益智头针治疗对孤独症谱系障碍患者语言及认知功能的影响OACSTPCD
Effects of Yizhi scalp acupuncture on language and cognitive function in patients with autism spectrum disorder
目的 观察益智头针治疗孤独症谱系障碍的临床疗效及其对患者语言及认知功能的影响.方法 将60 例孤独症谱系障碍患者随机分为治疗组和对照组,每组 30 例.对照组给予常规康复训练治疗,治疗组在对照组基础上加用益智头针治疗.观察两组治疗前后孤独症儿童行为量表(autism behavior checklist,ABC)评分、儿童孤独症评定量表(childhood autism rating scale,CARS)评分及格赛尔(Gesell)评估量表中适应性、语言和个人-社交 3 个能区评分的变化情况,并采用语言发育迟缓评定法(S-S 法)评定两组言语改善总有效率.结果 两组治疗后ABC、CARS评分均较同组治疗前显著下降,Gesell评估量表各项评分均显著上升,差异均具有统计学意义(P＜0.05).治疗组治疗后ABC、CARS评分均明显低于对照组,Gesell评估量表各项评分均明显高于对照组,差异均具有统计学意义(P＜0.05).治疗组言语改善总有效率为 86.7%,明显高于对照组的 70.0%(P＜0.05).结论 益智头针配合常规康复训练可有效促进孤独症谱系障碍患者语言及认知功能的改善.
Objective To observe the clinical efficacy of Yizhi scalp acupuncture in the treatment of autism spectrum disorder and its influence on language and cognitive function.Method A total of 60 patients with autism spectrum disorder were randomly divided into the treatment group and the control group,with 30 cases in each group.The control group was treated with routine rehabilitation training,and the treatment group was treated with Yizhi scalp acupuncture on the basis of the control group.the changes of autism behaviour checklist(ABC)score,childhood autism rating scale(CARS)score and Gesell's assessment scale in adaptive,language and personal-social areas before and after treatment in both groups were observed.The total effective rate of speech improvement in the two groups was assessed by the Speech and Language Delay Rating Scale(S-S method).Result The ABC and CARS scores of the two groups after treatment were significantly lower than those before treatment,and the Gesell assessment scale scores were significantly higher than those before treatment,the differences were statistically significant(P＜0.05).After treatment,the ABC and CARS scores of the treatment group were significantly lower than those of the control group,and the Gesell assessment scale scores were significantly higher than those of the control group,and the differences were statistically significant(P＜0.05).The total effective rate of speech improvement in the treatment group was 86.7%,which was significantly higher than 70.0%in the control group(P＜0.05).Conclusion Yizhi scalp acupuncture combined with conventional rehabilitation training can effectively improve the language and cognitive function of patients with autism spectrum disorder.
杨亚欣;王欣;智亚茹;石雪萌;赵莹;任泓瑾;黄茂
河北省中医院,石家庄 050000
中医学
针刺疗法头针孤独症谱系障碍孤独症康复训练语言功能认知功能
Acupuncture therapyScalp acupunctureAutism spectrum disorderAutismRehabilitation trainingLanguage functionCognitive function
《上海针灸杂志》 2024 (005)
499-503 / 5
河北省重点研发计划"中医药创新专项"项目(223777147D)
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