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头穴丛刺结合感知觉训练治疗孤独症的效果
任婷1      李宏玉2      张春艳3      朱路文4      唐强4      王鸿旭5      李志刚5      李保龙3
1.黑龙江中医药大学附属第二医院哈南分院神经康复科一病区,黑龙江哈尔滨   150000;
2.黑龙江中医药大学附属第二医院康复一科,黑龙江哈尔滨   150000;
3.黑龙江中医药大学附属第二医院康复中心,黑龙江哈尔滨   150000;
4.黑龙江中医药大学附属第二医院康复科,黑龙江哈尔滨   150000;
5.黑龙江中医药大学附属第二医院骨伤二科,黑龙江哈尔滨   150000
Effect of scalp acupuncture combined with sensory perception training in the treatment of autism
REN Ting1   LI Hongyu2   ZHANG Chunyan3   ZHU Luwen4   TANG Qiang4   WANG Hongxu5   LI Zhigang5   LI Baolong3
1.Ward One, Department of Neurorebilitation, Hanan Branch of the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin   150000, China; 
2.the First Department of Rehabilitation, the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin   150000, China; 
3.Rehabilitation Center, the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin   150000, China; 4.Department of Rehabilitation, the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin   150000, China; 5.the Second Department of Orthopedics and Traumatology, the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin   150000, China
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摘要 目的 探讨头穴丛刺结合感知觉训练治疗孤独症的效果。 方法 选取2020年5月至2021年10月黑龙江中医药大学附属第二医院康复科门诊及病房收治的2~10岁的孤独症患儿72例,通过计算机生成的随机分组程序,将符合纳入标准的患儿按照1∶1∶1分配到结合组、感知训练组和头针组,各24例。结合组采用头穴丛刺结合感知觉训练治疗,感知训练组采用听觉、触觉、本体感觉及知觉训练治疗,头针组采用于氏七区划分法进行功能区头穴丛刺长留针治疗。比较各组治疗前后儿童孤独症(自闭症)评定量表(CARS)、孤独症行为量表(ABC)评分。 结果 整体分析发现:CARS、ABC评分组间比较、时间点比较及交互作用差异均有统计学意义(P < 0.05)。进一步两两比较,组内比较:三组治疗16、32周的CARS、ABC评分均低于治疗前,三组治疗32周的CARS、ABC评分均低于治疗16周,差异有统计学意义(P < 0.05);组间比较:结合组治疗16、32周的CARS、ABC评分均低于感知训练组与头针组同期,差异有统计学意义(P < 0.05)。 结论 头穴丛刺结合感知觉训练较单纯感知觉训练及单纯头穴丛刺治疗孤独症患儿的效果显著,更有利于孤独症患儿的尽早恢复。
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任婷1 李宏玉2 张春艳3 朱路文4 唐强4 王鸿旭5 李志刚5 李保龙3
关键词 孤独症感知觉头穴丛刺行为障碍    
Abstract:Objective To explore the effect of scalp acupuncture combined with sensory perception training in the treatment of autism. Methods Seventy-two autistic children aged two to ten years admitted to the outpatient department and ward of Department of Rehabilitation, the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine from May 2020 to October 2021 were selected and allocated. According to the computer-generated randomization procedure, the children who met the inclusion criteria were assigned to the combination group, the perception training group and the head acupuncture group according to 1∶1∶1, with 24 cases in each group. The combination group was treated with scalp acupuncture combined with sensory perception training. The perception training group was treated with hearing, touch, proprioception and perception training. The scalp acupuncture group was treated with long retaining needle of scalp acupuncture in the functional area of Yu’s seven zone division method. Childhood autism rating scale (CARS) and autism behavior checklist (ABC) scores before and after treatment in each group were compared. Results The overall analysis showed that there were statistically significant differences in group comparison, time point comparison and interaction of CARS and ABC scores (P < 0.05). Further pairwise comparison, intra group comparison: the CARS and ABC scores of the three groups after 16 and 32 weeks of treatment were lower than those before treatment, the CARS and ABC scores of the three groups after 32 weeks of treatment were lower than those after 16 weeks of treatment, the differences were statistically significant (P < 0.05). The group comparison: the CARS and ABC scores in the combination group were lower than those in the perception training group and the scalp acupuncture group after 16 and 32 weeks of treatment, the differences were statistically significant (P < 0.05). Conclusion The effect of scalp acupuncture combined with sensory perception training in the treatment of autistic children is significantly better than that of simple sensory perception training and simple scalp acupuncture, which is more conducive to the early recovery of autistic children.
Key wordsAutism    Sensory perception    Scalp acupuncture    Behavior    Obstacles
    
基金资助:黑龙江省中医药科研项目(ZHY2020-138);
黑龙江中医药大学附属第二医院孙申田青年人才基金项目(2020KY-04)。
通讯作者: 唐强(1963-),男,博士,教授;研究方向:针康法治疗脑卒中的基础与临床研究。   
作者简介: 任婷(1992-),女,黑龙江中医药大学研究生学院2019级中医康复学在读博士研究生;研究方向:神经系统疾病的康复基础及临床研究。
引用本文:   
任婷1 李宏玉2 张春艳3 朱路文4 唐强4 王鸿旭5 李志刚5 李保龙3. 头穴丛刺结合感知觉训练治疗孤独症的效果[J]. 中国医药导报, 2022, 19(32): 138-141,146.
REN Ting1 LI Hongyu2 ZHANG Chunyan3 ZHU Luwen4 TANG Qiang4 WANG Hongxu5 LI Zhigang5 LI Baolong3. Effect of scalp acupuncture combined with sensory perception training in the treatment of autism. 中国医药导报, 2022, 19(32): 138-141,146.
链接本文:  
https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2022.32.32     或     https://www.yiyaodaobao.com.cn/CN/Y2022/V19/I32/138

 

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