针刺联合常规康复训练治疗心肝火旺型孤独症患儿的效果

Effects of acupuncture combined with routine rehabilitation training on children with autism of hyperactivity of heart-liver fire type

目的:观察针刺联合常规康复训练治疗心肝火旺型孤独症患儿的效果。方法:回顾性分析2021年7月至2022年7月郑州大学第五附属医院收治的80例心肝火旺型孤独症患儿的临床资料,按照治疗方法不同将其分为研究组和对照组各40例。对照组采用常规康复训练治疗,研究组在对照组基础上联合针刺治疗,两组均连续治疗3个月。比较两组临床疗效,治疗前后孤独症治疗评估表(ATEC)评分、孤独症行为量表(ABC)评分和重复刻板行为量表(修订版)(RBS-R)评分。结果:研究组治疗总有效率为90.00%(36/40),高于对照组的70.00%(28/40),差异有统计学意义(P<0.05);治疗后,两组Ⅰ、Ⅱ、Ⅲ、Ⅳ等ATEC各部分评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组ABC评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组限制行为、自伤行为、仪式行为、刻板行为、固定行为、强迫行为等RBS-R各维度评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论:针刺联合常规康复训练治疗心肝火旺型孤独症患儿可提高治疗总有效率,降低ATEC、ABC、RBS-R评分,效果优于单纯常规康复训练治疗。

Objective:To observe effects of acupuncture combined with routine rehabilitation training on children with autism of hyperactivity of heart-liver fire type.Methods:The clinical data of 80 children with autism of hyperactivity of heart-liver fire type admitted to the fifth affiliated hospital of Zhengzhou university from July 2021 to July 2022 were retrospectively analyzed.According to different treatment methods,they were divided into study group and control group,40 cases in each group.The control group was treated with routine rehabilitation training,while the study group was treated with acupuncture on the basis of that of the control group.Both groups were treated continuously for 3 months.The clinical efficacy,the autism treatment evaluation scale(ATEC) score,the autism behavior scale(ABC) score,and the repeated stereotyped behavior scale(revised version)(RBS-R) score were compared between the two groups before and after the treatment.Results:The total effective rate of treatment in the study group was 90.00%(36/40),which was higher than 70.00%(28/40) in the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of ATEC I,II,III and IV in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the ABC scores of the two groups were lower than those before the treatment,that in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the scores of RBS-R dimensions such as restrictive behavior,self-injury behavior,ritual behavior,stereotyped behavior,fixed behavior and forced behavior in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Acupuncture combined with routine rehabilitation training can improve the total effective rate of treatment and reduce the scores of ATEC,ABC and RBS-R in the children with autism of hyperactivity of heart-liver fire type.Moreover,it is superior to simple routine rehabilitation training.