头皮针联合常规针刺治疗孤独症谱系障碍患者的病例报告
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摘要
本文目的为报告一例 12 岁女性孤独症谱系障碍(autism spectrum disorder,ASD)合并发育迟缓患者的临床病例。该患者接受了为期 5 周的头皮针联合常规体针的针灸治疗。为评估干预效果,采用泰语版自闭症治疗评估量表(Thai-autism treatment evaluation checklist,Thai-ATEC)对干预前后的症状严重程度进行评估。结果显示,Thai-ATEC 总分及各分项评分均下降,提示患者整体状况明显改善。改善最显著的方面包括语言与言语表达、沟通能力、社会互动、感觉与知觉、认知功能、身体健康以及行为表现等。本病例提示,针刺疗法可能在促进 ASD 患儿发育中发挥作用,并可作为标准治疗的辅助疗法,纳入全面的整体医疗护理方案中。然而,由于本评估仅依赖于 Thai-ATEC 量表且仅为单例病例报告,故其结果不能推广或作为针刺疗法对更广泛 ASD 群体疗效的明确证据。因此,需要进一步开展更大样本量的研究,以验证该疗法的有效性和安全性。
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参考
Li SH. Clinical characteristics and efficacy evaluation of acupuncture in the treatment of autism spectrum disorder [dissertation]. Beijing: China Academy of Chinese Medical Sciences; 2022. (in Chinese)
Adil KJ, Remonde CG, Gonzales EL, Boo KJ, Kwon KJ, Kim DH, et al. Behavioral deficits in adolescent mice after sub-chronic administration of NMDA during early stage of postnatal development. Biomol Ther (Seoul). 2022;30(4):320-7.
Maenner MJ, Shaw KA, Baio J, Washington A, Patrick M, DiRienzo M, et al. Prevalence of autism spectrum disorder among children aged 8 years — autism and developmental disabilities monitoring network, 11 sites, United States, 2016. MMWR Surveillance Summaries. 2020;69(4):1-12.
Yang YX, Wang X, Zhi Y, Shi XM, Zhao Y, Ren HJ, et al. Effects of Yizhi scalp acupuncture on language and cognitive function in patients with autism spectrum disorder. Shanghai Journal of Acupuncture and Moxibustion. 2024;43(5):499-503. (in Chinese)
Li P, Du L. Advances in TCM research on autism spectrum disorders. Journal of Changchun University of Chinese Medicine. 2019;35(5):1007-9. (in Chinese)
He X, Meng YJ. Effect of scalp acupuncture combined with rehabilitation training on behavioral functions of children with autism. Forum on Traditional Chinese Medicine. 2020;35(3):44-6. (in Chinese)
Xia Y, Li SH, Huang QJ, Tang YL, Liu ZH. Clinical observation of 20 cases of auditory integration dysfunction in children with autism spectrum disorder treated with scalp acupuncture combined with auditory integration training. Hunan Journal of Traditional Chinese Medicine. 2022;38(9):72-5. (in Chinese)
Jia YN, Gu JH, Yao XQ. A case report on scalp acupuncture combined with finger acupuncture in the treatment of autism spectrum disorder. Shanxi Journal of Traditional Chinese Medicine. 2024;40(6):44. (in Chinese)
Muangmonmaneerat W. The relationship between selection factors, social support and dependent care agency among mothers of autistic children [dissertation]. Chiang Mai: Chiang Mai University; 2004. (in Thai).
Christiyawati M, Estuningsih E. The effectiveness of Zhu scalp acupuncture and body acupuncture therapy methods on increasing intellectual quotients and emotional quotients in pre-school children. Open Access Maced J Med Sci. 2022;10(A):376-82.
Zhang R, Jia MX, Li TY, Xu SQ, Ma YJ, Zhang JS, et al. Effects of scalp acupuncture on the default mode network in children with autism spectrum disorders. Brain Dev. 2018;40(8):653-62.
Lee B, Lee J, Cheon JH, Sung HK, Cho SH, Chang GT. The efficacy and safety of acupuncture for the treatment of children with autism spectrum disorder: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2018;2018:1057539.