摘要
目的:观察五苓散加味配合穴位贴敷治疗儿童自闭症谱系障碍(ASD)的临床疗效。方法:将56例ASD患儿通过随机数表法分为对照组和观察组,各28例,研究过程中对照组脱落2例。两组均采用常规康复训练+穴位贴敷;在此基础上,观察组采用五苓散加味治疗,每日1剂,4周为1个疗程,持续治疗2个疗程。比较两组患儿临床疗效、儿童孤独症评定量表(CARS)及孤独症行为量表(ABC)评分,记录不良反应。结果:对照组有效率[57.70%(15/26)]显著低于观察组[92.86%(26/28)](P<0.05)。与本组治疗前比较,两组治疗1、2个疗程后CARS及ABC评分均显著降低(P<0.05);与对照组同期比较,观察组治疗1、2个疗程后CARS及ABC评分均显著降低(P<0.05)。结论:五苓散加味配合穴位贴敷治疗ASD患儿的疗效确切,有助于改善临床症状,患儿可以耐受,安全性高,为儿童ASD的研究和治疗提供了新思路。
Objective: To observe the clinical effect of supplemented modified Wuling Powder combined with acupoint application for childhood autism spectrum disorder(ASD). Methods: Fifty-six cases of children ASD, in accordance with the random number table, were divided into observation group and control group, 28 cases in each group, 2 cases in the control group withdrew during the study. The control group received routine rehabilitation training combined with, while the observation group additionally received modified Wuling Powder, one dose a day, and 4 weeks a course for a total of two courses. The clinical efficacy, childhood autism rating scale(CARS) and autism behavior checklist(ABC) were compared between the two groups,and adverse reactions were recorded. Results: The effective rate of the control group[57.70%(15/26)] was lower than that of the observation group[92.86%(26/28)](P<0.05). Compared with own group before treatment, the CARS and ABC scores of the two groups 4, 8 weeks after treatment significantly decreased(P<0.05). Compared with the control group at the same time, the CARS and ABC scores of the observation group 4, 8 weeks after treatment significantly decreased(P<0.05). Conclusion: Modified Wuling Powder combines with acupoint application has a definite effect on adolescent autism patients. It is helpful to improve the clinical symptoms. It is tolerable and safe for children, providing a new way for the future research and development in treating children with autism.
作者
杨震
赖慈爱
苏艳红
成云水
吕英
YANG Zhen;LAI Ci-ai;SU Yan-hong;CHENG Yun-shui;LYU Ying(Postgraduate School,Southern Medical University,Guangzhou 510515,China;The Second School of Clinic Medicine,Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Department of Ancient Traditional Chinese Medicine,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2021年第11期6873-6876,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
南方医科大学南方医院院长基金项目(No.2019B026)。
关键词
五苓散加味
儿童自闭症
自闭症谱系障碍
孤独症
穴位贴敷
临床研究
Modified Wuling Powder
Childhood autism
Autism spectrum disorder(ASD)
Autism
Acupoint application
Clinical study