康复学报 (Dec 2022)
Effect of Jin's Three-Needle Therapy Combined with Behavioral Intervention on Preschool Children with Mild-to-Moderate Autism Spectrum Disorder
Abstract
ObjectiveTo explore the clinical efficacy of Jin's three-needle therapy combined with behavioral intervention on core symptoms and anxiety disorder of preschool children with mild-to-moderate autism spectrum disorder (ASD).MethodsA total of 109 preschool children with mild-to-moderate ASD who were treated in the Child Health Center of Fujian Maternity and Child Health Hospital from January 2018 to December 2018, were divided randomly into control group and observation group by the rand function of Excel software, with 55 cases and 54 cases respectively. The control group received behavior analysis therapy combined with structured education, two to four hours a day, lasting for three months; the observation group received Jin's three-needle therapy in addition to the interventions of the control group, in which the acupoints were mainly selected as Sishen needle, mental three-needle, temporal three-needle, Dingshen needle, and the addition and subtraction of acupoints were according to the TCM syndrome differentiation and classification of ASD. The treatment was five days a week, one month a course, and lasted for three months. Before and three months after treatment, autism behavior checklist (ABC) was used to evaluate the autism behavior of children with ASD; children autism rating scale (CARS) was used to evaluate the severity of children with ASD; social responsiveness scale (SRS) was used to evaluate social interaction skills of children with ASD; spence children's anxiety scale (SCAS) was used to evaluate anxiety disorder of children with ASD.Results(1) ABC, CARS scores: compared with that before treatment, the total ABC score, the scores of each factor of ABC and the total score of CARS of both groups decreased significantly after treatment (P<0.05). Compared with the control group, the ABC score, the social interaction factor score and the language factor score of the observation group decreased significantly after treatment (P<0.05). (2) SRS score: compared with that before treatment, the total score of SRS and the scores of each factor of both groups decreased significantly after treatment (P<0.05). Compared with the control group, the social cognition score, social communication score, social motivation score, autism behavior style score and SRS total score in the observation group significantly decreased after treatment (P<0.05). (3) Anxiety disorder score: compared with before the treatment, the scores of fear of physical injury, social anxiety and generalized anxiety in the control group decreased significantly after treatment (P<0.05), while the total score of SCAS and the scores of each factor of SCAS in the observation group decreased significantly after treatment (P<0.05).ConclusionJin's three-needle therapy combined with behavioral intervention can alleviate the core symptoms of preschool children with mild-to-moderate ASD, and improve their social communication skills and their anxiety disorders, which is worthy of clinical application.
