文章摘要
何炎坤,梁子威,苏嘉宝,兰俊超,林浩嘉.调任通督针刺法联合感觉统合训练对注意缺陷多动障碍患儿注意力和脑动脉血流速度的影响[J].,2022,(17):3280-3283
调任通督针刺法联合感觉统合训练对注意缺陷多动障碍患儿注意力和脑动脉血流速度的影响
Effects of Transferred Tongdu Acupuncture Combined with Sensory Integration Training on Attention and Cerebral Artery Blood Flow Velocity in Children with Attention Deficit Hyperactivity Disorder
投稿时间:2022-03-18  修订日期:2022-04-13
DOI:10.13241/j.cnki.pmb.2022.17.015
中文关键词: 注意缺陷多动障碍  感觉统合训练  调任通督针刺法  脑动脉血流速度  注意力
英文关键词: Attention deficit hyperactivity disorder  Sensory integration training  The method of transferring to Tongdu acupuncture  Cerebral artery blood flow velocity  Attention
基金项目:广东省教育厅特色创新项目(2016KQNCX027)
作者单位E-mail
何炎坤 广州中医药大学针灸康复临床医学院 广东 广州 510403 hyk1632021@163.com 
梁子威 广州中医药大学针灸康复临床医学院 广东 广州 510403  
苏嘉宝 东莞市中医院针灸科 广东 东莞 523000  
兰俊超 广州中医药大学针灸康复临床医学院 广东 广州 510403  
林浩嘉 广州中医药大学针灸康复临床医学院 广东 广州 510403  
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中文摘要:
      摘要 目的:观察感觉统合训练联合调任通督针刺法对注意缺陷多动障碍(ADHD)患儿注意力和脑动脉血流速度的影响。方法:纳入东莞市中医院2020年1月到2021年1月期间收治的ADHD患儿100例,入组患儿按门诊号单双数分为对照组(单数,感觉统合训练)和研究组(双数,调任通督针刺法联合感觉统合训练),各为50例,两组患儿均干预3个月。观察并对比两组疗效、中医证候总积分、注意力、脑动脉血流速度、Conners父母评症状量表(PSQ)、联合型瑞文测验 (CRT) 评分。结果:研究组的临床总有效率明显高于对照组(P<0.05)。干预3个月后,两组注意力情况:错误数、漏报数较干预前减少,反应时间较干预前缩短,且研究组的变化程度大于对照组(P<0.05)。研究组患儿干预3个月后双侧中动脉(MCA)、前动脉(ACA)、后动脉(PCA)的血流速度均较干预前增快,且高于同时期的对照组患儿(P<0.05)。干预3个月后,两组PSQ评分、中医证候总积分下降,CRT评分升高,且研究组的变化程度大于对照组(P<0.05)。结论:调任通督针刺法联合感觉统合训练可有效改善ADHD患儿注意力,促进临床症状改善,调节脑血流速度,临床应用价值较好。
英文摘要:
      ABSTRACT Objective: To observe the effects of sensory integration training combined with transfer of Tongdu acupuncture on attention and cerebral artery blood flow velocity in children with attention deficit hyperactivity disorder (ADHD). Methods: 100 children with ADHD who were treated in Dongguan Hospital of Traditional Chinese Medicine from January 2020 to January 2021 were included, the enrolled children were divided into control group (singular, sensory integration training) and study group (even number, transferred Tongdu acupuncture combined with sensory integration training) by singular or even number by outpatient number, 50 cases in each group, and the two groups were intervened for 3 months. The curative effect, total score of traditional Chinese medicine syndrome, attention, cerebral artery blood flow velocity, Conners Parent Symptom Questionnaire (PSQ) and combined Raven test (CRT) scores of the two groups were observed and compared. Results: The total clinical effective rate of the study group was significantly higher than that of the control group (P<0.05). 3 months after intervention, the attention of the two groups: the number of errors and missed reports were less than those before intervention, and the reaction time was shorter than that before intervention, and the change degree of the study group was greater than that of the control group (P<0.05). 3 months after intervention, the blood flow velocities of bilateral middle artery (MCA), anterior artery (ACA) and posterior artery (PCA) of the study group were faster than those before intervention, and higher than those in the control group at the same time (P<0.05). 3 months after intervention, the PSQ score and total score of traditional Chinese medicine syndrome in the two groups decreased, and the CRT score increased, and the change degree of the study group was greater than that of the control group (P<0.05). Conclusion: Transferred Tongdu acupuncture combined with sensory integration training can effectively improve the attention of children with ADHD, promote the improvement of clinical symptoms and regulate the velocity of cerebral blood flow, and which has good clinical application value.
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