系统评估结合个体化训练在孤独症儿童治疗中的应用  

Application of systematic evaluation combined with individual training in the treatment of children with autism

作　　者：马磊[1] 段军[1] 吴德[1] 唐久来[1] 

机构地区：[1]安徽医科大学第一附属医院小儿神经康复中心,合肥230022

出　　处：《安徽医学》2012年第7期799-803,共5页Anhui Medical Journal

基　　金：中国残疾人联合会资助项目(项目编号:2010&YB014)

摘　　要：目的了解系统评估结合个体化训练在孤独症儿童治疗中的的疗效反应,为孤独症儿童的治疗提供参考依据。方法对96例已确诊为孤独症的患儿进行评估后,制定个体化的综合训练方案,训练中采用行为分析疗法、结构化教育、感觉统合训练及语言训练,每周5 d,每天6 h,共训练12个月,并在训练6个月后及训练12个月后分别再对患儿应用孤独症儿童发展评估表进行评估,并对评估结果进行比较。结果与训练前相比,训练6个月和12个月后,孤独症儿童在8个领域的问题均有改善,差异具有统计学意义,治疗12个月后较治疗6个月后效果更好,差异有统计学意义(P<0.05)。结论系统评估结合个体化训练对孤独症儿童的治疗是有效的,治疗时间越长,效果越好。Objective To understand the effect of systematic evaluation combined with individual training in the treatment of chil- dren with autism and provide reference basis for the treatment. Methods A total of 96 children who were diagnosed as autism were evalua- ted, then individual compositive training plan was made. Behavioral analysis therapy, structured teaching, sensory integration training and language training were adopted in the training, which lasted for 5 days each week, 6 hours each day, 12 months together. The patients using autism children development evaluation sheet were evaluated after training 6 and 12 months respectively, then the results were compared. Re- suits The problems in 8 aspects of children with autism were improved after 6 and 12 months＇ training compared with before training, which had a significant difference in statistics. The effect of 12 months＇training was better than that of 6 months, and the difference was statistically significant （P 〈 0.05 ）. Conclusion Systematic evaluation combined with individual training was effective for children with autism. The effect is time- dependent.

关 键 词：孤独症 系统评估 个体化训练 治疗 

分 类 号：R749.94[医药卫生—神经病学与精神病学]