Thumbtack needle at front-<italic style="font-style: italic">mu</italic> points for abnormal behavior in children with autism spectrum disorders

LIN Xiaoyang; LIU Huituan; SU Suping; LIU Lu; TANG Yuwen; CHEN Zhiwei; ZHANG Yuqiong; LIU Zhenhuan

doi:10.13703/j.0255-2930.20231115-0006

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Thumbtack needle at front-mu points for abnormal behavior in children with autism spectrum disorders

Clinical Research | 更新时间：2024-10-12

- Thumbtack needle at front-mu points for abnormal behavior in children with autism spectrum disorders
- Chinese Acupuncture & Moxibustion Vol. 44, Issue 10, Pages: 1149-1154(2024)
- 作者机构：
  
  1.东莞市妇幼保健院儿童康复科，广东东莞　523057
  2.广州中医药大学附属南海妇产儿童医院
  3.刘振寰名医工作室
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20231115-0006
  CLC：
- Received：15 November 2023，
  
  Online First：12 August 2024，
  
  Published：12 October 2024
- 稿件说明：
移动端阅览
LIN Xiaoyang, LIU Huituan, SU Suping, et al. Thumbtack needle at front-mu points for abnormal behavior in children with autism spectrum disorders[J]. Chinese Acupuncture & Moxibustion, 2024, 44(10): 1149-1154. DOI: 10.13703/j.0255-2930.20231115-0006.
DOI：

LIN Xiaoyang, LIU Huituan, SU Suping, et al. Thumbtack needle at front-mu points for abnormal behavior in children with autism spectrum disorders[J]. Chinese Acupuncture & Moxibustion, 2024, 44(10): 1149-1154. DOI: 10.13703/j.0255-2930.20231115-0006. DOI：

摘要

目的：

比较腹募穴揿针联合常规康复训练与单纯常规康复训练治疗孤独症谱系障碍（ASD）的临床疗效。

方法：

将40例ASD患儿随机分为联合组（20例，脱落3例）和常规康复组（20例，脱落3例）。常规康复组予常规康复训练，包括语言认知训练和综合教育训练，每日1次，每周5 d。联合组在常规康复组基础上，于中脘和双侧天枢、关元行揿针治疗，每次留针3 d，每次治疗间隔3 d，每月5次。两组均治疗1个月为一疗程，每个疗程间休息10 d，共治疗3个疗程。分别于治疗前后观察两组孤独症行为量表（ABC）、儿童期孤独症评定量表（CARS）、Achenbach儿童行为量表（CBCL）评分及中医脾胃疾病症状积分，并检测患儿血清谷氨酸（Glu）/γ-氨基丁酸（GABA）比值。

结果：

治疗后，两组患儿ABC、CARS及CBCL评分均较治疗前降低（

0.05，

0.01），联合组患儿中医脾胃疾病症状积分较治疗前降低（

0.05）；联合组患儿ABC评分、CARS评分、中医脾胃疾病症状积分、CBCL评分及血清Glu/GABA降低幅度大于常规康复组（

0.05，

0.01）。

结论：

腹募穴揿针联合常规康复训练及单纯常规康复训练均可有效治疗ASD，联合疗法可更好地改善患儿异常行为、脾胃症状及神经兴奋/抑制平衡。

Abstract

Objective

To compare the clinical effect of thumbtack needle at front-

points combined with conventional rehabilitation training and simple conventional rehabilitation training in the treatment of autism spectrum disorders (ASD).

Methods

A total of 40 children with ASD were randomly divided into a combination group (20 cases

3 cases dropped out) and a conventional rehabilitation group (20 cases

3 cases dropped out). Conventional rehabilitation training i.e. language-cognition training and comprehensive education training was adopted in the conventional rehabilitation group

once a day

5 days a week. On the basis of the treatment in the conventional rehabilitation group

thumbtack needle was applied at Zhongwan (CV 12)

bilateral Tianshu (ST 25) and Guanyuan (CV 4) in the combination group

the needles were retained for 3 days each time

3-day interval was taken between each treatment

for 5 times per month. One-month treatment was as one course and a total of 3 courses were required in both groups

with 10-day break between each course. Before and after treatment

the scores of autism behavior checklist (ABC)

childhood autism rating scale (CARS)

TCM spleen-stomach symptoms and Achenbach child behavior checklist (CBCL) were observed

and the serum ratio of glutamate and gamma-aminobutyric acid (Glu/GABA) was measured.

Results

After treatment

the scores of ABC

CARS and CBCL were decreased compared with those before treatment (

0.05

0.01) in both groups

the TCM spleen-stomach symptoms score was decreased compared with that before treatment (

0.05) in the combination group; the changes in the scores of ABC

CARS

TCM spleen-stomach symptoms and CBCL

as well as the serum Glu/GABA in the combination group were lager than those in the conventional rehabilitation group (

0.05

0.01).

Conclusion

Both thumbtack needle at front-

points combined with conventional rehabilitation training and simple conventional rehabilitation training can effectively treat ASD

the combination treatment has superior effect on improving the abnormal behavior

spleen-stomach symptoms and balance of nerve impulse and inhibition.

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Thumbtack needle at front-mu points for abnormal behavior in children with autism spectrum disorders

DOI：10.13703/j.0255-2930.20231115-0006

摘要

Abstract

关键词

Keywords

references