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中国医药导刊 ›› 2022, Vol. 24 ›› Issue (11): 1084-1088.

• 论著 • 上一篇    下一篇

舌三针结合穴位按摩改善孤独症谱系障碍患儿言语障碍临床观察

郭凯, 李建军*,张倩, 赵宁侠, 高峰, 刘银侠, 樊亚妮, 焦文涛, 赵利君   

  1. 西安中医脑病医院, 陕西 西安 710032
  • 收稿日期:2022-08-30 修回日期:2022-11-29 出版日期:2022-11-28 发布日期:2022-11-28
  • 基金资助:
    陕西省中医药传承创新暨“秦药”开发重点科学研究项目(项目编号:2021-01-22-001;项目名称:中西医结合治疗孤独症谱系障碍真实世界临床研究)

Clinical Observation of Tongue Three Acupuncture Combined with Acupoint Massage for Speech Disorders in the Treatment of Children with Autism Spectrum Disorder

  1. Xi′an Hospital of Traditional Chinese Medicine Encephalopathy, Shaanxi Xi′an 710032, China
  • Received:2022-08-30 Revised:2022-11-29 Online:2022-11-28 Published:2022-11-28

摘要: 目的:探讨舌三针结合口周穴位按摩改善孤独症谱系障碍患儿言语障碍的临床疗效。方法:选取我院孤独症专科病区的58例孤独症谱系障碍言语障碍患儿作为研究对象。随机分为对照组及观察组,每组29例。对照组给予言语训练、ABA训练、头针针刺及脏腑推拿。观察组在对照组基础上加用舌三针针刺及口周穴位按摩。治疗疗程为6个月,每3个月观察一次疗效变化。采用ABC量表、CARS量表、ATEC量表评估治疗前后两组患儿在言语发育、个人社交及认知理解方面的变化。结果:治疗中期(3个月)、治疗后(6个月)两组患儿CARS量表评分、ABC量表评分均较治疗前降低(P<0.01)。与对照组比较,治疗3个月和6个月时观察组患儿CARS量表评分降低更明显(P<0.01),ABC量表评分的改善程度更高(P<0.01)。两组患儿治疗6月后ATEC中单项评分及其总分均低于治疗前(P<0.01或P<0.05),且观察组评分的降低程度大于对照组(P<0.01)。观察组有效率为89.66%,高于对照组有效率(68.97%)(P<0.05)。结论:舌三针针刺结合口周穴位按摩在改善孤独症谱系障碍患儿言语发育、认知理解及个人社交方面有较好的疗效。

关键词: font-size:medium, ">舌三针;穴位按摩;孤独症谱系障碍;言语障碍

Abstract: Objective:To explore the clinical effect of tongue three acupuncture combined with oral acupuncture on speech disorder in children with autism spectrum disorder.Methods:Fifty-eight children with autism spectrum disorder and speech disorder in our hospital were selected as the research objects. They were randomly divided into the control group and the observation group, 29 cases in each group. The control group was given speech training, ABA training, head acupuncture and viscera massage. The observation group was additionally treated with tongue three acupuncture and oral acupuncture on the basis of the control group. The treatment course was 6 months, and the curative effect was observed once every 3 months. ABC scale, CARS scale and ATEC scale were used to evaluate the changes of speech development, personal social interaction and cognitive understanding in the two groups before and after treatment. Results:The scores of CARS scale and ABC scale in the middle period (3 months) and after treatment (6 months) were lower than those before treatment (P<0.01). Compared with the control group, the score of CARS scale in the observation group decreased more significantly at 3 and 6 months of treatment (P<0.01), and the score of ABC scale in the observation group improved more significantly (P<0.01). After 6 months of treatment, the individual score and total score of ATEC in both groups were lower than before treatment (P<0.01 or P<0.05), and the degree of reduction of the score in the observation group was greater than that in the control group (P<0.01). From the perspective of the total effective rate, the effective rate of the observation group was 89.66%, which was more than that of the control group (68.97%)(P<0.05). Conclusion:Tongue three acupuncture combined with perioral acupoint massage can improve the speech development, cognitive understanding and personal social interaction of children with autism spectrum disorder.

Key words: font-size:medium, ">Three tongue acupuncture; Acupoint massage; Autism spectrum disorder; Disorder of speech

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