本文選題：兒童孤獨癥 + 頭穴針刺�。� 參考：《南京中醫(yī)藥大學》2017年碩士論文

【摘要】：目的:本研究通過結合針刺與干預訓練對孤獨癥兒童進行康復,利用二者的優(yōu)勢,以期在臨床中獲得較傳統(tǒng)康復療法更好的療效,并初步探索該療法對孤獨癥兒童不同臨床癥狀的影響,為孤獨癥的治療提供新思路。方法:將符合標準的58例孤獨癥患兒隨機分為治療組30和對照組28例。兩組用同樣方法進行語言行為訓練、感覺統(tǒng)合訓練等干預訓練,訓練由蘇州市博愛兒童醫(yī)院的專業(yè)人員進行。治療組另進行針刺治療,體穴單刺不留針,頭穴留針并帶針進行康復訓練。治療每日1次,一周休息2天,1個療程為1個月,持續(xù)治療4個療程,并于療程結束后2個月進行隨訪。治療前后由兒童醫(yī)院的專業(yè)人員運用兒童孤獨癥評定量表(CARS)和孤獨癥兒童行為量表(ABC)進行評估,對比兩組臨床療效,隨訪時評估CARS并統(tǒng)計有效率。結果:①總體療效:治療后,兩組總有效率及兩組療效等級比較,具有顯著性差異(P0.05),治療組療效優(yōu)于對照組;②CARS量表得分:兩組患者治療后評分與治療前相比均降低(P0.05),且治療組降低幅度明顯大于對照組(P0.05);③ABC量表得分:兩組治療后評分較治療前均降低(P0.05)。對ABC各個因子進行組間治療后獨立比較發(fā)現,感覺能力、運動能力和生活自理能力在兩組間治療后得分上并沒有顯著差異(P㧐0.05),而交往能力和語言能力比較則差異顯著(P0.05)。④隨訪CARS評分和有效率與治療后基本持平。結論:①頭穴留針配合干預訓練治療兒童孤獨癥有效,且療效明顯優(yōu)于傳統(tǒng)單純康復訓練;②頭穴留針配合干預訓練在語言能力和交往能力改善上明顯優(yōu)于單純康復訓練。
[Abstract]:Objective: through combining acupuncture and intervention training to rehabilitate autistic children, using the advantages of the two, we can obtain better curative effect than traditional rehabilitation therapy in clinical, and explore the effect of this therapy on the different clinical symptoms of autistic children and provide new ideas for the treatment of autism. Method: 58. The children with autism were randomly divided into the treatment group (30) and the control group (28 cases). The two groups were trained by the same method of language behavior training, sensory integration training and other intervention training. The training was carried out by the professionals of Suzhou Bo love children's hospital. The treatment group was treated with acupuncture, body point single needling, needle retention and needle rehabilitation training. 1 times, 2 days a week, 1 courses for 1 months, continuous treatment of 4 courses, and followed up for 2 months after the end of the course. Before and after the treatment, the professional staff of the children's hospital were evaluated by the children autism Assessment Scale (CARS) and the autistic child behavior scale (ABC), compared to the two groups of clinical effects, and the follow-up evaluation of CARS and the statistics were effective. Results: (1) total curative effect: after treatment, the total effective rate and two groups of curative effect grades were compared between the two groups (P0.05). The curative effect of the treatment group was better than the control group; (2) the score of the CARS scale: the scores of the two groups were lower than those before the treatment (P0.05), and the reduction of the treatment group was significantly greater than that of the control group (P0.05); (3) the ABC scale score: After treatment, the scores of the two groups were lower than those before the treatment (P0.05). There was no significant difference (P? 0.05) between the two groups after the treatment of each factor between the two groups (P? 0.05), while the communication ability and the language ability were significantly different (P0.05). (4) follow up CARS score and there was a follow-up The efficiency is basically the same as that after treatment. Conclusion: first, the head hole needle retention combined with intervention training is effective in the treatment of autism in children, and the curative effect is obviously better than the traditional simple rehabilitation training; 2. The acupuncture at the head point combined with intervention training is obviously better than the simple rehabilitation training in the improvement of language ability and communication ability.

【學位授予單位】：南京中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.6

【參考文獻】

相關期刊論文 前10條

1 薄智云;;腹針療法分型治療自閉癥體會[J];山西中醫(yī);2014年04期

2 張學君;吳強;;電針督脈不同穴對自閉癥模型大鼠學習記憶能力及海馬CA1區(qū)PSD-95蛋白表達的影響[J];中國針灸;2013年07期

3 熊絮茸;;兒童自閉癥及其綜合干預[J];醫(yī)學與哲學(B);2013年04期

4 張學君;洪霖;洪鈺竺;林棟;吳強;;電針后海穴對自閉癥模型大鼠學習和記憶能力的影響[J];福建中醫(yī)藥大學學報;2013年01期

5 李諾;金炳旭;黎潔玲;劉振寰;;頭針療法治療自閉癥[J];中國針灸;2011年08期

6 王海麗;;林氏頭皮針治療兒童自閉癥11例體會[J];福建中醫(yī)藥;2010年03期

7 劉振寰;張宏雁;張春濤;李諾;;頭針治療小兒孤獨癥療效觀察[J];上海針灸雜志;2009年11期

8 徐大真;侯佳;孔存慧;;自閉癥治療理論與方法研究綜述[J];國際精神病學雜志;2009年02期

9 樊越波;揭曉鋒;鄒小兵;;孤獨癥患病率回顧[J];中國兒童保健雜志;2008年04期

10 劉剛;袁立霞;;針刺治療兒童自閉癥臨床研究[J];遼寧中醫(yī)雜志;2008年02期

，

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