摘要
目的观察感觉统合训练联合“调肠治神”针法治疗孤独症谱系障碍患儿的ABC评分和睡眠障碍的影响。方法60例患儿随机分为治疗组和对照组,每组30例。治疗组采用感觉统合训练联合“调肠治神”针法,对照组采用感觉统合训练。感觉统合训练每次治疗2 h,“调肠治神”针法每次治疗30 min,均每周3次,隔天1次,连续治疗6个月。分别于治疗前和治疗6个月结束时,采用儿童自闭症行为量表(ABC)评估患儿的治疗效果,儿童睡眠习惯问卷(CSHQ)评价患儿睡眠改善情况。结果(1)ABC评分:与治疗前比较,治疗后两组患儿感觉、交往、运动、语言、自理评分及总分差异均具有统计学意义(P<0.05);与对照组比较,治疗后治疗组感觉、交往、运动、自理评分及总分差异均具有统计学意义(P<0.05);(2)CSHQ评分:与同组治疗前及对照组治疗后比较,治疗组治疗后在就寝习惯不良、睡眠焦虑、睡眠持续时间不规律、白天嗜睡、夜醒、入睡潜伏期延长和总分等维度差异均具有统计学意义(P<0.05);与同组治疗前比较,对照组治疗后就寝习惯不良、睡眠焦虑、白天嗜睡和总分等维度差异均具有统计学意义(P<0.05)。结论感觉统合训练联合“调肠治神”针法对ASD患儿的行为障碍和睡眠障碍均有积极的干预作用。
Objective To observe the effect of sensory integration training combined with“adjusting the intestines and regulating the spirit”needling on the ABC score and sleep disturbance of children with autism spectrum disorder(ASD).Methods Sixty children with ASD were randomly divided into treatment group and control group,with 30 cases in each group.The treatment group used sensory integration training combined with“adjusting intestines and regulating the spirit”needling,and the control group received sensory integration training.Sensory integration training was operated for 2 hours for each time,and the“adjusting the intestines and regulating the spirit”needling was operated for 30 minutes for each time,3 times a week,once every other day,and continuous treatment lasted for 6 months.Before treatment and at the end of 6 months of treatment,the Childhood Autism Behavior Scale(ABC)was used to evaluate the treatment effect of the children,and the Child Sleep Habit Questionnaire(CSHQ)was used to evaluate the sleep improvement of the children.Results(1)ABC score:Compared with those before treatment,the differences in sensation,communication,movement,language,self-care scores and total scores of the two groups after treatment were statistically significant(P<0.05).Compared with those of the control group,the scores of sensation,communication,movement,self-care and total score in the treatment group were statistically significant(P<0.05).(2)CSHQ score:Compared with the same group before treatment and the control group after treatment,there were significant differences in the dimensions of poor sleeping habits,sleep anxiety,irregular sleep duration,daytime sleepiness,night awakening,prolonged sleep latency and total score in the treatment group after treatment(P<0.05).Compared with the same group before treatment,the dimensions of poor sleeping habits,sleep anxiety,daytime sleepiness and total score in the control group after treatment were statistically significant(P<0.05).Conclusion Sensory integration training combined with“adjusting the intestines and treating the spirit”needling has a positive intervention effect on the behavior and sleep disorders of children with ASD.
作者
张丽丽
鲍超
黄煜
王莹
王楠
孙耀金
徐道明
陈栋
ZHANG Lili;BAO Chao;HUANG Yu;WANG Ying;WANG Nan;SUN Yaojin;XU Daoming;CHEN Dong(Children's Hospital of Nanjing Medical University,Nanjing 210008,Jiangsu,China;Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,Jiangsu,China)
出处
《辽宁中医杂志》
CAS
2022年第4期167-170,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学青年基金资助项目(82004456)
江苏省科技厅面上资助项目(BE2017769)
关键词
“调肠治神”针法
感觉统合训练
孤独症谱系障碍
睡眠障碍
“adjusting the intestines and regulating the spirit”needling
sensory integration training
autism spectrum disorder
sleep disorder
作者简介
张丽丽(1984-),女,江苏宝应人,康复治疗师,学士,研究方向:儿童孤独症谱系障碍的中西医康复;通讯作者:陈栋(1985-),男,江苏扬州人,副主任中医师,博士,研究方向:儿童孤独症谱系障碍的中西医康复,E-mail:xiaodo945@sina.com。
