靳三针对轻中度孤独症患儿核心症状及睡眠障碍的临床疗效研究

Curative effect of Jin’s three needles therapy on core symptoms and sleep disorder in children with mild-to-moderate autism spectrum disorder

目的探讨"靳三针"对轻中度孤独症谱系障碍(ASD)患儿核心症状及睡眠障碍的影响。方法将54例轻中度ASD患儿随机分为对照组和试验组,每组各27例。对照组采取应用行为分析疗法结合结构化教育方式训练;试验组在对照组基础上,接受"靳三针"治疗。采用孤独症行为评定量表(ABC)、儿童孤独症评定量表(CARS)、社交反应量表(SRS)、睡眠习惯问卷(CSHQ),评定治疗前和治疗3个月后的疗效。结果共50例患儿全程完成研究。试验组患儿在感觉因子、社会交往因子、语言因子、ABC总分、CARS总分方面较对照组明显下降,具有统计学意义(P<0.05);试验组社会认知、沟通、动机、行为方式和SRS总分均低于对照组(P<0.05);在睡眠质量方面,试验组睡眠阻抗、睡眠持续时间、睡眠焦虑、日间困倦、睡眠觉醒和CSHQ总分均低于对照组(P<0.05)。结论"靳三针"疗法可显著改善轻中度ASD患儿的核心症状和睡眠障碍。

Objective To explore the curative effect of Jin’s three needles therapy on core symptoms and sleep disoder in children with mild-to-moderate autism spectrum disorder(ASD).Methods 57 children with mild-to-moderate ASD were randomly divided into an experimental group(n=27)and a control group(n=27).The control group was treated with Applied Behavioral Analysis combined with structured education teaching.Based on these,the experimental group was treated with Jin’s three needles therapy.The Autism Behavior Checklist(ABC),Children Autism Rating Scale(CARS),Social Responsiveness Scale(SRS)and Children’s Sleep Habit Questionnaire(CSHQ)were used to evaluate the overall curative effect before treatment and 3 months after treatment.Results A total of 50 children completed the study.The experimental group had significantly lower scores of feeling,social interaction,somatic motor,language factor,total ABC and total CARS than the control group(P<0.05).The experimental group had also significantly lower scores of social cognition,social communication,social motivation,autistic behavior factor and total SRS than the control group(P<0.05).The experimental group had significantly lower scores of sleep resistance,sleep anxiety,sleep duration,night waking,daytime sleepiness,and total CSHQ than the control group(P<0.05).Conclusion Jin’s three needles therapy can effectively improve the core symptoms and sleep quality of children with mild-to-moderate ASD.