靳三针联合游戏疗法治疗孤独症谱系障碍的临床疗效观察

张娜; 熊友红; 葛克娟; 刘毅梅

doi:10.13703/j.0255-2930.20240911-k0001

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靳三针联合游戏疗法治疗孤独症谱系障碍的临床疗效观察

临床研究 | 更新时间：2025-09-12

- 靳三针联合游戏疗法治疗孤独症谱系障碍的临床疗效观察
- Clinical observation of Jin’s three-needle therapy combined with game therapy in the treatment of autism spectrum disorder
- 中国针灸 2025年45卷第9期页码：1259-1264
- 作者机构：
  
  江南大学附属儿童医院/无锡市儿童医院康复医学科，江苏无锡　214023
- 作者简介：
  
  ✉刘毅梅，副主任医师。E-mail：liu2003bluesky@sina.com
- 基金信息：
  
  无锡市卫健委无锡市“双百”中青年医疗卫生后备拔尖人才项目(HB2020085)
- DOI：10.13703/j.0255-2930.20240911-k0001
  中图分类号：
- 收稿：2024-09-11，
  
  网络首发：2025-02-21，
  
  纸质出版：2025-09-12
- 稿件说明：
移动端阅览
张娜, 熊友红, 葛克娟, 等. 靳三针联合游戏疗法治疗孤独症谱系障碍的临床疗效观察[J]. 中国针灸, 2025,45(9):1259-1264.

ZHANG Na, XIONG Youhong, GE Kejuan, et al. Clinical observation of Jin’s three-needle therapy combined with game therapy in the treatment of autism spectrum disorder[J]. Chinese Acupuncture & Moxibustion, 2025, 45(9): 1259-1264. DOI: 10.13703/j.0255-2930.20240911-k0001.
张娜, 熊友红, 葛克娟, 等. 靳三针联合游戏疗法治疗孤独症谱系障碍的临床疗效观察[J]. 中国针灸, 2025,45(9):1259-1264. DOI： 10.13703/j.0255-2930.20240911-k0001.

ZHANG Na, XIONG Youhong, GE Kejuan, et al. Clinical observation of Jin’s three-needle therapy combined with game therapy in the treatment of autism spectrum disorder[J]. Chinese Acupuncture & Moxibustion, 2025, 45(9): 1259-1264. DOI: 10.13703/j.0255-2930.20240911-k0001. DOI：

摘要

目的

观察靳三针联合游戏疗法治疗孤独症谱系障碍（ASD）患儿的临床疗效。

方法

将60例ASD患儿随机分为观察组和对照组，各30例。观察组予靳三针针刺联合游戏疗法治疗。靳三针取智三针、颞三针、四神针和脑三针，并随证配穴，取穴包括神庭、脑户及双侧本神、脑空、心俞、足三里等，头针留针1 h，体针不留针；游戏疗法包括社交互动、音乐与舞蹈、语言激发等。对照组予观察组同样的游戏疗法治疗。治疗均每日1次，每周5次，3个月为1个疗程，共治疗2个疗程。于治疗前及治疗3、6个月后，比较两组患儿儿童期孤独症评定量表（CARS）、孤独症行为量表（ABC）和0-6岁儿童神经心理发育评估量表（儿心量表）评分。

结果

治疗3、6个月后，两组患儿CARS、ABC评分均较治疗前降低（

0.01）；治疗6个月后，观察组患儿CARS、ABC评分低于对照组（

0.05）。治疗3、6个月后，两组患儿大运动、精细动作、适应能力、语言以及社交行为评分均较治疗前升高（

0.01）。治疗3个月后，观察组患儿大运动、精细动作、适应能力及社交行为评分升高幅度大于对照组（

0.05）；治疗6个月后，观察组患儿大运动、精细动作、适应能力、语言及社交行为评分升高幅度大于对照组（

0.01，

0.05）。

结论

靳三针联合游戏疗法是治疗ASD的有效方法，在促进患儿能力提升及减轻相关行为表现方面较单纯游戏疗法展现出更明显的优势。

Abstract

Objective

To observe the clinical effect of

Jin

’s three-needle therapy combined with game therapy on children with autism spectrum disorder (ASD).

Methods

Sixty children with ASD were randomly divided into an observation group and a control group

with 30 cases in each. The children in the observation group received

Jin

’s three-needle therapy combined with game therapy. The acupoints used in

Jin

’s three-needle therapy included Zhisanzhen

Niesanzhen

Sishenzhen and Naosanzhen

and matches acupoints with syndromes. The acupoints included Shenting (GV24)

Naohu (GV17) and bilateral Benshen (GB13)

Naokong (GB19)

Xinshu (BL15)

Zusanli (ST36)

etc. The needles were retained for 1 h for scalp acupuncture and not retained for body acupuncture. Game therapy included social interaction

music and dance

language stimulation

etc. The children in the control group were treated with the same game therapy in the observation group. Treatments were administered once daily

five times a week

with a three-month course considered as one treatment cycle

and a total of two

cycles were provided. The scores of childhood autism rating scale (CARS)

autism behavior scale (ABC) and 0-6-year-old Children’s neuropsychological development assessment scale (children’s psychological scale) were compared between the two groups before treatment and after 3 and 6 months of treatment.

Results

After 3 and 6 months of treatment

the CARS and ABC scores of both groups were lower than those before treatment (

0.01). After 6 months of treatment

the CARS and ABC scores of the observation group were lower than those of the control group (

0.05). After 3 and 6 months of treatment

the scores of gross motor

fine motor

adaptive ability

language

and social behaviors in both groups were higher than those before treatment (

0.01). After 3 months of treatment

the observation group showed a greater improvement in gross motor

fine motor

adaptive ability

and social behaviors compared to the control group (

0.05). After 6 months of treatment

the observation group showed a greater improvement in gross motor

fine motor

adaptive ability

language

and social behaviors compared to the control group (

0.01

0.05).

Conclusion

Jin

’s three-needle therapy combined with game therapy is an effective method for the treatment of ASD

which shows more obvious advantages than simple game therapy in promoting the improvement of children’s ability and reducing related behavior.

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