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[针刺对自闭症谱系障碍儿童临床表现及胃肠道症状的影响]

[Influence of acupuncture on the clinical manifestations and gastrointestinal symptoms of children with autism spectrum disorder].

作者信息

Wang Jing, Liu Yun, Huang Hao-Yu, Wu Jin-Ting, Wang Wen-Juan

机构信息

Department of Rehabilitation, Kunming Children's Hospital, Kunming 650034, Yunnan Province, China.

出版信息

Zhongguo Zhen Jiu. 2022 Dec 12;42(12):1373-6. doi: 10.13703/j.0255-2930.20220111-0004.

Abstract

OBJECTIVE

To observe the effect of acupuncture therapy based on "gut-brain axis" on clinical manifestations and gastrointestinal symptoms of children with autism spectrum disorder (ASD).

METHODS

A total of 66 children with ASD were randomly divided into an observation group and a control group, 33 cases in each group. The control group was treated by routine rehabilitation training. On the basis of the control group, the observation group was treated with acupuncture based on "gut-brain axis", and the acupoints were Touwei (ST 8), Shenting (GV 24), Sishencong (EX-HN 1), Tianshu (ST 25), Zhongwan (CV 12), Zusanli (ST 36), etc. Both treatments were given once every other day, 3 times a week, 4 weeks as a course of treatment, consecutively for 3 courses. The scores of autism behavior checklist (ABC), TCM symptoms of gastrointestinal disease and childhood autism rating scale (CARS) were compared between the two groups before and after treatment, and the clinical efficacy was evaluated.

RESULTS

After treatment, the scores of ABC, CARS and TCM symptoms of gastrointestinal disease in the two groups were lower than before treatment (<0.05), and those in the observation group were lower than the control group (<0.05). The total effective rate of the observation group was 90.9% (30/33), which was higher than 81.8% (27/33) in the control group (<0.05).

CONCLUSION

On the basis of routine rehabilitation training, acupuncture therapy based on "gut-brain axis" is effective in treating ASD, which can relieve the clinical manifestations and gastrointestinal symptoms.

摘要

目的

观察基于“肠-脑轴”的针刺疗法对孤独症谱系障碍(ASD)患儿临床表现及胃肠道症状的影响。

方法

将66例ASD患儿随机分为观察组和对照组,每组33例。对照组采用常规康复训练。观察组在对照组基础上采用基于“肠-脑轴”的针刺治疗,穴位取头维(ST 8)、神庭(GV 24)、四神聪(EX-HN 1)、天枢(ST 25)、中脘(CV 12)、足三里(ST 36)等。两种治疗均隔日1次,每周3次,4周为1个疗程,连续治疗3个疗程。比较两组治疗前后孤独症行为量表(ABC)、胃肠疾病中医症状及儿童孤独症评定量表(CARS)评分,并评价临床疗效。

结果

治疗后,两组ABC、CARS评分及胃肠疾病中医症状评分均低于治疗前(P<0.05),且观察组低于对照组(P<0.05)。观察组总有效率为90.9%(30/33),高于对照组的81.8%(27/33)(P<0.05)。

结论

在常规康复训练基础上,基于“肠-脑轴”的针刺疗法治疗ASD有效,可缓解其临床表现及胃肠道症状。

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