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针灸与假针灸治疗自闭症谱系障碍的随机对照试验。

Randomized controlled trial of acupuncture versus sham acupuncture in autism spectrum disorder.

机构信息

Division of Child Neurology/Developmental Pediatrics/Neurohabilitation, Department of Pediatrics & Adolescent Medicine, Faculty of Medicine, The University of Hong Kong, Hong Kong, China.

出版信息

J Altern Complement Med. 2010 May;16(5):545-53. doi: 10.1089/acm.2007.0768.

Abstract

OBJECTIVE

We aim to study the efficacy of acupuncture versus sham acupuncture in children with autism spectrum disorder.

METHODS

A single-blind randomized control trial was conducted in 50 children. These children were randomly assigned to the treatment group with tongue acupuncture (40 sessions over 8 weeks) or the control group (sham tongue acupuncture to nonacupoints in the tongue).

RESULTS

There was improvement in both the treatment and control groups in all assessed measures but more so in the treatment than in the control group: (1) eye-hand coordination, performance, and practical reasoning of Griffiths Mental Developmental Scale; (2) sensory-motor, social, affectual, language, and total score of Ritvo-Freeman Real Life Scale; (3) Comprehension Language age in the Reynell Language Developmental Scale; and (4) Total Score and Mental Age in Symbolic Play Test. The only statistically significant improvement in the treatment as compared to the control group was seen in self-care and cognition domains of the Functional Independence Measure for children.

CONCLUSIONS

We had demonstrated that a short course of acupuncture had efficacy in improving various developmental and behavioral aspects of children with autism. The long-term efficacy in functional gain needs to be further explored.

摘要

目的

研究针刺与假针刺治疗自闭症谱系障碍儿童的疗效。

方法

对 50 名儿童进行了单盲随机对照试验。这些儿童被随机分配到舌针治疗组(40 次,共 8 周)或对照组(假舌针针刺非舌穴位)。

结果

治疗组和对照组在所有评估指标上均有改善,但治疗组的改善更为明显:(1)Griffiths 精神发育量表的手眼协调、表现和实用推理;(2) Ritvo-Freeman 现实生活量表的感觉运动、社会、情感、语言和总分;(3)Reynell 语言发育量表的理解语言年龄;(4)象征性游戏测试的总分和心理年龄。与对照组相比,治疗组唯一具有统计学意义的改善是在儿童功能独立性量表的自理和认知领域。

结论

我们已经证明,短期的针刺治疗在改善自闭症儿童的各种发育和行为方面是有效的。在功能增益方面的长期疗效需要进一步探索。

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