针刺联合作业疗法干预孤独症谱系障碍社会生活能力的临床研究

目的：观察针刺联合作业疗法对孤独症谱系障碍（autism spectrum disorder,ASD）儿童社会生活能力的干预疗效。方法：选取我院2021年1月至2022年12月收治的3—6岁ASD儿童72例,采用随机数字表法分为对照组与观察组,每组36例。对照组运用作业疗法,观察组在对照组基础上结合针刺治疗,连续治疗12周。采用Gesell发育诊断量表（GDS）、孤独症儿童行为量表（ABC）、婴儿-初中生社会生活能力量表（S-M）和孤独症儿童心理教育量表第3版（PEP-3）评测比较两组治疗效果,并统计针刺过程中副反应情况。结果：观察组总有效率为83.33%,与对照组总有效率为61.11%相比较明显提升（P<0.05）。治疗后两组儿童Gesell发育量表适应性行为、粗大、精细、语言及个人-社会等5大能区评分及总分均较治疗前提升,且观察组效果明显优于对照组（P<0.05）。两组儿童ABC交往、生活自理因子评分及总分均较治疗前降低,观察组效果优于治疗组（P<0.05）。两组儿童S-M评分高于治疗前,观察组效果优于对照组（P<0.05）。两组PEP-3个人自理、适应行为...

Effects of acupuncture combined with occupational therapy on the social life ability of children with autism spectrum disorder

AbstractObjective： To observe the clinical effect of acupuncture combined with occupational therapy on children with autism spectrum disorder （ASD）.Method： Seventy-two children aged 3—6 with ASD admitted to our hospital from January 2021 to December 2022,were randomly divided into two groups （control group and observation group） by simple number table method, with 36 cases in each group.The control group was treated with occupational therapy, and the observation group was treated with acupuncture on the basis of the control group. Both groups were treated continuously for 12 weeks. To compare the clinical effects of the two groups. The Gesell developmental scale （GDS）, the autistic child behavior scale （ABC）, the infantile and junior high school social living ability scale （S-M） and the psychoeducational scale for autistic children （PEP-3） were evaluated before and after treatment. And the side effects of acupuncture were analyzed.Result： The total response rate of the observation group was 83.33%, which was significantly improved compared with the total response rate of the control group of 61.11% in the study （P<0.05）.After treatment, the total score of Gesell in the two groups,adaptive behavior,gross motion, fine movement, language and personal-social,were improved compared with those before treatment, and the effect of observation group was significantly better than that of the control group, with statistically significant difference（P<0.05）. In both groups,ABC communication, self-care factor score and total score were lower compared with those before treatment, and the effect of the observation group was better than that of the treatment group （P<0.05）.The S-M score of the two groups was higher than before treatment, and the effect of the observation group was better than that of the control group （P<0.05）. The scores of self-care and adaptive behavior of PEP-3 in both groups were significantly improved, and the improvement was more obvious in the observation group （P<0.05）.The side effects of acupuncture were seldom in the observation group.Conclusion： Acupuncture combined with occupational therapy can effectively improve the developmental level of children with autism, improve their social life ability, and benefit the prognosis of children with autism.