Jin Bing-Xu, Li Nuo, Zhao Yong, Qian Xu-Guang, Liu Zhen-Huan, Yang Yang, Lin Zhuo-Ting, Zeng Zhuo-Yi
Department of Children Nerve Rehabilitation, Nanhai Women and Children Hospital Affiliated to Guangzhou University of CM, Foshan 528200, Guangdong Province, China.
Zhongguo Zhen Jiu. 2020 Feb 12;40(2):162-6. doi: 10.13703/j.0255-2930.20190214-00054.
To compare the clinical effect on the joint attention and social communication in children with autism spectrum disorder (ASD) between the combined treatment of acupoint catgut embedding therapy with rehabilitation training and the simple application of rehabilitation training.
A total of 60 children with ASD were randomized into an observation group and a control group, 30 cases in each one. In the control group, the routine ASD rehabilitation training was adopted, including conductive education, speech training and music therapy, once a day. In the observation group, on the base of the treatment as the control group, the catgut embedding therapy was applied to Shenting (GV 24), Baihui (GV 20), Shenmen (HT 7) and the optic area (the point of scalp acupuncture), once a week. In the two groups, the treatment for 4 weeks was as one course, at the interval of 1 week between the courses. A total of 3 courses of treatment were required. The social domain of the autism treatment evaluation checklist (ATEC) and the autism behavior checklist (ABC) were adopted to assess the therapeutic effect of the two groups.
After treatment, the scores of each item of the social domain in ATEC and the scores of ABC (feeling, communication, physical movement, language and healthy behavior) were all lower than those before treatment in the two groups (<0.01). The scores of each item in the observation group were lower than those in the control group after treatment (<0.05).
The combined treatment of acupoint catgut embedding therapy with the rehabilitation training effectively improves in the joint attention and social communication. The therapeutic effect of this combined treatment is better than the simple application of rehabilitation training.
比较穴位埋线疗法联合康复训练与单纯应用康复训练对孤独症谱系障碍（ASD）患儿共同注意和社会交往能力的临床疗效。
将60例ASD患儿随机分为观察组和对照组，每组30例。对照组采用常规ASD康复训练，包括引导式教育、言语训练和音乐治疗，每天1次。观察组在对照组治疗基础上，加用穴位埋线疗法，取神庭（GV 24）、百会（GV 20）、神门（HT 7）及头皮针视区，每周1次。两组均以4周治疗为1个疗程，疗程间隔1周，共需治疗3个疗程。采用孤独症治疗评估量表（ATEC）社会领域及孤独症行为量表（ABC）评估两组疗效。
治疗后，两组ATEC社会领域各项目得分及ABC量表（感觉、交往、躯体运动、语言及健康行为）得分均低于治疗前（<0.01）。治疗后观察组各项目得分低于对照组（<0.05）。
穴位埋线疗法联合康复训练能有效改善ASD患儿的共同注意和社会交往能力，其疗效优于单纯康复训练。
