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目的分析孤独症儿童听觉统合治疗的临床疗效。方法初诊孤独症患儿86例,47例采用第三代数码听觉统合训练仪(TL2001-A型)进行听觉统合训练(auditory integration training,AIT)(干预组),39例未作AIT干预(对照组),两组均使用孤独症儿童行为检查量表(Autism Behavior Checklist,ABC量表)、自制观察行为量表(Self-prepared Questionnaire,SPQ)分别于治疗前、治疗后6个月进行评定。结果 1)与治疗前相比,干预组ABC量表评分中感知、交往、躯体运动、语言、生活自理等因子分及总分明显提高或降低(P<0.05),对照组感知因子分提高或降低(P<0.05)。与对照组相比,干预组治疗后感知、自理及总分提高或降低(P<0.05)。2)干预组自制观察量表中语言、交往、感知、行为、情绪等方面较治疗前改善(P<0.05),而对照组均无明显差异。干预组治疗后主动语言少、交往困难及注意涣散因子分改善优于对照组(P<0.05)。结论听觉统合治疗对改善孤独症儿童的症状有一定疗效。
Objective To analyze the clinical efficacy of auditory integration therapy in children with autism. Methods A total of 86 children with autism were enrolled in this study. Forty-seven children underwent an auditory integration training (AIT) with a third-generation digital hearing training unit (TL2001-A type) (intervention group) and 39 without AIT Group). Autism Behavior Checklist (ABC Scale) and Self-prepared Questionnaire (SPQ) were used in both groups before and 6 months after treatment. Results 1) Compared with the pretreatment group, the scores and the total scores of perception, interaction, body movement, language, self-care and other factors in intervention group were significantly increased or decreased (P <0.05) Decreased (P <0.05). Compared with the control group, the intervention group after treatment increased perceived, self-care and total score increased or decreased (P <0.05). 2) There was no significant difference in the self-made observation scale of the intervention group compared with that before treatment (P <0.05) in terms of language, communication, perception, behavior and emotion. After intervention, the intervention group had less active language, difficulty in communication, and better attention than the control group (P <0.05). Conclusion Auditory integration therapy has some effect on improving the symptoms of children with autism.