针刺研究

2009, v.34(03) 183-187

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针刺对不同病情程度儿童自闭症疗效分析
Observation on the Therapeutic Effect of Acupuncture Treatment of Autism Children

袁青;吴至凤;汪睿超;邓晶晶;周花玲;郎建英;
YUAN Qing,WU Zhi-feng,WANG Rui-chao,DENG Jing-jing,ZHOU Hua-ling,LANG Jian-ying(Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

摘要(Abstract):

目的:观察靳三针疗法与干预训练对不同病情程度儿童自闭症的临床疗效。方法:202例自闭症患儿,按家长意愿分为靳三针组和行为干预组,其中靳三针组118例予"靳三针疗法",以头部穴组为主,行为干预组84例由儿童特殊训练学校的专业人员对其进行训练,两组均每日治疗1次,每周6次,2个月为一疗程,共治疗2个疗程。治疗前后采用儿童自闭症评定量表(CARS)进行疗效评价。结果:按病情程度分层,对组间总有效率及两组治疗后CARS总分进行比较,只有重度患者的差异有统计学意义(P<0.01)。靳三针组重度患者治疗后CARS总分较治疗前显著降低(P<0.01)。治疗后,患者病情程度均有所减轻(P<0.01);组间病情程度比较,差异有统计学意义(P<0.01)。结论:"靳三针疗法"对不同病情程度的自闭症患儿均有疗效,对重度自闭症患者的疗效明显优于行为干预疗法。
Objective To observe the therapeutic effect of acupuncture("Jin's Sanzhen") treatment for autism patients with different severity.Methods A total of 202 autism children were divided into treatment group(n=118) and control group(n=84) according to their parents' will.Autism children in the treatment group were treated with "Jin's Sanzhen" therapy [for example,Niesanzhen:the point 2 cun superior to the ear tip,and those at the same level 1 cun apart on the left and right sides;Naosanzhen:Naohu(GV 17),bilateral Naokong(GB 19),etc.],while those of control group accepted special training:behavior education(cognition,speech,communication ability,life self-care ability,etc.) and sensory integration training.The treatment was given to the patients in both groups once per day,six times a week for 4 months.Results Of the 78 and 58 severe patients in the treatment and control groups,63(80.8%) and 4(6.9%) experienced marked improvement,9(11.5%) and 33(56.9%) experienced improvement,6(7.7%) and 21(36.2%) failed,with the effective rates being 92.3% and 63.8% respectively.Of the 118 and 84 patients in the treatment and control groups,after the treatment,the no symptoms,mild,moderate and severe cases were 12(10.2%) and 3(3.6%),56(47.5%) and 25(29.8%),45(38.1%) and 23(27.4%),5(4.2%) and 33(39.3%),respectively.The total score of Childhood Autism Rating Scale of treatment group was significantly lower than that of control group after the treatment in severe cases(P<0.01),showing a better therapeutic effect of the treatment group.Conclusion "Jin's Sanzhen" therapy has a better therapeutic effect for improving the autism patients symptoms at different severity.

关键词(KeyWords): 自闭症;靳三针;针刺;病情程度
Autism;"Jin's Sanzhen" therapy;Acupuncture;Illness severity

Abstract:

Keywords:

基金项目(Foundation): 国家中医药管理局中医临床诊疗技术整理与研究项目(2003ZL,第49号)

作者(Authors): 袁青;吴至凤;汪睿超;邓晶晶;周花玲;郎建英;
YUAN Qing,WU Zhi-feng,WANG Rui-chao,DENG Jing-jing,ZHOU Hua-ling,LANG Jian-ying(Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

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