孤独症患儿家属参与密集疗法的临床研究

发布时间：2018-07-14 08:29

【摘要】：目的:研究患者家属配合医生在孤独症儿童康复训练中的疗效提高作用。方法:将66例孤独症患儿以入院顺序按计算机产生的数字随机分为治疗组和对照组,治疗组给予密集疗法:家庭康复教育(经过家长培训)+药物+针刺+康复训练,对照组采用常规疗法:药物+针刺+康复训练,治疗6个月观察疗效。治疗前后均采用孤独症诊断评定量表(CARS),孤独症儿童心理教育评定量表(PEP-3)进行评定。结果:治疗后治疗组患儿在模仿、认知、语言理解、语言表达4个PEP-3项目以及CARS总分方面疗效较对照组好,治疗组疗效优于对照组,P0.05差异有统计学意义。在大肌肉、小肌肉等方面疗效治疗组与对照组比较改善不明显,P0.05,差异无统计学意义。结论:家属参与对孤独症康复治疗具有重要意义,特别在模仿、认知、语言理解、语言表达方面的改善更为明显,故在进行孤独症康复治疗时应培训家属,使其参与到康复治疗中来,是孤独症康复治疗的重要环节。
[Abstract]:Objective: to study the effect of family members and doctors in rehabilitation training for autistic children. Methods: 66 autistic children were randomly divided into treatment group and control group according to the number produced by computer in the order of admission. The treatment group was given intensive therapy: family rehabilitation education (after parental training) drug acupuncture rehabilitation training. The control group was treated with routine therapy: drug acupuncture rehabilitation training for 6 months. Autism Diagnostic Assessment scale (cars) and Autism Children Psychological Education rating scale (PEP-3) were used before and after treatment. Results: the therapeutic effect of the treatment group was better than that of the control group in the aspects of imitation, cognition, language understanding, language expression of 4 PEP-3 items and cars total score. The curative effect of the treatment group was better than that of the control group (P0.05). There was no significant difference between the treatment group and the control group in large muscle and small muscle (P 0.05). Conclusion: it is important for the family members to participate in the rehabilitation treatment of autism, especially in the aspects of imitation, cognition, language understanding and language expression. Therefore, the family members should be trained in the rehabilitation treatment of autism. To make them participate in rehabilitation therapy is an important link in rehabilitation treatment of autism.
【作者单位】：陕西中医药大学;西安中医脑病医院;
【基金】：陕西省科技计划项目(2013K12-01-18)
【分类号】：R749.94

【相似文献】