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针刺右内关穴配合康复训练治疗孤独症谱系障碍患者言语障碍的临床研究OACSTPCD

Clinical study on acupuncture at right acupoint Neiguan(PC6)plus rehabilitation training for autism spectrum disorder with dysphasia

中文摘要英文摘要

目的 基于大脑偏侧化理论观察针刺右内关穴配合康复训练治疗孤独症谱系障碍(autism spectrum disorder,ASD)患者言语障碍的临床疗效.方法 将114 例ASD伴言语障碍患者随机分为A组、B组和C组,每组 38 例.A组采用针刺右内关穴配合康复训练治疗,B组采用偏侧化治疗配合康复训练治疗,C组仅采用康复训练治疗.观察 3 组治疗前后孤独症儿童行为量表(autism behavior checklist,ABC)、儿童孤独症评定量表(childhood autism rating scale,CARS)、孤独症治疗评估量表(autism treatment evaluation checklist,ATEC)评分及S-S语言发育迟缓检查法中语言理解功能和表达功能评分的变化情况.结果 3 组治疗后ABC、CARS、ATEC评分均较同组治疗前显著降低,语言理解功能和表达功能评分均显著升高,差异均具有统计学意义(P<0.05).A组治疗后ABC评分明显低于C组,CARS、ATEC评分明显低于B组和C组,语言理解功能评分明显高于C组,表达功能评分明显高于B组和C组,差异均具有统计学意义(P<0.05).结论 针刺右内关穴配合康复训练治疗ASD患者言语障碍疗效确切.

Objective To investigate the clinical efficacy of acupuncture at right acupoint Neiguan(PC6)plus rehabilitation training for autism spectrum disorder(ASD)with dysphasia in children on the basis of brain lateralization theory.Methods One hundred and fourteen ASD patients with dysphasia were randomized to groups A,B and C,38 cases each.Group A received acupuncture at right acupoint Neiguan(PC6)plus rehabilitation training;group B,lateralization treatment plus rehabilitation training;group C,rehabilitation training alone.The Autism Behavior Checklist(ABC),the Childhood Autism Rating Scale(CARS)and the Autism Treatment Evaluation Checklist(ATEC)scores,and scores of language comprehension and expression in S-S language retardation test were recorded in the three groups before and after treatment.Results The ABC,CARS and ATEC scores decreased markedly and the language comprehension and expression scores increased markedly in the three groups after treatment compared with before with statistically significant differences(P<0.05).In group A after treatment,the ABC score was statistically lower than in group C,the CARS and ATEC scores were statistically lower than in groups B and C,the language comprehension score was statistically higher than in group C and the language expression score was statistically higher than in groups B and C with statistically significant differences(P<0.05).Conclusion Acupuncture at right acupoint Neiguan(PC6)plus rehabilitation training has a definite therapeutic effect on ASD with dysphasia.

张赢丹;马丙祥;党伟利;蔡婷婷;谷双龙;张晓蒙

深圳市福田区妇幼保健院,深圳 518000河南中医药大学第一附属医院,郑州 450000河南中医药大学,郑州 450046

中医学

针刺疗法孤独症谱系障碍孤独症康复训练言语障碍大脑偏侧化穴,内关

Acupuncture therapyAutism spectrum disorderAutismRehabilitation trainingDysphasiaCerebral lateralizationAcupoint Neiguan(PC6)

《上海针灸杂志》 2024 (005)

504-509 / 6

河南省特色骨干学科中医学第二批学科建设项目(STG-ZYX03-202129);河南省中医药科学研究专项课题(2019JDZX2106)

10.13460/j.issn.1005-0957.2024.05.0504

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