推拿联合康复训练治疗孤独症脾失健运型厌食的临床研究
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摘要
目的:观察推拿联合康复训练治疗孤独症脾失健运型厌食的临床疗效。方法:将52例孤独症共患脾失健运型厌食患儿随机分为两组,对照组26例进行康复训练,治疗组26例在对照组的基础上联合益气健脾推拿治疗,对治疗前和治疗后的临床症状积分、ABC、CARS评分及治疗后厌食疗效评估以判断临床治疗有效性。结果:8周后,两组临床积分及厌食症有效率均显著优于治疗前(P <0. 05),治疗组较对照组改善显著(P <0. 05)。两组CARS和ABC评分均高于治疗前(P <0. 05),且治疗组高于对照组(P <0. 05)。结论:益气健脾推拿法联合康复训练能治疗孤独症脾失健运型厌食问题,并且能改善孤独症的整体病情。
Objective: To observe the clinical effect of Tuina combined with rehabilitation training in treaing autism with anorexia of Spleen failing in transporting. Methods: 52 children with diet behavior problems associated with autism were randomly divided into the treatment group( n = 26) and the control group( n = 26). The control group was treated with rehabilitation training; on which basis,the treatment group was also treated with Tuina therapy of invigorating spleen-qi. Clinical efficacy was observed 8 weeks later by the scores of clinical symptoms,the scores of Autism Behavior Checklist( ABC) and the scores of Childhood Autism Rating Scale( CARS). Results: After 8 weeks,the scores of clinical symptoms and the effective rate were obviously improved after the treatment in the two groups( P < 0. 05),and the treatment group improved more than the control group( P < 0. 05). The scores of CARS and ABC were increased after the treatment compared to those before the treatment in the two groups( P < 0. 05); the increase was more significant in the treatment group compared to that in the control group( P < 0. 05). Conclusion: Tuina therapy of invigorating spleen-qi combined with rehabilitation training can not only treat autism with anorexia,but also can improve the overall condition of autism.
Objective: To observe the clinical effect of Tuina combined with rehabilitation training in treaing autism with anorexia of Spleen failing in transporting. Methods: 52 children with diet behavior problems associated with autism were randomly divided into the treatment group( n = 26) and the control group( n = 26). The control group was treated with rehabilitation training; on which basis,the treatment group was also treated with Tuina therapy of invigorating spleen-qi. Clinical efficacy was observed 8 weeks later by the scores of clinical symptoms,the scores of Autism Behavior Checklist( ABC) and the scores of Childhood Autism Rating Scale( CARS). Results: After 8 weeks,the scores of clinical symptoms and the effective rate were obviously improved after the treatment in the two groups( P < 0. 05),and the treatment group improved more than the control group( P < 0. 05). The scores of CARS and ABC were increased after the treatment compared to those before the treatment in the two groups( P < 0. 05); the increase was more significant in the treatment group compared to that in the control group( P < 0. 05). Conclusion: Tuina therapy of invigorating spleen-qi combined with rehabilitation training can not only treat autism with anorexia,but also can improve the overall condition of autism.
引文
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[16]Schreck KA,Williams K,Smith AF.A comparison of eating behaviors between children with and without autism[J].J Autism Dev Disord,2004,34:433-438.
[17]Gorrindo P,Williams KC,Lee EB,et al.Gastrointestinal dysfunction in autism:parental report,clinical evaluation,and associated factors[J].Autism Res,2012,5(2):101-108.
[18]Kaucna-Czaplińska J,Baszczyk S.The level of arabinitol in autistic children after probiotic therapy[J].Nutrition,2012,28(2):124-126.
[19]Tomova A,Husarova V,Lakatosova S,et al.Gastrointestinal microbiota in children with a autism in Slovakia[J].Physiol Behav,2015,138:179-187.
[2]American Psychiatric Association.Diagnostric and statistical manual of mental disorders[M].Fifth edition.New York:New School Library,2013:50-51.
[3]Baio J,Wiggins L,Christensen DL,et al.Prevalence of autism spectrum disorder among children aged 8years-Autism and Developmental Disabilities Monitoring Network,11 Sites,United States,2014[J].MMWR Surveill Summ,2018,67(6):1-23.
[4]丁一芸,卫利,王素梅.自闭症中西医研究进展及中医研究思路浅析[J].世界中医药,2014,9(6):820-823.
[5]中华医学会儿科学分会发育行为组.孤独症谱系障碍患儿常见共患问题的识别与处理原则[J].中华儿科杂志,2018.56(3):174-178.
[6]MaríBS,Zazpe I,Marri SA,et al.Food selectivity in autism spectrum disorders:a systematic review[J].J Child Neurol,2014,29(11):1554-1156.
[7]汪受传,胡天成.中医儿科学[M].2版.北京:中国中医药出版社,2007:106-110.
[8]林穗方,胡艳,刘慧燕,等.婴幼儿早期喂养行为现状及其影响分析[J].实用医学杂志,2009,25(20):3499-3500.
[9]American Psychiatric Association.The Diagnostic and statistical manual of mental disorders[M].5th ed.Washington DC:American Psychiatric Publishing Inc,2013.
[10]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:290-291.
[11]郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国中医药出版社,2002:267-269.
[12]马仁华,解姗姗.中医针灸结合综合康复训练治疗小儿孤独症的疗效观察[J].实用中西医结合临床,2017,12(7):132-133.
[13]Zobel-Lachiusa J,Andrianopoulos MV,Mailloux Z,et al.Sensory differences and mealtime behavior in children with autism[J].Am J Occup Ther,2015,69(5):6905185050.
[14]Kang DW,Adams JB,Gregory AC,et al.Microbiota transfer therapy alters gut ecosystem and improves gastrointestinal and autism symptoms:an open-label study[J].Microbiome,2017,5(1):10.
[15]静进,刘步云.孤独症儿童饮食行为与营养问题[J].中国实用儿科杂志,2011,26(3):171-173.
[16]Schreck KA,Williams K,Smith AF.A comparison of eating behaviors between children with and without autism[J].J Autism Dev Disord,2004,34:433-438.
[17]Gorrindo P,Williams KC,Lee EB,et al.Gastrointestinal dysfunction in autism:parental report,clinical evaluation,and associated factors[J].Autism Res,2012,5(2):101-108.
[18]Kaucna-Czaplińska J,Baszczyk S.The level of arabinitol in autistic children after probiotic therapy[J].Nutrition,2012,28(2):124-126.
[19]Tomova A,Husarova V,Lakatosova S,et al.Gastrointestinal microbiota in children with a autism in Slovakia[J].Physiol Behav,2015,138:179-187.