针刺头穴联合经颅磁刺激治疗孤独症谱系障碍共患智力障碍临床研究
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R749.94;R246.6

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深圳市龙岗区科创局课题(LGKCYLWS2020147);北京中医药大学深圳医院(龙岗)院内课题(2020-BUCMSZYNKY04)


Clinical Study on Acupuncture at Scalp Points Combined with Transcranial Magnetic Stimulation for Autism Spectrum Disorder with Intellectual Disability
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    摘要:

    目的:观察针刺头穴联合经颅磁刺激治疗孤独症谱系障碍(ASD)共患智力障碍的临床疗效。方法:将 60 例符合纳入标准的 ASD 共患智力障碍患儿按随机数字表法分为 2 组各 30 例。治疗组予常规康复训练与经颅磁刺激治疗,治疗组在对照组治疗方案的基础上予针刺头穴治疗。治疗 10 d 为 1 个疗程,共治疗 9 个疗程。比较 2 组韦氏幼儿智力量表第 4 版(WIPPSI-Ⅳ)评分及智力发育疗效。结果:治疗后,2 组各个因子(总智商、言语理解、视觉空间、全量表)较治疗前均有改善,差异均有统计学意义(P<0.05)。治疗后,治疗组总智商高于对照组,差异均有统计学意义(P<0.05)。治疗组全量表、言语理解、视觉空间评分与对照组比较,差异无统计学意义(P>0.05)。2 组临床疗效比较,差异有统计学意义(P<0.05)。结论:针刺头穴联合经颅磁刺激可改善 ASD 共患智力障碍患儿总智商。

    Abstract:

    Abstract: Objective: To observe the effect of acupuncture at scalp points combined with transcranial magnetic stimulation for autism spectrum disorder(ASD) with intellectual disability. Methods:A total of 60 cases of ASD patients with intellectual disability and in accordance with the inclusion criteria were divided into two groups according to the random number table method,30 cases in each group. The control group was given routine rehabilitation training and transcranial magnetic stimulation, and the treatment group was additionally treated with acupuncture at scalp points based on the treatment of the control group. There were nine treatment courses,ten days being a course. Scores of Wechsler Preschool and Primary Scale of Intelligence Ⅳ(WIPPSI-Ⅳ) and curative effect of intelligence development were compared between the two groups. Results: After treatment, factors of overall intelligence, verbal comprehension, visual spatial, Full Scale Intelligence Quotient in the two groups were improved when compared with those before treatment,differences being significant(P<0.05). After treatment, scores of overall intelligence in the treatment group were higher than those in the control group,differences being significant(P<0.05). When compared the scores of Full Scale Intelligence Quotient,verbal comprehension and visual spatial between the two groups,there was significance in the difference(P<0.05). Compared the clinical efficacy,there was no significance in the difference(P>0.05). Conclusion:The therapy of acupuncture at scalp points combined with transcranial magnetic stimulation can improve overall intelligence of children with ASD and intellectual disability.

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赖淑贵,李斌,杨祥正.针刺头穴联合经颅磁刺激治疗孤独症谱系障碍共患智力障碍临床研究[J].新中医,2021,53(7):116-119

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  • 在线发布日期: 2021-04-08
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