学龄前不同阶段孤独症谱系障碍儿童接受早期介入丹佛模式的疗效分析

Efficacy analysis of ESDM in preschool children with autism spectrum disorders at different stages

目的研究学龄前不同阶段孤独症谱系障碍(ASD)儿童接受早期介入丹佛模式(ESDM)的干预效果。方法选取南阳市中心医院2020年1月至2021年3月收治的84例ASD儿童为研究对象,分为A组(n=23)、B组(n=31)、C组(n=30),三组儿童均连续治疗3个月,比较治疗前和治疗后三组儿童孤独症情况[儿童孤独症评定量表(CARS)]、社交反应情况[社交反应量表(SRS)]。结果治疗3个月后,三组儿童CARS、SRS评分均较干预前显著降低,且A组<B组<C组(P<0.05)。结论ESDM治疗ASD儿童可有效改善其孤独症症状,且年龄越小ASD患儿症状改善效果越好。

【Objective】To study the effect of Early Start Denver Model(ESDM)on preschool children with autism spectrum disorder(ASD).【Methods】Eighty-four children with ASD treated in our hospital from January 2020 to March 2021 were divided into group A(n=23,aged 1 year and 6 months to 3 years),group B(n=31,aged 3 years to 4 years and 6 months),group C(n=30,aged 4 years and 6 months to 6 years).The children in the three groups were treated continuously for 3 months.The autism status[Children's Autism Rating Scale(CARS)]and social response[Social Response Scale(SRS)]of the three groups before and after treatment were compared.【Results】After 3 months of treatment,the scores of CARS and SRS in the three groups were significantly lower than those before intervention,and group A<group B<group C(P<0.05).【Conclusion】ESDM treatment of ASD children can effectively improve their autism symptoms,and the younger the age,the better the symptom improvement effect of ASD children.