经皮穴位电刺激治疗儿童孤独症的初步研究

发布时间：2018-01-18 05:01

本文关键词：经皮穴位电刺激治疗儿童孤独症的初步研究　出处：《针刺研究》2017年03期 　论文类型：期刊论文

【摘要】：目的:观察经皮穴位电刺激(TEAS)对孤独症儿童行为矫正训练的增强作用。方法:41名参加行为矫正的孤独症儿童随机分为训练组(n=20)与训练+TEAS组(n=21)。训练组仅接受行为矫正训练,训练+TEAS组在矫正训练基础上加TEAS合谷、内关、足三里、三阴交,30min/次,1次/d,连续治疗3个月。采用孤独症行为量表(ABC)、儿童孤独症相关量表(CARS)、Conner’s父母行为问卷(PSQ)来评估治疗效果。结果:治疗后,两组ABC量表分值均明显降低(P0.001),训练+TEAS组较训练组降低更显著、前后变化值更大(P0.01)。训练组显效率为5.0%(1/20),训练+TEAS组显效率为38.1%(8/21),差异具有统计学意义(P0.05)。两组CARS分值均较治疗前明显降低(P0.0001),训练+TEAS组较训练组降低更显著、前后变化值更大(P0.0001)。两组PSQ评分均较治疗前显著降低(P0.001)。TEAS干预对6岁以下的中重度患者疗效更好。结论:加用TEAS可以显著改善孤独症儿童行为矫正后的核心症状。
[Abstract]:Objective: to observe the enhancement of behavioral correction training in autistic children by percutaneous electrical stimulation of acupoints. Methods: 41 autistic children who participated in behavioral correction were randomly divided into two groups: a training group (n = 41) and a training group (n = 20). The training group received behavior correction training only. The TEAS group was treated with TEAS Hegu, Neiguan, Zusanli and Sanyinjiao 30 mins / a / d on the basis of corrective training. The patients were treated continuously for 3 months. The autism behavior scale (ABCN) and the childhood autism related scale (CARSs) were used. Results: after treatment, the scores of ABC were significantly decreased in both groups (P 0.001). The training TEAS group was significantly lower than the training group, the change value before and after training was greater than that of the training group, and the significant efficiency of the training group was 5.0 / 20). The effective rate of training TEAS group was 38.1 / 8 / 21, the difference was statistically significant (P 0.05). The scores of CARS in both groups were significantly lower than those before treatment (P 0.0001). The training TEAS group was significantly lower than the training group. The PSQ scores in both groups were significantly lower than those before treatment (P 0.001). Tea intervention is more effective in moderate and severe patients under 6 years old. Conclusion: the addition of TEAS can significantly improve the core symptoms of behavior correction in autistic children.
【作者单位】：首都医科大学附属北京儿童医院神经内科;北京童康疗育中心;中国人民解放军总医院儿科;北京大学神经科学研究所北京大学基础医学院神经生物学系神经科学教育部重点实验室卫生部神经科学重点实验室;
【基金】：卫生部行业专项基金(No.201302002)
【分类号】：R246.6
【正文快照】： 儿童孤独症,广义上称为孤独症谱系障碍(au-tism spectrum disorders,ASD),是一类发生在儿童早期的复杂神经发育障碍性疾病,主要表现为社会交往和交流障碍,以及不同程度的重复刻板行为[1]。据2015年11月美国预防疾病与控制中心发布的最新资料显示,美国孤独症的发病率已升至2.24

【相似文献】