针刺配合康复训练治疗儿童孤独症患儿的应用研究
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摘要
目的探讨儿童孤独症患儿接受针刺配合康复训练治疗的效果。方法选取2015年10月-2017年10月在河北省儿童医院接受治疗的孤独症患儿60例为研究对象,根据随机数表法分为对照组和观察组,每组各30例。对照组患儿单纯接受康复训练,观察组患儿在对照组基础上配合针刺治疗,对比两组不同干预手段的应用效果。结果以PEP3评分评价疗效,治疗后,观察组患儿语言理解、认知及语言表达方面的疗效优于对照组,差异均有统计学意义(均P<0. 05);而两组大肌肉、小肌肉、模仿等方面的疗效比较,差异均无统计学意义(均P>0. 05)。以CARS总分评价疗效,观察组临床疗效优于对照组,差异有统计学意义(P<0. 05)。结论儿童孤独症患儿接受针刺配合康复训练治疗效果较好,患儿语言表达能力、认知及语言理解能力均明显改善,各临床症状及体征得到显著提升和缓解。
Objective To investigate the effect of acupuncture and rehabilitation training on children with autism. Methods 60 cases of autistic children received treatment in Hebei Children's Hospital from October 2015 to October 2017 were selected as research objects,and were divided into control group and observation group according to the random number table method,with 30 cases in each group. The children in the control group received rehabilitation training alone,and the children in the observation group received acupuncture treatment on the basis of the control group. The application effect of different intervention methods in the two groups was compared. Results To PEP3 grading evaluation of curative effect,after treatment,the observation group of children with language understanding,cognition and language expression curative effect is better than that in control group,the difference had statistical significance( P<0. 05); and two groups of big muscles,small muscles,imitate the curative effect of the respect such as comparison,there were no statistically significant differences between( P>0. 05). With CARS total score evaluation of curative effect,clinical curative effect of observation group is better than that of control group,the difference was statistically significant( P<0. 05). Conclusion Children with autism received acupuncture and rehabilitation training with good therapeutic effect,children with language expression ability,cognitive and language comprehension ability were significantly improved,all clinical symptoms and signs were significantly improved and relieved.
Objective To investigate the effect of acupuncture and rehabilitation training on children with autism. Methods 60 cases of autistic children received treatment in Hebei Children's Hospital from October 2015 to October 2017 were selected as research objects,and were divided into control group and observation group according to the random number table method,with 30 cases in each group. The children in the control group received rehabilitation training alone,and the children in the observation group received acupuncture treatment on the basis of the control group. The application effect of different intervention methods in the two groups was compared. Results To PEP3 grading evaluation of curative effect,after treatment,the observation group of children with language understanding,cognition and language expression curative effect is better than that in control group,the difference had statistical significance( P<0. 05); and two groups of big muscles,small muscles,imitate the curative effect of the respect such as comparison,there were no statistically significant differences between( P>0. 05). With CARS total score evaluation of curative effect,clinical curative effect of observation group is better than that of control group,the difference was statistically significant( P<0. 05). Conclusion Children with autism received acupuncture and rehabilitation training with good therapeutic effect,children with language expression ability,cognitive and language comprehension ability were significantly improved,all clinical symptoms and signs were significantly improved and relieved.
引文
[1]李玲,李小玲,吴维学,等.海南省0~6岁儿童孤独症谱系障碍的现况调查及影响因素分析[J].中华流行病学杂志,2017,38(9):1187-1190.
[2]冯鹏飞.小儿智力糖浆联合综合康复训练对孤独症儿童语言障碍的疗效分析[J].中国药业,2017,26(11):72-74.
[3]骆名进,宋海东,刘健,等.儿童孤独症社区早期综合干预现况及可行模式探讨[J].中国康复医学杂志,2017,32(1):82-84.
[4]曾海辉,陈爽,韦晓燕,等.靳三针疗法辅助治疗儿童孤独症30例临床观察[J].中医儿科杂志,2014,10(2):47-50.
[5]陶国泰,郑毅,宋维村.儿童少年精神医学[M].第2版,南京:江苏科学技术出版社,2008:196.
[6]秦秀群,陈妙盈,曾锦,等.不同康复训练模式对孤独症儿童母亲亲职压力的影响[J].中国实用护理杂志,2017,33(14):1089-1092.
[7]叶志英,万文蓉.“靳三针”联合灸法治疗小儿脑瘫的临床疗效观察[J].针灸临床杂志,2017,33(4):19-22.
[8]汪军华.靳三针配合现代神经促进技术治疗小儿脑瘫临床观察[J].上海针灸杂志,2017,36(2):126-129.
[9]彭志华,崔韶阳,许明珠,等.靳三针结合基础认知康复训练治疗轻度认知功能障碍31例[J].河南中医,2016,36(7):1255-1257.
[10]黄秀容,袁青,罗秋燕,等.靳三针头穴留针结合认知知觉障碍训练治疗小儿精神发育迟缓临床疗效观察[J].中国针灸,2015,35(7):651-656.
[11]王兴,庞芳,张玲,等.针刺联合中药改善孤独症谱系障碍患儿行为异常临床观察[J].陕西中医,2017,38(3):384-385.
[12]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.
[13]郎建英,袁青,徐谦,等.采用对数线性模型分析靳三针疗法治疗儿童自闭症的临床疗效资料[J].重庆医学,2015,44(23):3260-3262.
[14]王冠.针灸推拿配合中医五行对自闭症患儿康复的干预研究[J].世界中西医结合杂志,2016,11(7):968-971.
[15]胡春维,魏玉珊,孙艳萍,等.头穴针刺配合综合康复训练治疗儿童孤独症疗效观察[J].西南国防医药,2016,26(11):1328-1330.
[2]冯鹏飞.小儿智力糖浆联合综合康复训练对孤独症儿童语言障碍的疗效分析[J].中国药业,2017,26(11):72-74.
[3]骆名进,宋海东,刘健,等.儿童孤独症社区早期综合干预现况及可行模式探讨[J].中国康复医学杂志,2017,32(1):82-84.
[4]曾海辉,陈爽,韦晓燕,等.靳三针疗法辅助治疗儿童孤独症30例临床观察[J].中医儿科杂志,2014,10(2):47-50.
[5]陶国泰,郑毅,宋维村.儿童少年精神医学[M].第2版,南京:江苏科学技术出版社,2008:196.
[6]秦秀群,陈妙盈,曾锦,等.不同康复训练模式对孤独症儿童母亲亲职压力的影响[J].中国实用护理杂志,2017,33(14):1089-1092.
[7]叶志英,万文蓉.“靳三针”联合灸法治疗小儿脑瘫的临床疗效观察[J].针灸临床杂志,2017,33(4):19-22.
[8]汪军华.靳三针配合现代神经促进技术治疗小儿脑瘫临床观察[J].上海针灸杂志,2017,36(2):126-129.
[9]彭志华,崔韶阳,许明珠,等.靳三针结合基础认知康复训练治疗轻度认知功能障碍31例[J].河南中医,2016,36(7):1255-1257.
[10]黄秀容,袁青,罗秋燕,等.靳三针头穴留针结合认知知觉障碍训练治疗小儿精神发育迟缓临床疗效观察[J].中国针灸,2015,35(7):651-656.
[11]王兴,庞芳,张玲,等.针刺联合中药改善孤独症谱系障碍患儿行为异常临床观察[J].陕西中医,2017,38(3):384-385.
[12]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.
[13]郎建英,袁青,徐谦,等.采用对数线性模型分析靳三针疗法治疗儿童自闭症的临床疗效资料[J].重庆医学,2015,44(23):3260-3262.
[14]王冠.针灸推拿配合中医五行对自闭症患儿康复的干预研究[J].世界中西医结合杂志,2016,11(7):968-971.
[15]胡春维,魏玉珊,孙艳萍,等.头穴针刺配合综合康复训练治疗儿童孤独症疗效观察[J].西南国防医药,2016,26(11):1328-1330.