目的 研究头针联合头部重点穴区推拿对孤独症患儿语言及认知功能的影响。 方法 选取2021年1月至2022年6月于河北省中医院儿童康复科就诊的孤独症患儿60例，随机均分为常规组（常规康复训练）、联合组（常规康复训练、头针联合头部重点穴区推拿），各30例。比较治疗前、后常规组、联合组认知功能、发育情况及家长生活质量；比较常规组、联合组语言功能及安全性。 结果 治疗前常规组、联合组孤独症儿童行为量表（ABC）评分、儿童孤独症评定量表（CARS）评分、适应性、语言、个人-社交评分比较，差异无统计学意义（P > 0.05）；治疗后常规组、联合组ABC、CARS评分均降低，联合组均低于常规组（P < 0.05），适应性、语言、个人-社交评分均升高，联合组均高于常规组（P < 0.05）。联合组符号表达异常率、语言理解异常率、动作性课题异常率及语言发育迟缓率均低于常规组（P < 0.05）。治疗前常规组、联合组家长生命质量指标（QL-Index）评分比较，差异无统计学意义（P > 0.05）；治疗后常规组、联合组家长QL-Index评分均升高，联合组高于常规组（P < 0.05）。常规组、联合组患儿血常规、尿常规、便常规、肝功能及肾功能结果均无明显异常。联合组针刺部位轻微胀痛1例，未干预即好转。 结论 头针联合头部重点穴区推拿可改善孤独症患儿语言功能、认知功能及发育情况，提升家长生活质量，且安全性高。

Objective To explore the effect of head acupuncturing therapy combined with massaging key head acupoints on language and cognitive function in children with autism. Methods 60 children with autism who visited the Department of Pediatric Rehabilitation of our hospital from January 2021 to June 2022 were selected as subjects， who were then randomly divided into the conventional group treated with the conventional rehabilitation training and the combination group treated with head acupuncturing therapy combined with massaging the key acupoints， apart from conventional rehabilitation training 30 cases in each group. The cognitive function， developmental status， and parental quality of life before and after the treatment were compared between the two groups， and so were the language function and safety. Results There were no significant differences in the scores by Autism Behavior Checklist （ABC） and Childhood Autism Rating Scale （CARS）， adaptability scores， language scores， and individual?social interaction scores between the conventional group and the combination group before the treatment （P > 0.05）. After the treatment， the scores by ABC and CARS were significantly decreased in both groups， and the scores of the combination group were significantly lower than those in the conventional group （P < 0.05）； The adaptability scores， language， individual?social interaction scores were significantly increased in both groups， and the scores of the combined group were significantly higher than those of the conventional group （P < 0.05）. The abnormal rates of symbolic expression， language comprehension， action?oriented subjects， and language development delay in the combined group were all significantly lower than those in the conventional group （P < 0.05）. There was no significant difference in the scores by the QL?Index between the conventional group and the combined group before the treatment （P > 0.05）， but after the treatment， the QL?Index scores of the conventional group and the combination group were increased， and the score of the combination group was significantly higher than that of the conventional group （P < 0.05）. The results of blood routine， urine routine， stool routine， liver function， and kidney function in both groups were not significantly abnormal. There was one case of mild swelling and pain at the acupunctured site in the combination group， which was improved without intervention. Conclusion Head acupuncturing therapy combined with massaging the key head acupoints can improve language function， cognitive function， and development of autistic children. In addition， it can enhance parental quality of life and have a high level of safety.