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1. 广州中医药大学针灸推拿学院
2. 广州中医药大学基础医学院
纸质出版日期:2009
移动端阅览
袁青, 吴至凤, 汪睿超, 等. 针刺对不同病情程度儿童自闭症疗效分析[J]. 针刺研究, 2009,34(3):183-187.
YUAN Qing, WU Zhi-feng, WANG Rui-chao, et al. Observation on the Therapeutic Effect of Acupuncture Treatment of Autism Children[J]. Acupuncture research, 2009, 34(3): 183-187.
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.
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