针灸治疗自闭症谱系障碍。
Acupuncture for treatment of autism spectrum disorders.
机构信息
Department of Neurosciences and Neurology, UMDNJ-New Jersey Medical School, 90 Bergen Street, DOC 8100, Newark, NJ 07103, USA.
出版信息
Evid Based Complement Alternat Med. 2012;2012:679845. doi: 10.1155/2012/679845. Epub 2011 Dec 6.
Background. There has been lack of reviews of evidence on efficacy, methodology, and/or safety of acupuncture in autism spectrum disorders. This paper examines the emerging evidence of the effects of acupuncture in the treatment of autistic children. Method. A literature review was completed via Medline and three Chinese search engines. A total of 31 studies were evaluated for acupuncture methodology, study design, treatment effects, and tolerability. Results. The acupoints used, the duration of needling, the frequency of treatment, the choice of stimulation, and the course of the treatment were highly variable amongst the studies. Behavioral and/or developmental improvements were reported in all acupuncture treatment studies. All studies reported general tolerability. Weakness of experimental designs was discussed. Conclusions. Vigorously controlled double-blinded clinical trials are needed to evaluate the efficacy and safety of acupuncture in children with autism spectrum disorders.
背景
目前缺乏对针灸治疗自闭症谱系障碍的疗效、方法学和/或安全性的评估综述。本文旨在探讨针灸治疗自闭症儿童的最新证据。
方法
通过 Medline 和三个中文搜索引擎进行文献检索。共评估了 31 项研究，评估内容包括针灸方法学、研究设计、治疗效果和耐受性。
结果
研究中使用的穴位、针刺时间、治疗频率、刺激选择和疗程均存在较大差异。所有针灸治疗研究均报告了行为和/或发育改善。所有研究均报告了良好的耐受性。研究设计的局限性在讨论中被提及。
结论
需要进行严格对照的双盲临床试验来评估针灸治疗自闭症谱系障碍儿童的疗效和安全性。
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