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电针对自闭症谱系障碍儿童的治疗:2例试点研究。

Electroacupuncture for children with autism spectrum disorder: pilot study of 2 cases.

作者信息

Chen Wen-Xiong, Wu-Li Liu, Wong Virginia C N

机构信息

Division of Child Neurology/Developmental Paediatrics/Neurohabilitation, Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.

出版信息

J Altern Complement Med. 2008 Oct;14(8):1057-65. doi: 10.1089/acm.2007.0823.

Abstract

OBJECTIVE

The objective of this study was to observe for efficacy, safety, and compliance of electroacupuncture for autism spectrum disorder (ASD).

METHODS

Two (2) children with ASD received electroacupuncture for 24 sessions over 8 weeks and were assessed pre- and postacupuncture. We defined a positive or negative change as an improvement or deterioration of 25%, respectively, in total score or any subscales of Aberrant Behavioral Checklist (ABC), Ritvo-Freeman Real Life Scale (RFRLS), WeeFIM, and as a rating of much improved or much worse on the Clinical Global Impression-Improvement (CGI-I) scale.

RESULTS

For ABC, positive changes in "Irritability" and "Stereotypy" was noted in case 1 but no changes occurred for case 2. For RFRLS, positive changes were found for both cases in "Sensory motor," "Sensory response," and "Total score," although negative change was noted for case 2 in "Affectual response." For WeeFIM, there were no positive or negative changes in both cases. For CGI-I, positive change in case 1 with much improved in "Social relatedness, Communication, and Stereotypy behavior" was reported.

CONCLUSIONS

A short intensive course of electroacupuncture might improve some core features of children with ASD.

摘要

目的

本研究旨在观察电针对自闭症谱系障碍(ASD)的疗效、安全性和依从性。

方法

2名ASD儿童接受了为期8周、共24次的电针治疗,并在针刺前后进行了评估。我们将总分或异常行为检查表(ABC)、里特沃-弗里曼现实生活量表(RFRLS)、儿童功能独立性测量量表(WeeFIM)的任何子量表改善或恶化25%分别定义为正向或负向变化,以及在临床总体印象改善(CGI-I)量表上评为明显改善或明显恶化。

结果

对于ABC量表,病例1的“易激惹”和“刻板行为”有正向变化,而病例2无变化。对于RFRLS量表,两例患者在“感觉运动”、“感觉反应”和“总分”方面均有正向变化,尽管病例2在“情感反应”方面有负向变化。对于WeeFIM量表,两例患者均无正向或负向变化。对于CGI-I量表,病例1报告有正向变化,在“社交关系、沟通和刻板行为”方面有明显改善。

结论

短期强化电针治疗可能改善ASD儿童的一些核心特征。

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