针刺推拿联合应用行为分析法对儿童孤独症的疗效及血清DA 的影响
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R246.6

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河南省医学科技攻关计划项目(LHGJ20191358)


Curative Effect of Acupuncture and Tuina Combined with Applied Behavior Analysis for Children with Autism and Its Effect on DA in Serum
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    摘要:

    目的:观察针刺推拿联合应用行为分析法(ABA) 对儿童孤独症的临床疗效及对血清多巴胺(DA) 的影响。方法:选取98 例孤独症患儿,按随机数字表法分为对照组及观察组各49 例。对照组予以ABA 训练治疗,观察组在对照组基础上加用针刺推拿治疗。2 组均连续治疗6 个月。比较2 组治疗前后孤独症程度评定量表(CARS)、孤独症治疗评估量表(ATEC)、孤独症行为评定量表(ABC)、心理教育评核第三版(PEP-3) 评分、语言发育商(DQ) 评分、焦虑自评量表(SAS) 评分、抑郁自评量表(SDS) 评分、血清DA 水平的变化。结果:治疗后,2 组CARS、ATEC 评分均较治疗前下降,PEP-3 评分均较治疗前上升,差异均有统计学意义(P<0.05);治疗后,观察组CARS、ATEC 评分均低于对照组,PEP-3 评分高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组ABC 评分中感觉、交往、躯体运动、语言、生活自理评分及总分均较治疗前下降(P<0.05),观察组上述5 项评分及总分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组DQ 评分中适应性、精细动作、大运动、个人-社交能力、语言评分均较治疗前上升,差异均有统计学意义(P<0.05);观察组DQ 评分中适应性、精细动作、大运动、个人-社交能力、语言评分均高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组SAS、SDS 评分均较治疗前下降(P<0.05),观察组SAS 评分、SDS 评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组血清DA 水平均较治疗前下降(P<0.05),观察组DA 水平低于对照组,差异均有统计学意义(P<0.05)。结论:针刺推拿联合ABA 训练治疗儿童孤独症,可减轻孤独症核心症状,提高患儿社交能力,缓解不良情绪。

    Abstract:

    Abstract: Objective: To observe the clinical effect of acupuncture and tuina combined with Applied Behavior Analysis (ABA) for children with autism and its effect on dopamine(DA) in serum. Methods:A total of 98 cases of children with autism were divided into the control group and the observation group according to the random number table method,with 49 cases in each group. The control group was given ABA training,and the observation group was additionally treated with acupuncture and tuina based on the treatment of the control group. Both groups were treated for six months. Before and after treatment, the changes in scores of Childhood Autism Rating Scale(CARS), Autism Treatment Evaluation Checklist(ATEC), Autism Behavior Checklist(ABC), Psychoeducational Profile- Third Edition(PEP- 3), Developmental Quotient(DQ), Self- rating Anxiety Scale(SAS) and Self- rating- Depression Scale(SDS) and DA levels in serum in the two groups were compared. Results: After treatment, the scores of CARS and ATEC scores in the two groups were decreased when compared with those before treatment,and the PEP-3 scores were increased,differences being significant(P<0.05);the scores of CARS and ATEC in the observation group were lower than those in the control group,and the PEP-3 score was higher,differences being significant(P<0.05). After treatment, the scores of feeling, communication, body movement, language and selfmanagement and the total scores in ABC in the two groups were decreased when compared with those before treatment(P< 0.05),and the above five scores and the total scores in the observation group were lower than those in the control group, differences being significant(P<0.05). After treatment, the scores of adaptability, fine movements, big movements, language and personal- social ability in DQ in the two groups were increased when compared with those before treatment, differences being significant(P<0.05);the scores of adaptability,fine movements,big movements,personal-social ability and language in DQ in the observation group were higher than those in the control group,differences being significant(P< 0.05). After treatment, the scores of SAS and SDS in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of SAS and SDS in the observation group were lower than those in the control group, differences being significant(P<0.05). After treatment, the DA levels in serum in the two groups were decreased when compared with those before treatment(P<0.05),and the DA level in the observation group was lower than that in the control group, differences being significant(P<0.05). Conclusion: Acupuncture and tuina combined with ABA training for children with autism can relieve the core symptoms of autism and negative emotions and improve personal-social ability.

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尹利霞,陶维娜,薛艳利,李欢,李小荣,周宇航.针刺推拿联合应用行为分析法对儿童孤独症的疗效及血清DA 的影响[J].新中医,2022,54(9):194-198

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  • 在线发布日期: 2022-05-09
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