1 郑州大学附属儿童医院，河南省儿童医院，郑州儿童医院康复中心，郑州 450000
|| 河南省医学科技攻关计划 (201503236)；河南省医学科技攻关计划 (201702323)；河南省科技发展计划项目(182102310403)。
目的：探讨针刺联合感觉统合训练、运动干预治疗孤独症儿童的效果。方法：将医院收治的 60例孤独症儿童采用随机数字表法分为观察组和对照组，每组各30例。对照组给予感觉统合训练和运动干预，观察组在对照组基础上给予头针治疗，均治疗6个月。采用儿童孤独症评定量表(Child Autism Rating Scale，CARS)、孤独症行为评定量表(Autism Behav ior Checklist，ABC)评估孤独症核心症状，采用儿童感觉统合发展评定量表评估感觉统合能力康复情况，并观察其平衡能力。结果：观察组治疗后CARS评分及ABC中的感觉、交往、躯体运动、语言、总分均低于对照组，差异有统计学意义(P<0.05)；观察组治疗后前庭功能失衡、触觉过分防御、本体感失调、学习能力发展不足、感觉统合失调评分高于对照组，差异有统计学意义(P<0.05)；观察组治疗后睁眼、闭眼时间长于对照组，平衡木行走时间短于对照组，差异有统计学意义(P<0.05)。 结论：针刺联合感觉统合训练、运动干预治疗孤独症儿童可减轻孤独症核心症状，进一步改善感觉统合失调。
Effects of acupuncture combined with sensory integration training and exercise intervention on autistic children
This work was supported by the Medical Science and Technology Program of Henan Province (201503236), Medical Science and Technology Program of Henan Province (201702323)
Objective: To explore the effects of acupuncture combined with sensory integration training and exercise intervention on autistic children. Methods: Sixty autistic children in the hospital were divided into an observation group and a control group by the random number table method, with 30 children in each group. The control group was given sensory integration training and exercise intervention, while the observation group was treated with scalp acupuncture on the basis of the control group. All children were treated for 6 months. The Child Autism Rating Scale (CARS) and the Autism Behavior Checklist (ABC) were used to evaluate the core symptoms of autism. The Sensory Integration Development Assessment Scale was used to evaluate the recovery of sensory integration ability and the balance ability was observed. Results: After the treatment, CARS scores and scores of sense, communication, physical exercise and language and the total score of ABC in the observation group were lower than those in the control group (P<0.05). After the treatment, scores of vestibular dysfunction, excessive tactile defense, proprioceptive disturbance, lack of learning ability and sensory integration dysfunction in the observation group were significantly higher than those in the control group (P<0.05). The time of eye opening and eye closure of the observation group was longer than that of the control group, while the walking time on balance beam was shorter than that of the control group (P<0.05). Conclusion: Acupuncture combined with sensory integration training and exercise intervention can decrease core symptoms and further relieve sensory integration disorders in autistic children.
autism; scalp acupuncture; sensory integration training; exercise intervention; eﬀect