基于中医理论治疗孤独症谱系障碍儿童睡眠障碍的研究进展
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国家自然科学基金面上项目(81371900);陕西省重点研发计划项目(2021SF-194)


Treatment of Sleep Disorders in Children with Autism Spectrum Disorder Based on Traditional Chinese Medicine Theory:A Review
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    摘要:

    孤独症谱系障碍(ASD)是一种终身神经发育障碍性疾病,常伴有睡眠障碍(SD)。SD会影响神经、生殖及免疫系统的发育,影响患儿身心健康,同时会加重ASD的核心症状,如尖叫、多动等情绪及行为问题,二者互相影响,迁延反复。目前SD在ASD儿童中的发病率呈逐年上升趋势。现代医学认为ASD伴SD的发病原因可能与遗传、环境等多种因素相关,治疗ASD伴SD以行为干预、药物治疗以及物理治疗为主,其疗效及不良反应尚未有长期研究的报道。中医认为其病机在于先天禀赋不足,久病后天失养,治疗ASD伴SD从多个角度进行辨证(八纲辨证、脏腑辨证、卫气营血辨证、病因辨证等),用多种中医特色疗法(中药汤剂、针刺、推拿及芳香疗法等)进行治疗,均取得较好的临床疗效。

    Abstract:

    Autism spectrum disorder(ASD) is a lifelong neurodevelopmental disorder often accompanied by sleep disorders(SD).SD can affect the development of the nervous,reproductive,and immune systems,impacting the physical and mental health of affected children.It can also exacerbate the core symptoms of ASD,such as screaming,hyperactivity,and emotional and behavioral issues,leading to a vicious cycle.The incidence of SD in children with ASD has been rising annually.Modern medicine suggests that the causes of ASD with SD may be related to genetic,environmental,and other factors.Treatment mainly focuses on behavioral interventions,drug therapy,and physical treatments,but the long-term effects and adverse reactions have not been well studied.Traditional Chinese medicine(TCM) attributes the pathogenesis of ASD with SD to congenital deficiencies and post-illness malnutrition.TCM treatment involves a comprehensive syndrome differentiation approach(including eight principles,Zang-fu organ differentiation,defense-qi-nutrient-blood differentiation,and etiology differentiation) and various therapies(such as Chinese herbal decoctions,acupuncture,Tuina,and aromatherapy),all of which have shown good clinical efficacy

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李敏,何玉莹,陈艳妮.基于中医理论治疗孤独症谱系障碍儿童睡眠障碍的研究进展[J].世界中医药,2025,(06).

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  • 收稿日期:2024-07-05
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  • 在线发布日期: 2025-05-30
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