头穴留针配合干预训练对孤独症儿童CARS和ABC影响的临床研究

发布时间：2018-04-26 23:12

本文选题：儿童孤独症 + 头穴针刺　；参考：《南京中医药大学》2017年硕士论文

【摘要】：目的:本研究通过结合针刺与干预训练对孤独症儿童进行康复,利用二者的优势,以期在临床中获得较传统康复疗法更好的疗效,并初步探索该疗法对孤独症儿童不同临床症状的影响,为孤独症的治疗提供新思路。方法:将符合标准的58例孤独症患儿随机分为治疗组30和对照组28例。两组用同样方法进行语言行为训练、感觉统合训练等干预训练,训练由苏州市博爱儿童医院的专业人员进行。治疗组另进行针刺治疗,体穴单刺不留针,头穴留针并带针进行康复训练。治疗每日1次,一周休息2天,1个疗程为1个月,持续治疗4个疗程,并于疗程结束后2个月进行随访。治疗前后由儿童医院的专业人员运用儿童孤独症评定量表(CARS)和孤独症儿童行为量表(ABC)进行评估,对比两组临床疗效,随访时评估CARS并统计有效率。结果:①总体疗效:治疗后,两组总有效率及两组疗效等级比较,具有显著性差异(P0.05),治疗组疗效优于对照组;②CARS量表得分:两组患者治疗后评分与治疗前相比均降低(P0.05),且治疗组降低幅度明显大于对照组(P0.05);③ABC量表得分:两组治疗后评分较治疗前均降低(P0.05)。对ABC各个因子进行组间治疗后独立比较发现,感觉能力、运动能力和生活自理能力在两组间治疗后得分上并没有显著差异(P㧐0.05),而交往能力和语言能力比较则差异显著(P0.05)。④随访CARS评分和有效率与治疗后基本持平。结论:①头穴留针配合干预训练治疗儿童孤独症有效,且疗效明显优于传统单纯康复训练;②头穴留针配合干预训练在语言能力和交往能力改善上明显优于单纯康复训练。
[Abstract]:Objective: through combining acupuncture and intervention training to rehabilitate autistic children, using the advantages of the two, we can obtain better curative effect than traditional rehabilitation therapy in clinical, and explore the effect of this therapy on the different clinical symptoms of autistic children and provide new ideas for the treatment of autism. Method: 58. The children with autism were randomly divided into the treatment group (30) and the control group (28 cases). The two groups were trained by the same method of language behavior training, sensory integration training and other intervention training. The training was carried out by the professionals of Suzhou Bo love children's hospital. The treatment group was treated with acupuncture, body point single needling, needle retention and needle rehabilitation training. 1 times, 2 days a week, 1 courses for 1 months, continuous treatment of 4 courses, and followed up for 2 months after the end of the course. Before and after the treatment, the professional staff of the children's hospital were evaluated by the children autism Assessment Scale (CARS) and the autistic child behavior scale (ABC), compared to the two groups of clinical effects, and the follow-up evaluation of CARS and the statistics were effective. Results: (1) total curative effect: after treatment, the total effective rate and two groups of curative effect grades were compared between the two groups (P0.05). The curative effect of the treatment group was better than the control group; (2) the score of the CARS scale: the scores of the two groups were lower than those before the treatment (P0.05), and the reduction of the treatment group was significantly greater than that of the control group (P0.05); (3) the ABC scale score: After treatment, the scores of the two groups were lower than those before the treatment (P0.05). There was no significant difference (P? 0.05) between the two groups after the treatment of each factor between the two groups (P? 0.05), while the communication ability and the language ability were significantly different (P0.05). (4) follow up CARS score and there was a follow-up The efficiency is basically the same as that after treatment. Conclusion: first, the head hole needle retention combined with intervention training is effective in the treatment of autism in children, and the curative effect is obviously better than the traditional simple rehabilitation training; 2. The acupuncture at the head point combined with intervention training is obviously better than the simple rehabilitation training in the improvement of language ability and communication ability.

【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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