CAJ | 학술논문

目的：观察穴位神经疗法对儿童孤独症睡眠障碍的临床疗效。方法：选取2011-2013年宁夏医科大学总医院心身医学科进行鉴定的60例儿童自闭症患者，按照随机数字表法将其分为试验组和对照组各30例，试验组采用HANS穴位神经治疗仪配合综合性干预措施进行治疗，对照组采用综合性干预措施进行治疗。两组试验前后均使用《儿童睡眠习惯问卷（CSHQ）中文版》和《3~7岁儿童气质量表》进行评价，观察比较两组患儿的治疗效果及治疗前后的CSHQ评分。结果：试验组总有效率86.7%（26/30）明显高于对照组的46.7%（14/30），差异有统计学意义（字2=10.800，P=0.001）。试验组治疗后的就寝习惯、入睡潜伏期、睡眠焦虑、夜醒、异态睡眠、睡眠呼吸障碍等方面的评分及CSHQ总分均明显优于治疗前，差异均有统计学意义（P<0.05或P<0.01）；对照组治疗后仅在睡眠持续时间和白天嗜睡层面的评分优于治疗前，差异均有统计学意义（P<0.05）。两组各个气质类型的治疗有效率比较差异均无统计学意义（P>0.05）。结论：神经穴位治疗对儿童孤独症睡眠障碍有明显的缓解作用，不仅能促进患儿本身病情的改善，也能极大地提高患儿及家长的生活质量，值得在临床上推广。
목적：관찰혈위신경요법대인동고독증수면장애적림상료효。방법：선취2011-2013년저하의과대학총의원심신의학과진행감정적60례인동자폐증환자，안조수궤수자표법장기분위시험조화대조조각30례，시험조채용HANS혈위신경치료의배합종합성간예조시진행치료，대조조채용종합성간예조시진행치료。량조시험전후균사용《인동수면습관문권（CSHQ）중문판》화《3~7세인동기질량표》진행평개，관찰비교량조환인적치료효과급치료전후적CSHQ평분。결과：시험조총유효솔86.7%（26/30）명현고우대조조적46.7%（14/30），차이유통계학의의（자2=10.800，P=0.001）。시험조치료후적취침습관、입수잠복기、수면초필、야성、이태수면、수면호흡장애등방면적평분급CSHQ총분균명현우우치료전，차이균유통계학의의（P<0.05혹P<0.01）；대조조치료후부재수면지속시간화백천기수층면적평분우우치료전，차이균유통계학의의（P<0.05）。량조각개기질류형적치료유효솔비교차이균무통계학의의（P>0.05）。결론：신경혈위치료대인동고독증수면장애유명현적완해작용，불부능촉진환인본신병정적개선，야능겁대지제고환인급가장적생활질량，치득재림상상추엄。
Objective:To observe the clinical curative effects of Han’s Acupoint Nerve Stimulator(HANS) on the treatment of somnipathy in children with autism.Method:60 children with autism who came from the department of psychosomatic medicine,General Hospital of Ningxia Medical University from 2011 to 2013 were selected,they were randomly divided into the experimental group and the control group,30 cases in each group.The experimental group was treated with HANS and comprehensive intervention measures and the control group was only treated with the same comprehensive intervention measures.Children’s sleep of Habits Questionnaire(CSHQ)and Parent Temperament Questionnaire(PTQ)were used in the two groups before and after the test.The treatment effect and CSHQ score before and after treatment of the two groups were observed and compared.Result:The total effective rate of the experimental group was 86.7%(26/30),it was significantly higher than 46.7%(14/30)of the control group,the difference was statistically significant(x2=10.800,P=0.001).The score of bedtime habit,sleep latency,sleep anxiety,night waking, parasomnias,sleep disordered breathing and CSHQ total score of the experimental group after treatment were significantly better than before treatment,the differences were statistically significant(P<0.05 or P<0.01).The score of the duration of sleep and daytime sleepiness level of the control group after treatment were significantly better than before treatment, the differences were statistically significant(P<0.05).There were no statistically significant differences in various types of temperament efficiency between the two groups(P>0.05).Conclusion:HANS is obviously effective in relieving the somnipathy in children with autism,not only can promote the improvement of the child itself condition,and can greatly improve the quality of life of children and parents,is worthy of clinical promotion.