基于中医五行理论的推拿针灸联合治疗自闭症患儿的临床效果

目的:探讨基于中医五行理论的推拿针灸联合治疗自闭症患儿的临床效果。方法:选取于2014年9月至2016年12月北京按摩医院收治的自闭症患儿98例,将其分为观察组和对照组,每组49例,对照组给予康复训练,观察组加以针灸及推拿治疗,同时选取正常健康体检儿童20例作为正常组。正常组在治疗前、对照组与观察组在治疗前后分别进行儿童孤独症评定量表(CARS)、孤独症儿童行为量表(ABC)、文兰适应行为量表(VABS)的评估,抽取血液检测血清中组织型纤溶酶原激活剂(t-PA)和纤溶酶原激活物抑制因子-1(PAI-1)的水平,并对3组的统计数据及临床疗效进行分析。结果:治疗后,观察组与对照组的CARS、ABC评分较治疗前明显降低,VABS评分明显升高(P0.05),且观察组的改善优于对照组(P0.05);血清中t-PA较治疗前明显升高、PAI-1水平明显降低(P0.05),观察组优于对照组(P0.05),且观察组治疗后与正常组比较,差异无统计学意义(P0.05)。观察组总有效率为85.71%,对照组总有效率73.47%。结论:中医五行理论指导下进行推拿针灸配合康复训练,或者只进行康复训练治疗均能改善自闭症患儿的临床症状,改善患儿的社会交际及生活自理能力水平,但是中医五行理论指导下进行推拿针灸配合康复训练的临床疗效优于只进行康复训练。

Clinical Study of massage combined acupuncture and moxibustion on autistic children based on the five elements theory of TCM

To observe and analyze the clinical efficacy of acupuncture combined with massage in the treatment of autistic children according to the five elements theory of TCM.Methods:A total of 98 children with autism admitted to the Pediatrics Department of Beijing Massage Hospital from September 2014 to December 2016 were divided into treatment group and control group, with 49 cases in each group.The control group was received rehabilitation training, and the treatment group was treated with acupuncture and moxibustion therapy, and 20 cases of healthy physical examination at the same time were selected as the normal group.CARS, ABC, VABS were assessed in the normal group before treatment, and in treatment group and control group respectively before and after treatment.Blood serum t-PA, PAI-1 levels were detected, and statistical data of each group and clinical curative effect were analyzed.Results:After the treatment, 1) CARS, ABC score of the treatment group and control group was significantly lower than before treatment.VABS score increased significantly (P<0.05), and the improvement of the treatment group was better than control group (P<0.05). 2) t-PA in serum was significantly higher than that before treatment, and the level of PAI-1 was obviously reduced (P<0.05).The treatment group was better than the control group (P<0.05).The treatment group after treatment compared with the normal group, the difference was not statistically significant difference (P>0.05).3) The total effective rate of the treatment group was 85.71%, and the total effective rate of the control group was 73.47%.Conclusion:The five elements of TCM theory under the guidance of massage and acupuncture combined with rehabilitation training, or rehabilitation training treatment can improve the clinical symptoms of children with autism, improve social communication and life self-care ability of children, but the clinical curative effect of TCM five elements theory under the guidance of massage and acupuncture with rehabilitation training is only better than rehabilitation training.