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[头皮针刺刺激对自闭症谱系障碍儿童情绪和睡眠的影响]

[Effect of scalp acupuncture stimulation on mood and sleep in children with autism spectrum disorder].

作者信息

Jia Yong-Nan, Gu Jian-Hui, Wei Qing-Lin, Jing Yu-Zhen, Gan Xiao-Yan, Du Xiao-Zheng

机构信息

Department of Acu-moxibustion, Affiliated Hospital of Gansu University of Chinese Medicine,Lanzhou 730000, China.

Department of Child Rehabilitation, Gansu Rehabilitation Center Hospital, Lanzhou 730000.

出版信息

Zhen Ci Yan Jiu. 2021 Nov 25;46(11):948-52. doi: 10.13702/j.1000-0607.20210276.

Abstract

OBJECTIVE

To observe the effects of penetrating technique of scalp acupuncture on emotion, sleep and function development in children of autism spectrum disorder (ASD).

METHODS

A total of 60 SAD children aged 3 to 6 years were randomized in a control group (music education rehabilitation,=30) and an observation group (penetrating technique of scalp acupuncture + music education rehabilitation,=30). In the two groups, the treatment for 3 months was as 1 course, and 2 courses of treatment were required. Before and after treatment, the changes were observed in childhood autism rating scale (CARS), emotion regulation subscale (ER), children's sleep habits questionnaire (CSHQ) and children autism and psycho-educational profile for autistic and developmentally disabled children (C-PEP-3), separately.

RESULTS

Compared with the scores before treatment, CARS score, the score of each subscale of CSHQ, e.g. bedtime resistance, sleep onset delay, irregular sleep duration, sleep anxiety, parasomnias and daytime sleepiness as well as the total score of CSHQ were all reduced in children of two groups (<0.05); and the score of ER and C-PEP-3 were all increased (<0.05) after 6 months' treatment. Compared with the control group, ER score was increased in 3 and 6 months after treatment (<0.05), CARS score was reduced (<0.05) and C-PEP-3 score was increased obviously (<0.05) 6 months after treatment in the observation group; but the scores of the subscale for night waking and sleep disordered breathing did not changed noticeably (P > 0.05).

CONCLUSION

Penetrating technique of scalp acupuncture improves the emotion and sleep disorder and promotes the function development in ASD children.

摘要

目的

观察头皮针透刺技术对孤独症谱系障碍(ASD)儿童情绪、睡眠及功能发育的影响。

方法

将60例3至6岁的ASD儿童随机分为对照组(音乐教育康复,n = 30)和观察组(头皮针透刺技术+音乐教育康复,n = 30)。两组均以3个月的治疗为1个疗程,共需治疗2个疗程。分别观察治疗前后两组儿童的儿童孤独症评定量表(CARS)、情绪调节分量表(ER)、儿童睡眠习惯问卷(CSHQ)以及儿童孤独症及发育障碍儿童心理教育量表(C-PEP-3)的变化。

结果

与治疗前相比,两组儿童的CARS评分、CSHQ各分量表评分(如就寝抵抗、入睡延迟、睡眠时间不规律、睡眠焦虑、异态睡眠和日间嗜睡)以及CSHQ总分均降低(P<0.05);治疗6个月后,两组儿童的ER评分和C-PEP-3评分均升高(P<0.05)。与对照组相比,观察组治疗后3个月和6个月时ER评分升高(P<0.05),治疗6个月时CARS评分降低(P<0.05),C-PEP-3评分明显升高(P<0.05);但夜醒和睡眠呼吸障碍分量表评分变化不明显(P>0.05)。

结论

头皮针透刺技术可改善ASD儿童的情绪和睡眠障碍,促进其功能发育。

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