穴位注射联合针刺治疗孤独症谱系障碍儿童问题行为
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摘要
目的观察穴位注射联合针刺治疗孤独症谱系障碍(ASD)儿童问题行为的临床疗效。方法选取符合纳入标准的孤独症谱系障碍患儿78例,随机分为对照组和治疗组,各39例,对照组采用康复训练和特殊教育方法,治疗组在对照组的基础上给予交替穴位注射复方麝香注射液及胞磷胆碱钠注射液,以及联合靳三针及针刺临床经验用穴治疗。3个月为1疗程,以孤独症儿童ABC、CARS量表作为疗效评定的标准。结果治疗组ABC、CARS量表分数改善情况优于对照组(P <0.05);治疗组总有效率显著高于对照组(P <0.05)。结论穴位注射与针刺相结合,可充分发挥药液与腧穴的协同作用,使脏腑得调,经脉得通,气血充足,阴阳平衡,从而改善孤独症患儿的问题行为,促进孤独症患儿功能改善与康复。
Objective To observe the clinical efficacy of acupoint injection combined with acupuncture in the treatment of children with autism spectrum disorder(ASD). Methods 78 children with ASD were enrolled and randomly divided into the control group and the treatment group with 39 cases respectively. The control group was treated with rehabilitation training and special education. On the basis of the control group, the treatment group was accepted with alternating acupoint injection compound musk injection and citicoline sodium injection combined with Jin's three-needle technique and acupuncture clinical experience. A course of treatment includes three months, and ABC and CARS scales for autistic children were used as criteria for evaluation of efficacy. Results The improvement of ABC and CARS scores in the treatment group was better than that in the control group(P < 0.05). The total effective rate of the treatment group was significantly higher than control group(P < 0.05). Conclusion The combination of acupoint injection and acupuncture can fully exert the synergistic eff ect of the liquid medicine and acupoints, so as to adjust zang-fu, channel connection, the blood and qi sufficiency, and balance of yin and yang, thus improving the problem behavior of autism children and promoting the functional improvement and rehabilitation of autistic children.
Objective To observe the clinical efficacy of acupoint injection combined with acupuncture in the treatment of children with autism spectrum disorder(ASD). Methods 78 children with ASD were enrolled and randomly divided into the control group and the treatment group with 39 cases respectively. The control group was treated with rehabilitation training and special education. On the basis of the control group, the treatment group was accepted with alternating acupoint injection compound musk injection and citicoline sodium injection combined with Jin's three-needle technique and acupuncture clinical experience. A course of treatment includes three months, and ABC and CARS scales for autistic children were used as criteria for evaluation of efficacy. Results The improvement of ABC and CARS scores in the treatment group was better than that in the control group(P < 0.05). The total effective rate of the treatment group was significantly higher than control group(P < 0.05). Conclusion The combination of acupoint injection and acupuncture can fully exert the synergistic eff ect of the liquid medicine and acupoints, so as to adjust zang-fu, channel connection, the blood and qi sufficiency, and balance of yin and yang, thus improving the problem behavior of autism children and promoting the functional improvement and rehabilitation of autistic children.
引文
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[10]曾海辉,黄秀容,杨小琴,等.靳三针疗法结合康复训练治疗儿童孤独症临床研究[J].中医儿科杂志, 2016, 12(5):69.
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[12]张玉,刘芸,黄浩宇.孤独症病因学的研究进展[J].中国全科医学, 2017, 20(11):1392-1397.
[13]盛娟,钦松,郭伟,等.孤独症谱系障碍病因、诊断、治疗的研究进展[J].国际精神病学杂志, 2014, 41(1):32-34.
[14]丁一芸,卫利,王素梅.自闭症中西医研究进展及中医研究思路浅析[J].世界中医药, 2014, 9(6):820-823.
[15]赵宁侠,高峰,张宁勃,等.眼针配合穴位注射治疗孤独症儿童目光交流障碍临床研究[J].中华中医药杂志,2017, 32(10):4741-4742.
[16]姚文冰.复方麝香注射液的临床应用[J].中国实用医药,2011, 6(18):245-246.
[17]李飞,孙培养,杨骏.舌三针联合风池穴注射胞磷胆碱钠治疗脑卒中后吞咽障碍疗效观察[J].辽宁中医杂志,2016, 43(4):818-820.
[18]涂雪松,胡利霞,余芾成,等.多奈哌齐联合胞磷胆碱钠治疗轻中度阿尔茨海默病临床分析[J].中国实用神经疾病杂志, 2015, 18(6):124-125.
[19]袁青,俞裕天,刘祎思,等.靳三针治疗儿童脑病优势之我见[J].中国中西医结合杂志, 2017, 37(2):240-242.
[20]袁兆红,尤玉慧,姜秀芳,等.针刺治疗儿童孤独症临床研究的系统评价[J].环球中医药, 2016, 9(5):636-640.
[2]孙宇博,宋虎杰,冯涛珍,等.综合治疗童年孤独症60例临床分析[J].辽宁中医杂志, 2016, 43(10):2105-2108.
[3]ZABLOTSKY B,BLACK L I,MAENNER M J,et al.Estimated prevalence of autism and other developmental disabilities following questionnaire changes in the 2014 national health interview survey[J].Natl Heath Stat Rep, 2015(87):1-20.
[4]郝小会.中国大陆地区儿童孤独症谱系障碍患病率meta分析[D].重庆:重庆医科大学, 2015.
[5]陈文雄.孤独症70年:从Kanner到DSM-V[J].临床儿科杂志, 2013, 31(11):1001-1004.
[6]寇聪,柯晓殷,张英,等.孤独症流行病学和病因学探讨[J].国际精神病学杂志, 2015, 42(2):132-135.
[7]梁小华,刘友学,刘静涛,等.重庆市孤独症儿童疾病负担及影响因素分析[J].医学与哲学(B), 2017, 38(2):91-94.
[8]吴至凤.靳三针治疗儿童自闭症临床应用研究[D].广州:广州中医药大学, 2008.
[9]袁青,吴至凤,汪睿超,等.靳三针治疗儿童自闭症不同中医证型疗效分析[J].广州中医药大学学报, 2009,26(3):241-245.
[10]曾海辉,黄秀容,杨小琴,等.靳三针疗法结合康复训练治疗儿童孤独症临床研究[J].中医儿科杂志, 2016, 12(5):69.
[11]李雪荣,陈劲梅.孤独症诊疗学[M].长沙:中南大学出版社, 2004:56-78, 97-98, 160-195.
[12]张玉,刘芸,黄浩宇.孤独症病因学的研究进展[J].中国全科医学, 2017, 20(11):1392-1397.
[13]盛娟,钦松,郭伟,等.孤独症谱系障碍病因、诊断、治疗的研究进展[J].国际精神病学杂志, 2014, 41(1):32-34.
[14]丁一芸,卫利,王素梅.自闭症中西医研究进展及中医研究思路浅析[J].世界中医药, 2014, 9(6):820-823.
[15]赵宁侠,高峰,张宁勃,等.眼针配合穴位注射治疗孤独症儿童目光交流障碍临床研究[J].中华中医药杂志,2017, 32(10):4741-4742.
[16]姚文冰.复方麝香注射液的临床应用[J].中国实用医药,2011, 6(18):245-246.
[17]李飞,孙培养,杨骏.舌三针联合风池穴注射胞磷胆碱钠治疗脑卒中后吞咽障碍疗效观察[J].辽宁中医杂志,2016, 43(4):818-820.
[18]涂雪松,胡利霞,余芾成,等.多奈哌齐联合胞磷胆碱钠治疗轻中度阿尔茨海默病临床分析[J].中国实用神经疾病杂志, 2015, 18(6):124-125.
[19]袁青,俞裕天,刘祎思,等.靳三针治疗儿童脑病优势之我见[J].中国中西医结合杂志, 2017, 37(2):240-242.
[20]袁兆红,尤玉慧,姜秀芳,等.针刺治疗儿童孤独症临床研究的系统评价[J].环球中医药, 2016, 9(5):636-640.