针刺对不同病情程度儿童自闭症疗效分析

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。

Observation on the Therapeutic Effect of Acupuncture Treatment of Autism Children

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.