社会功能为主线的综合干预模式治疗儿童孤独症临床研究

发布时间：2018-07-13 19:41

【摘要】：目的:探讨以社会功能为主线的综合干预模式对儿童孤独症干预治疗的作用。方法:将符合纳入标准的儿童孤独症患者按不同干预模式分成两组,观察组40例,采用以社会功能为主线的综合干预模式设计治疗方案;对照组40例,采用拼版式多元模式设计治疗方案。治疗时间均控制在每天5h,每周5天,持续治疗6个月。两组患者在治疗前及治疗6个月后均用心理教育量表第3版(psychoeducational profile-third edition,PEP3)及儿童孤独症评定量表(childhood autism rating scale,CARS)各评估一次以观察疗效。结果:观察组患者在PEP分项目的模仿、情感表达、社交互动、非语言行为特征及CARS得分上优于对照组,其中模仿、情感表达、CARS得分差异有显著性意义(P0.05),社交互动、非语言行为特征差异有非常显著性意义(P0.001);大小肌肉、认知、语言理解、语言表达及语言行为特征两组患者差异无显著性意义(P0.05)。结论:以社会功能为主线的综合干预模式更能改善社会交流功能和减少行为问题,较拼版式多元模式优越,值得推广。
[Abstract]:Objective: to explore the effect of comprehensive intervention model based on social function on the intervention treatment of autism in children. Methods: children autistic patients who met the inclusion criteria were divided into two groups according to different intervention models. The observation group (n = 40) was treated with a comprehensive intervention model based on social function, the control group (n = 40), and the control group (n = 40). The treatment plan was designed with multiplex pattern. The treatment time was controlled at 5 hours a day, 5 days a week for 6 months. Before and after 6 months of treatment, the patients in both groups were evaluated with psychoeducational profile-third edification scale (PEP3) and (childhood autism rating scale of Autism rating scale (childhood autism rating scale-car) respectively. Results: the scores of imitation, affective expression, social interaction, nonverbal behavior and cars in the observation group were better than those in the control group, among which there was significant difference in the scores of imitation and emotional expression (P0.05), social interaction. There was significant difference in nonverbal behavioral characteristics (P0.001), while there was no significant difference in size muscle, cognition, language understanding, language expression and language behavior between the two groups (P0.05). Conclusion: the comprehensive intervention model with social function as the main line can improve the social communication function and reduce the behavior problem, which is superior to the multiplex model and is worth popularizing.
【作者单位】：广州市越秀区儿童医院康复医学科;
【基金】：广州市科技计划项目资助(2014Y2-00184)
【分类号】：R749.94

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