摘要
目的 探讨生酮饮食疗法对孤独症(ASD)儿童睡眠质量、情绪识别能力的影响。方法 回顾性分析2021年8月至2022年8月巨鹿县医院收治的82例ASD患儿为研究对象,根据不同治疗方案将其分为对照组和治疗组,每组41例,对照组接受ASD常规康复训练+普通饮食,治疗组接受ASD常规康复训练+生酮饮食,均连续治疗6个月,比较2组孤独症行为量表(ABC)评分、儿童睡眠习惯问卷(CSHQ)评分和情绪识别能力。结果 治疗后,治疗组感觉能力、交往能力、运动能力、语言能力均显著低于对照组(P<0.05);治疗后,治疗组就寝习惯不良、睡眠焦虑、睡眠持续时间不规律、白天嗜睡、夜醒、入睡潜伏期延长及CSHQ总分均显著低于对照组(P<0.05);治疗后,治疗组正立、倒置、上半面孔及下半面孔情绪识别率均显著高于对照组(P<0.05)。结论 生酮饮食疗法可降低ASD疾病程度,改善其睡眠质量,提高其情绪识别能力,值得临床推广。
Objective To investigate the effects of ketogenic diet therapy on sleep quality and emotion recognition ability of children with autism spectrum disorder(ASD).Methods Eighty-two children with ASD treated in Julu County Hospital from August 2021 to August 2022 were analyzed retrospectively.According to different treatment plans,the patients were assigned in a 1∶1 ratio to routine rehabilitation training + ordinary diet(control group) and ASD routine rehabilitation training + ketogenic diet(treatment group) for 6 months.The Aberrant Behavior Checklist(ABC) score,Children's Sleep Habits Questionnaire(CSHQ) score and emotion recognition ability were compared between groups.Results After treatment,the sensory ability,communication ability,motor ability and language ability of the treatment group were significantly better than those of the control group(P<0.05).After treatment,poor sleeping habits,sleep anxiety,irregular sleep duration,daytime sleepiness,night waking,prolonged sleep latency and total CSHQ score in the treatment group were significantly lower than those of the control group(P<0.05).After treatment,the ability of emotion recognition of upright,inverted,and blurred faces in the treatment group were significantly higher than those of the control group(P<0.05).Conclusion Ketogenic diet therapy can reduce the degree of ASD disease,improve the sleep quality and enhance the ability of emotion recognition,which is worthy of clinical promotion.
作者
王晓东
邓增稳
张维婷
樊筑锦
赵兴新
张欠
WANG Xiaodong;DENG Zengwen;ZHANG Weiting(Julu County Hospital,Hebei,Xingtai 055250,China)
出处
《河北医药》
CAS
2024年第15期2343-2345,2349,共4页
Hebei Medical Journal
关键词
生酮饮食
孤独症
睡眠质量
情绪识别能力
行为
语言能力
ketogenic diet
autism spectrum disorder
sleep quality
emotion recognition ability
behavior
language ability
