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自闭症谱系障碍的新兴治疗方法与疗法:一项叙述性综述

Emerging Treatments and Therapies for Autism Spectrum Disorder: A Narrative Review.

作者信息

Kaye Alan D, Allen Kaitlyn E, Smith Iii Van S, Tong Victoria T, Mire Vivian E, Nguyen Huy, Lee Zachary, Kouri Maria, Jean Baptiste Carlo, Mosieri Chizoba N, Kaye Adam M, Varrassi Giustino, Shekoohi Sahar

机构信息

Department of Anesthesiology, Louisiana State University Health Sciences Center, Shreveport, USA.

School of Medicine, Louisiana State University Health New Orleans School of Medicine, New Orleans, USA.

出版信息

Cureus. 2024 Jul 2;16(7):e63671. doi: 10.7759/cureus.63671. eCollection 2024 Jul.

Abstract

The prevalence of autism spectrum disorder (ASD) has increased over the last decade. In this regard, many emerging therapies have been described as ASD therapies. Although ASD does not have a cure, there are several management options available that can help reduce symptom severity. ASD is highly variable and, therefore, standard treatment protocols and studies are challenging to perform. Many of these therapies also address comorbidities for which patients with ASD have an increased risk. These concurrent diagnoses can include psychiatric and neurological disorders, including attention deficit and hyperactivity disorder, anxiety disorders, and epilepsy, as well as gastrointestinal symptoms such as chronic constipation and diarrhea. Both the extensive list of ASD-associated disorders and adverse effects from commonly prescribed medications for patients with ASD can impact presenting symptomatology. It is important to keep these potential interactions in mind when considering additional drug treatments or complementary therapies. This review addresses current literature involving novel pharmacological treatments such as oxytocin, bumetanide, acetylcholinesterase inhibitors, and memantine. It also discusses additional therapies such as diet intervention, acupuncture, music therapy, melatonin, and the use of technology to aid education. Notably, several of these therapies require more long-term research to determine efficacy in specific ASD groups within this patient population.

摘要

在过去十年中,自闭症谱系障碍(ASD)的患病率有所上升。在这方面,许多新兴疗法已被描述为ASD疗法。虽然ASD无法治愈,但有几种管理方案可供选择,有助于减轻症状的严重程度。ASD具有高度变异性,因此,标准治疗方案和研究难以开展。这些疗法中的许多还针对ASD患者风险增加的合并症。这些并发诊断可包括精神和神经疾病,如注意力缺陷多动障碍、焦虑症和癫痫,以及胃肠道症状,如慢性便秘和腹泻。ASD相关疾病的广泛清单以及ASD患者常用药物的不良反应都可能影响表现出的症状。在考虑额外的药物治疗或补充疗法时,记住这些潜在的相互作用很重要。这篇综述涉及当前有关新型药物治疗的文献,如催产素、布美他尼、乙酰胆碱酯酶抑制剂和美金刚。它还讨论了其他疗法,如饮食干预、针灸、音乐疗法、褪黑素以及使用技术辅助教育。值得注意的是,这些疗法中的几种需要更多的长期研究,以确定在该患者群体中特定ASD组的疗效。

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本文引用的文献

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Front Psychiatry. 2023 May 25;14:942069. doi: 10.3389/fpsyt.2023.942069. eCollection 2023.
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Acetylcholinesterase inhibitors for autistic spectrum disorders.乙酰胆碱酯酶抑制剂治疗自闭症谱系障碍。
Cochrane Database Syst Rev. 2023 Jun 1;6(6):CD013851. doi: 10.1002/14651858.CD013851.pub2.
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Memantine for autism spectrum disorder.美金刚治疗自闭症谱系障碍。
Cochrane Database Syst Rev. 2022 Aug 25;8(8):CD013845. doi: 10.1002/14651858.CD013845.pub2.
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Modern Biomarkers for Autism Spectrum Disorder: Future Directions.现代自闭症谱系障碍生物标志物:未来方向。
Mol Diagn Ther. 2022 Sep;26(5):483-495. doi: 10.1007/s40291-022-00600-7. Epub 2022 Jun 27.

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