He Cai-Di, Lang Bo-Xu, Jin Ling-Qing, Li Bing
Zhongguo Zhen Jiu. 2014 Dec;34(12):1179-83.
To compare the difference in clinical efficacy on children attention deficit hyperactivity disorder (ADHD) between the combined therapy of scalp acupuncture and EGG biofeedback and the simple EEG biofeedback therapy so as to search the better therapeutic method for ADHD.
One hundred patients were randomized into an observation group and a control group, 50 cases in each one. In the control group, the simple EEG biofeedback therapy was adopted. In the observation group, on the basis of biofeedback therapy, scalp acupuncture was added and applied to Dingzhongxian (MS 5), Dingpangyixian (MS 8), Baihui (GV 20), Sishencong (EX-HN 1), etc. The ten treatments made one session. After four sessions of treatment, FIQ value in Wechsler intelligence scale, CIH score in Conners children behavior questionnaire, the ratio of 0 wave and p wave in EEG, FRCQ and FAQ in the integrated visual and auditory continuous performance test (IVA-CPT) and clinical comprehensive efficacy were observed before and after treatment in the two groups separately.
Three cases were dropped out in the observation group and 2 cases were out in the control group. In the two groups, FIQ, FRCQ and FAQ were all increased after treatment (P < 0.01, P < 0.05); the increases in the observation group were much more significant than those in the control group after treatment (all P < 0.05). In the two groups, CIH score and the ratio of 0 wave and p wave were all reduced after treatment (P < 0.01, P < 0.05); the reduction in the observation group were much more apparent as compared with those in the control group (both P< 0.05). The total effective rate was 91.5% (43/47) in the observation group and better than 83. 3% (40/48, P < 0.01) in the control group.
The combined therapy of scalp acupuncture and EEG biofeedback achieves the superior efficacy on children ADHD as compared with the simple biofeedback therapy. This combined therapy rapidly relieves the essential symptoms of ADHD and improves EEG waveform in children patients. Importantly, this therapy obtains and consolidates the significant efficacy.
比较头皮针联合脑电生物反馈与单纯脑电生物反馈治疗儿童注意力缺陷多动障碍（ADHD）的临床疗效差异，以探寻治疗ADHD的更佳方法。
将100例患者随机分为观察组和对照组，每组50例。对照组采用单纯脑电生物反馈治疗。观察组在生物反馈治疗的基础上，加用头皮针，针刺顶中线（MS5）、顶旁一线（MS8）、百会（GV20）、四神聪（EX-HN1）等穴位。10次治疗为1个疗程。两组分别于治疗4个疗程前后观察韦氏智力量表中的FIQ值、Conners儿童行为问卷中的CIH评分、脑电图中0波与p波的比值、综合视听连续执行测试（IVA-CPT）中的FRCQ和FAQ以及临床综合疗效。
观察组脱落3例，对照组脱落2例。两组治疗后FIQ、FRCQ和FAQ均升高（P<0.01，P<0.05）；治疗后观察组升高幅度显著大于对照组（均P<0.05）。两组治疗后CIH评分及0波与p波的比值均降低（P<0.01，P<0.05）；观察组降低幅度明显大于对照组（均P<0.05）。观察组总有效率为91.5%（43/47），优于对照组的83.3%（40/48，P<0.01）。
与单纯生物反馈治疗相比，头皮针联合脑电生物反馈治疗儿童ADHD疗效更佳。该联合疗法能迅速缓解ADHD的主要症状，改善患儿脑电图波形。重要的是，该疗法能取得并巩固显著疗效。
