CAJ | 학술논문

目的：通过随机对照研究方法,观察林氏头皮针对儿童自闭症的治疗作用。方法将68例自闭症患者随机分为观察组和对照组,因脱落和剔除病例,观察组纳入33例,对照组纳入32例。两组均进行言语训练及特殊教育。对照组针刺神庭、本神、四神针、情感区、语言1区、言语2区、语言3区,观察组在对照组选穴(区)基础上,去掉言语3区,加林氏头皮针,同时配合捻针及电针。隔日针刺1次,10次为1个疗程,疗程间休息15 d,治疗3个疗程后观察疗效。治疗前后均采用Gesell测试及孤独症儿童行为量表(ABC)进行评估。结果治疗前两组Gesell测试中社会适应、语言、个人社交能区以及ABC评分差异无统计学意义(P＞0.05),两组治疗后社会适应、语言、个人社交能区以及ABC评分均较治疗前改善,差异有统计学意义(P＜0.01),两组治疗后在社会适应、语言能区差异无统计学意义(P＞0.05),治疗后观察组在个人社交、ABC评分方面改善优于对照组,差异有统计学意义(P＜0.05)。结论林氏头皮针对改善自闭症患者个人社交及异常行为方面可能具有较为特殊的疗效。
목적：통과수궤대조연구방법,관찰림씨두피침대인동자폐증적치료작용。방법장68례자폐증환자수궤분위관찰조화대조조,인탈락화척제병례,관찰조납입33례,대조조납입32례。량조균진행언어훈련급특수교육。대조조침자신정、본신、사신침、정감구、어언1구、언어2구、어언3구,관찰조재대조조선혈(구)기출상,거도언어3구,가림씨두피침,동시배합념침급전침。격일침자1차,10차위1개료정,료정간휴식15 d,치료3개료정후관찰료효。치료전후균채용Gesell측시급고독증인동행위량표(ABC)진행평고。결과치료전량조Gesell측시중사회괄응、어언、개인사교능구이급ABC평분차이무통계학의의(P＞0.05),량조치료후사회괄응、어언、개인사교능구이급ABC평분균교치료전개선,차이유통계학의의(P＜0.01),량조치료후재사회괄응、어언능구차이무통계학의의(P＞0.05),치료후관찰조재개인사교、ABC평분방면개선우우대조조,차이유통계학의의(P＜0.05)。결론림씨두피침대개선자폐증환자개인사교급이상행위방면가능구유교위특수적료효。
ObjectiveTo observe the treatment efficacy of needling LIN’s three temporal acupoints in treating children with autism by using a randomized controlled study method.MethodSixty-eight patients with autism were randomized into an observation group and a control group. Because of dropouts and rejects, 33cases were finally recruited into the observation group, and 32 into the control group. The two groups both received speech training and special education. In addition, the control group received acupuncture at Shenting (GV24), Benshen (GB13), Sishenzhen (Extra), Emotional zone, Speech zone 1, Speech zone 2, and Speech zone 3; while the observation group received acupuncture at LIN’s three temporal acupoints based on the points selected in the control group except for Speech zone 3. Twisting needles and electroacupuncture were also applied in both groups. The treatment was performed once every other day, 10 sessions as a treatment course, with a 15-day interval between two courses, and the therapeutic efficacy was evaluated after 3 courses. Gesell test and Autism Behavior Checklist (ABC) were adopted for evaluation before and after the intervention.ResultBefore treatment, there were no significant between-group differences in comparing the social adaptation, speech and social intercourse ability from Gesell test and ABC score (P>0.05); after treatment,the social adaptation, speech, intercourse ability, and ABC scorewere significantly improved in both groups (P<0.01);there were no significant between-group differences in comparing the social adaptation and speech ability (P>0.05), while theimprovement of social intercourse ability and ABC scoreinthe observation group were more significant than thatinthe control group (P<0.05). ConclusionNeedling LIN’s three temporal acupoints possibly has a specialtreatment effect in improving social intercourse ability and abnormal behavior in autism patients.