ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2019, Vol. 11 ›› Issue (6): 487-491.

• 临床论著 • 上一篇    下一篇

湖湘五经配伍针刺治疗对儿童孤独症谱系障碍语言能力的影响#br#

  

  • 出版日期:2019-12-25 上线日期:2023-12-06

Effect of Huxiang compatibility of five meridians combined with acupuncture on language ability of children with autism spectrum disorder

  • Published:2019-12-25 Online:2023-12-06

摘要： 目的观察湖湘五经配伍针刺治疗对孤独症谱系障碍患儿语言能力影响。方法 2016年4月至2019年3月在我院康复中心行康复治疗的孤独症谱系障碍患儿69例,按患儿及家属是否接受及配合针刺治疗分为观察组40例和对照组29例。对照组进行早期综合康复干预(行为矫正、人际关系发展、感觉统合等),观察组在对照组治疗基础上采用湖湘针灸五经配伍针刺治疗。两组患儿在治疗前后均进行Gesell发育量表、儿童孤独症行为量表(ABC)检查及S-S语言发育迟缓评估,比较两组患儿临床治疗有效率。结果两组患儿治疗前Gesell语言评分、ABC量表语言发育异常评分及S-S语言发育评估得分比较差异无统计学意义(P>0.05)。康复干预3个月及6个月后,两组患儿Gesell语言能区评分及S-S语言发育评估得分较治疗前有明显提高,而ABC量表语言行为评分较治疗前有明显降低,差异有统计学意义(P<0.05)。重复测量方差分析结果显示,Gesell量表得分、ABC量表得分、S-S语言发育评估得分的时间效应、分组效应与交互效应均具有统计学意义(P<0.05),表明两组患者的Gesell语言发生评分、S-S语言发育评估得分总体呈上升趋势,ABC语言障碍行为评分呈下降趋势,且观察时点的选择可能与两组Gesell、ABC评分及S-S语言发育评估得分差异显著与否存在关联。观察组患儿治疗6个月后Gesell语言能力评分及S-S语言发育阶段临床疗效总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论湖湘五经配伍针刺治疗早期干预孤独症谱系障碍患儿,能明显改善孤独症谱系障碍语言障碍行为,提高语言表达能力

关键词:

孤独症谱系障碍, 针刺, 五经配伍, 语言障碍, 儿童

Abstract:

ObjectiveTo observe the effect of Huxiang compatibility of five meridians combined with acupuncture on language ability of children with autism spectrum disorder.MethodsFrom April 2016 to March 2019,69 children with autism spectrum disorder were treated in our rehabilitation center. According to whether the children and their families received acupuncture treatment and cooperated with us, they were divided into observation group(n=40) and control group(n=29).The control group received early comprehensive rehabilitation intervention(behavior correction, interpersonal relationship development, sensory integration, etc.), and the observation group was treated with Huxiang compatibility of five meridians combined with acupuncture on the basis of the treatment for the control group. Before and after treatment, Gesell development scale and children's Autism Behavior Scale(ABC) were used for testing, and S-S language development retardation was evaluated in the two groups. The clinical treatment efficiency of the two groups was compared.ResultsThere was no significant difference in language score Gesell, ABC or S-S language development between the two groups before treatment(P>0.05).After 3 and 6 months of rehabilitation intervention, the scores of Gesell language and S-S language development of the two groups were higher than those before treatment, while that of ABC was lower(P<0.05).The results of repeated measurement variance analysis showed that time effect, grouping effect and interaction effect of Gesell scale score, ABC scale score and S-S language development assessment score had statistical significance(P<0.05),indicating that the Gesell language occurrence score and S-S language development assessment score of the two groups were generally on the rise, while the ABC language disorder behavior score was on the decline, and the observation time point was related to the difference in Gesell, ABC and S-S scores. Six months after treatment, the Gesell scale scores and the clinical efficiency S-S language level in the treatment group were significantly higher than those in the control group（P<0.05）.ConclusionEarly intervention with Huxiang compatibility of five meridians combined with acupuncture for children with autism spectrum disorder can improve autism behavior and language ability.

Key words:

Autism spectrum disorder（ASD）, Acupuncture, Compatibility of five-meridian；Language disorder, Child