ADOPT模式训练在学龄孤独症谱系障碍儿童中的临床效果  

Clinical Effect Analysis of ADOPT Mode Training in School-age Children with Autism Spectrum Disorder

作　　者：张素倩 ZHANG Su-qian

机构地区：[1]恩施土家族苗族自治州中心医院,恩施445000

出　　处：《中国听力语言康复科学杂志》2024年第5期529-532,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的探讨态度-定义-开放思维-计划-问题解决(attitude-definition-open mind-planning-try it out,ADOPT)模式训练在学龄孤独症谱系障碍(autism spectrum disorder,ASD)儿童语言障碍中的临床效果。方法选择本院收治的学龄ASD患儿73例,随机分为观察组38例与对照组35例,对照组采取常规康复训练,观察组采取ADOPT模式训练,对比两组语言障碍及发育情况。结果干预前,两组孤独症治疗评定量表(autism treatment evaluation checklist,ATEC)评分、儿童孤独症评定量表(childhood autism rating scale,CARS)评分、孤独症行为量表(autism behavior checklist,ABC)评分、Gesell评分比较无显著差异(P>0.05)。干预后,两组ATEC评分、CARS评分、ABC评分较干预前显著下降(P<0.05),且观察组显著低于对照组(P<0.05),两组Gesell评分较干预前显著上升(P<0.05),且观察组显著高于对照组(P<0.05);干预后,观察组语言障碍(不爱说话、不理解指令、主动语言缺乏、表达混乱、语言障碍轻微)发生率较对照组显著降低(P<0.05)。结论ADOPT模式训练应用于学龄ASD儿童语言障碍康复,可有效缓解患儿症状,减少语言障碍发生情况,促进患儿发育。Objective To explore the clinical effects of Attitude-definition-open mind-planning-try it out(ADOPT)mode training in school-age autism spectrum disorder(ASD)children with language disorder.Methods 73 school-age ASD children admitted to our hospital were randomly divided into an observation group(38 cases)and a control group(35 cases).The control group received routine rehabilitation training,while the observation group received ADOPT mode training.The language barrier and development of the two groups were compared.Results Before the intervention,there was no significant difference in Autism treatment evaluation checklist(ATEC)score,Childhood autism rating scale(CARS)score,Autism behavior checklist(ABC)score and Gesell score between the two groups(P>0.05).After intervention,ATEC score,CARS score and ABC score of the two groups decreased significantly(P<0.05),and the observation group was significantly lower than that of the control group(P<0.05).Gesell score of the two groups increased significantly(P<0.05),and the observation group was significantly higher than that of the control group(P<0.05).After intervention,the incidence of language barrier(not liking to talk,not understanding instructions,lack of active language,confusion of expression,slight language barrier)in the observation group was significantly lower than that in the control group(P<0.05).Conclusion ADOPT mode training applied to school-age ASD children's language disorder can effectively relieve their autistic symptoms,reduce the language disorder,and obviously promote their development.

关 键 词：孤独症谱系障碍 学龄期患儿 语言障碍 

分 类 号：R493[医药卫生—康复医学]