重复经颅磁刺激联合沙盘游戏对自闭症谱系障碍患儿自闭程度及行为能力的影响被引量：2

Effects of Repeated Transcranial Magnetic Stimulation Combined with Sandplay Therapy on the Degree of Autism and Behavioral Ability in Children with Autism Spectrum Disorder

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摘要目的观察重复经颅磁刺激(rTMS)联合沙盘游戏治疗自闭症谱系障碍(ASD)患儿的效果。方法选取2021年1月至2022年12月南京医科大学附属儿童医院收治的102例ASD患儿,根据随机数字表法随机分为两组,对照组(n=51)予以沙盘游戏,试验组(n=51)在对照组基础上联合rTMS。比较两组患儿的治疗效果、自闭程度、行为能力、社交能力和睡眠状况。结果治疗后,两组患儿的孤独症治疗评定量表(ATEC)、儿童孤独症评定量表(CARS)、孤独症儿童行为检查量表(ABC)、社交反应量表(SRS)、中文版儿童睡眠习惯问卷(CSHQ)评分均低于治疗前(P<0.05),且试验组低于对照组(P<0.05)。结论rTMS联合沙盘游戏治疗ASD患儿效果确切,能减轻自闭程度,改善行为能力、社交能力和睡眠状况。 Objective To observe the effect of repeated transcranial magnetic stimulation(rTMS)combined with sandplay therapy in the treatment of children with autism spectrum disorder(ASD).Methods A total of 102 children with ASD admitted to Children's Hospital of Nanjing Medical University from January 2021 to December 2022 were selected.They were divided into two groups according to the random number table method.The control group(n=51)was given sandplay therapy,while the experimental group(n=51)was given rTMS combined with sandplay therapy.The treatment effect,degree of autism,behavioral ability,social ability and sleep status were compared between the two groups.Results After treatment,the scores of the Autism Treatment Evaluation Checklist(ATEC),Childhood Autism Rating Scale(CARS),Autism Behavior Checklist(ABC),Social Responsiveness Scale(SRS),and Chinese version of Children's Sleep Habits Questionnaire(CSHQ)in both groups were lower than those before treatment(P<0.05),and the scores in the experimental group were lower than those in the control group(P<0.05).Conclusion The combination of rTMS and sandplay therapy is effective in the treatment of children with ASD,which can reduce their degree of autism,improve their behavioral ability,social ability,and sleep status.

作者邵京京吴小迪朱敏 Shao Jingjing;Wu Xiaodi;Zhu Min(Department of Rehabilitation Medicine,Children's Hospital of Nanjing Medical University,Nanjing 210008,China)

机构地区南京医科大学附属儿童医院康复医学科

出处《成都医学院学报》 CAS 2024年第4期697-700,共4页 Journal of Chengdu Medical College

基金国家自然科学基金青年基金项目(No:81401864) 江苏省妇幼保健协会科研课题项目(No:FYX201907)。

关键词重复经颅磁刺激沙盘游戏自闭症谱系障碍自闭程度行为能力 Repeated transcranial magnetic stimulation Sandplay therapy Autism spectrum disorder Degree of autism Behavioral ability

分类号 R749.94 [医药卫生—神经病学与精神病学]