题名

針灸治療泛自閉症障礙的文獻評讀

并列篇名

A critical appraisal of the systemic review: Autism spectrum disorder with acupuncture therapy

作者

郭鈺君(Yuk-Kwan Kwok);王致中(Chih-Chung Wang)

关键词

泛自閉症障礙 ; 針灸 ; 文獻回顧 ; 文獻質量評估 ; Autism spectrum disorder ; Acupuncture ; Review ; Articles evaluation

期刊名称

中華針灸醫學會雜誌

卷期/出版年月

18卷2-4期(2015 / 12 / 01)

页次

27 - 35

内容语文

繁體中文

中文摘要

目的:針灸治療自閉症的文獻回饋與質料評估 方法: 以泛自閉症(Autism spectrum disorder), 針灸(Acupuncture), 隨機對照實驗(Randomnized controlled trial)做為關鍵字,在PubMed 資料庫進行搜索2005-2015 年的文章。結果: 在PubMed 找到8 篇隨機對照研究期刊,考量情境設定相近、證據力等級較高、發表時間較近等條線,選取證據力等級為Level I 與Level II 的文獻各一篇。結論: 以實證醫學VIP(效度Validity、效益Impact、臨床的實用性Practice)的方式嚴格分析這兩篇文獻,發現針灸治療自閉症可以增進認知表達能力、增進肌肉協調能力以及可促進社會化交流,而其醫療建議在分析過後是低風險、可執行且值得信賴的。

英文摘要

Objective:Objective: The purpose of this research was to critically appraise the current systemic review processs by evaluating systematic reviews on acupuncture for Autism spectrum disorder. Methods:Autism spectrum disorder, Acupuncture and Randomized Controlled trials(RCTs) are our search key words for the PubMed database from the year of 2005 to 2015. Results:We found 8 RCT articles in the PubMed. Considered the higher similarity with our PICO, the higher level of evidence and the latest publishing time, a Level I and a Level II articles were finally included. Conclusion:After critically appraisal the articles with the method of VIP(Validity, Impact, Practice), we found out that after acupuncture therapy, autism spectrum disorder patient can achieved improvement in cognition , receptive language, coordination of the muscles and social initiation. The medical advise was three seesion of electroacupuncture weekly and 30minutes each session. At least one month of therapy will see the improvement.

主题分类 醫藥衛生 > 中醫藥學
参考文献
  1. << 精神疾病診斷與統計手冊 >>The Diagnostic and Statistical Manual of Mental Disorders(DSM) 2013,May 18
  2. (2002).WHO Traditional Medicine Strategy:2002-2005.
  3. (2003).Acupuncture:Review and analysis of reports on control clinical trials.WHO Consultation on Acupuncture.
  4. http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=4198
  5. http://www.cdc.gov/ncbddd/autism/hcp-dsm.html
  6. Nienke, P.S.,Rober, D.,Hubert, K.,Peter, S.(2011).A metaanalytic study on the effectiveness of comprehensive ABA-based early intervention programs for children with Autism Spectrum Disorders.Research in Autism Spectrum Disorders,5,60-69.
  7. Posey, D.J.,Stigler, K.A.,Erickson, C.A.,McDougle, C.J.(2008).Antipsycotics int the treatment of autism.The Journal of Clinical Investigation,118,6-14.
  8. Rong, Z.,Jia, Mei-Xiang.,Zhang, Ji-Sui.(2012).Transcutaneous electrical acupoint stimulation in children with autism and its impact on plasma levels of arginine-vasopressin and oxytocin: A prospective single-blinded controlled study.Research in Developmental Disabilities,33(2012),1136-1146.
  9. Scott, R.,Angkustsiri, Kathy,Robin, L.(2010).Complemantaryand Alternative Medicine in Autism: An Evidence-Based Approach to Negotiating Safe and efficacious interventions with families.Neurotherpeutics,7(3),307-319.
  10. Veenstra-Vanderweele, J.,Christian, SI.,Cook, EH(2004).Autism as a paradigmatic complex genetic disorder.Annu Rev Genomics Jum Genet,5,379-405.
  11. Wong, HH.,Smith, RG.(2006).Patterns of complementary and alternative medical therapy use in children diagnosed with autism spectrum disorders.J Autism Dev Disord,36,901-909.
  12. Wong, VC.(2009).Use of Complementary and alternative medicine(CAM)in autismspectrum disorder(ASD):comparison of Chinese and Western culture ( Part A ).J Autism Dev Disord,39,454-463.
  13. Wong, VC.,Sun, JG.(2010).J Randomnized controlled trail of acupuncture versus sham acupuncture in autism spectrumdisorder.J Altern Complemant Med,16(5),545-553.