脏腑经穴推拿联合康复训练治疗孤独症谱系障碍临床研究
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R749.94

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河南省中医药科学研究专项课题(2018ZY2135,2018JDZX086)


Clinical Study on Tuina on Meridians and Points Corresponding to Zang- Fu Organs Combined with Rehabilitation Training for Autism Spectrum Disorder
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    摘要:

    目的:观察基于“脾肾-脑相通”理论之脏腑经穴推拿联合康复训练治疗孤独症谱系障碍(ASD) 的临床疗效。方法:选取104 例ASD 患儿,按随机数字表法分为推拿组及康复组各52 例。康复组行常规康复训练,推拿组在常规康复训练的基础上联合脏腑经穴推拿进行治疗,4 周为1 个疗程,2 组共治疗6 个疗程。比较2 组治疗前后孤独症儿童行为量表(ABC) 评分、孤独症治疗评估量表(ATEC) 评分变化,观察2 组临床疗效。结果:治疗后,2 组ABC 评分均较治疗前下降,推拿组ABC评分低于康复组,差异均有统计学意义(P<0.05)。治疗后,2 组ATEC 中各分量表(Ⅰ言语/语言/交流、Ⅱ社交、Ⅲ感觉/知觉、Ⅳ健康/身体/行为) 评分及其总分均较治疗前降低,推拿组上述各项评分均低于康复组,差异均有统计学意义(P<0.05)。推拿组临床疗效总有效率为86.54%,康复组临床疗效总有效率为74.51%,2 组比较,差异有统计学意义(P<0.05)。结论:脏腑经穴推拿联合康复训练能有效提升ASD 患儿的行为、语言、社交、感知觉等功能,改善患儿的临床症状。

    Abstract:

    Abstract:Objective:To observe the clinical effects of the therapy of tuina on meridians and points corresponding to the zang-fu organs based on the theory of spleen-kidney-brain communication combined with rehabilitation training on autism spectrum disorder(ASD). Methods:A total of 104 children with ASD were selected and divided into the tuina group and the rehabilitation group according to the random number table method,with 52 cases in each group. The rehabilitation group was treated with routine rehabilitation training, and the tuina group was additionally treated with tuina on meridians and points corresponding to the zang-fu organs based on the treatment of routine rehabilitation training. Both groups were treated for six courses,four weeks being a course. Before and after treatment,the changes of scores of Autism Behavior Checklist(ABC) and Autism Treatment Evaluation Checklist(ATEC) in the two groups were compared. The clinical effects in the two groups were observed. Results: After treatment, the ABC scores in the two groups were decreased when compared with those before treatment,and the ABC score in the tuina group was lower than that in the rehabilitation group,differences being significant(P<0.05). After treatment, the total scores and scores of each subscale in ATEC, including speech/language/ communication,social interaction,sensory/perception and health/body/behavior,in the two groups were decreased when compared with those before treatment,and the above scores in the tuina group were lower than those in the rehabilitation group, differences being significant(P<0.05). After treatment, the total clinical effective rate was 86.54% in the tuina group,and 74.51% in the rehabilitation group,the difference being significant(P<0.05). Conclusion:The therapy of tuina on meridians and points corresponding to the zang- fu organs combined with rehabilitation training can effectively improve the behavior,language,social,sensory and other functions of children with ASD and alleviate the clinical symptoms of children.

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白青云,孔亚敏,马丙祥,党伟利,王妍炜.脏腑经穴推拿联合康复训练治疗孤独症谱系障碍临床研究[J].新中医,2022,54(3):203-207

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  • 在线发布日期: 2022-02-14
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