81例儿童孤独症综合干预对行为异常的疗效分析  

Analysis on comprehensive intervention on behavioral abnormality of 81 autistic children.

作　　者：王四美[1,2] 龚群[1,2] 张改巧[1,2] 张凤玲[1,2] 陈孙敏[1,2] 何琳[1,2] 刘峰[1,2] 崔瑞华[1,2] 

机构地区：[1]上海市儿童医院 [2]上海交通大学附属儿童医院儿童保健所,上海200040

出　　处：《中国儿童保健杂志》2011年第5期419-422,共4页Chinese Journal of Child Health Care

基　　金：上海市儿童医院院级课题(200703)

摘　　要：【目的】探讨综合干预儿童孤独症在行为异常方面的临床疗效,为孤独症儿童的康复提供临床依据。【方法】采取病例对照研究方法,对81例儿童孤独症进行随机抽样,分为实验组和对照两组,两组在综合治疗的基础上,对实验组增加听觉统合训练干预,对患儿行为异常干预前后的临床症状变化进行比较。【结果】综合干预对两组行为异常症状包括对某些信息敏感、玩耍方式奇特、厌恶学习、注意力涣散、回避眼光接触、缺乏模仿性动作等均有改善,与对照组相比,实验组在玩耍方式奇特、缺乏模仿性动作、缺乏想象性游戏方面改善更为明显,差异有统计学意义(P<0.05)。【结论】综合训练干预可以改善孤独症患儿的部分异常行为,并有肯定的疗效。【Objective】 For further information on the clinical effect of comprehensive intervention on behavioral abnormality of autistic children and provide some help for clinical intervention.【Methods】 According to the case-control method,81 cases autistic children were divided into experimental group and control one randomly.On the base of the multimodality treatment,add the auditory integrative training（AIT）to experimental group.After six months of intervention,comparation of the changes of patients clinical manifestation of behavioral abnormality between two groups.【Results】 Comprehensive intervention had both improved on behavioral abnormality of two groups,such as sensitivity of certain information,peculiar way of playing,disliking learning,be lax in attention,avoiding contacting with eyes,lacking imitational actions and so on.Compared with control group,the experimental one to make better in peculiar way of playing,lacking imitational actions and lacking games with imagination and the differences between two groups had significant in statistics（P0.05）.【Conclusions】 Comprehensive intervention could improved on autistic baby＇s partial abnormal behaviors and effects are positive.

关 键 词：孤独症 儿童 综合干预 听觉统合训练 行为异常 

分 类 号：R749.94[医药卫生—神经病学与精神病学]