型针刺治疗,每次15 min,每周治疗5 d,共治疗3个月。两组儿童均在治疗前后采用孤独症谱系障碍评定量表进行评定。结果:与本组治疗前比较,两组儿童治疗后的治疗量表总T分和与同伴交往能力、与成人交往能力、社交/情感互动、非典型语言、刻板动作、重复行为、感觉过敏、注意力/自我调节等亚量表T分均显著降低(P<0.05,P<0.01);与对照组比较,治疗组上述评分显著下降(P<0.05)。结论:应用鬼穴结合辨证分型针刺治疗可以有效改善孤独症谱系障碍儿童的核心症状,提高整体治疗效果。

Objective To explore the effect on the core symptoms in children with autism spectrum disorder(ASD) treated with acupuncture at "ghost points", combined with the acupoints selected by syndrome differentiation. Methods A total of 124 ASD children were divided into a control group and a treatment group according to random number table, 62 cases in each group. In the control group, the routine rehabilitation treatment was provided in all of children, while in the treatment group, acupuncture was exerted at "ghost points", combined with the acupoints selected by syndrome differentiation. Acupuncture treatment was conducted for 15 min each time, 5 days weekly, for 3 months totally. Before and after treatment, the children were assessed with autism spectrum rating scale(ASRS) in two groups. Results After treatment, the total score(T-score) of ASRS and the score of each sub-scale, e.g. peer socialization, adult socialization, social/emotional reciprocity, atypical language, stereotypy, repetitive behavior, sensory sensitivity, attention/self-regulation were all reduced remarkably as compared with those before treatment in intra-group comparison(P<0.05, P<0.01). Compared with the control group, the scores aforementioned were all significantly reduced in the treatment group(P<0.05). Conclusion Acupuncture at "ghost poitns" combined with the acupoints selected by syndrome differentiation effectively relieves the core symptoms of ASD in children and improves the holistic therapeutic effect.