口肌训练对孤独症儿童摄食行为的影响

Effect of Oral Motor Exercise on Feeding Behaviour of Autistic Children

目的观察口肌训练对孤独症儿童摄食行为的影响。方法 59例有摄食障碍的孤独症儿童分为对照组(n=29)和口肌组(n=30)。对照组进行饮食行为干预,口肌组采用口肌训练结合饮食行为干预。于治疗前后通过摄食行为调查问卷对患儿进行评估。结果治疗后,口肌组在进餐量、进餐时间、对事物不感兴趣、拒绝某些食物、不愿尝试新食物、强烈偏爱某食物等方面改善(P<0.05),且优于对照组(P<0.05)。两组在改变患儿不良进餐习惯和进餐地点方面效果显著(P<0.05),但两组间无显著性差异(P>0.05)。结论口肌训练对改善孤独症儿童的不良摄食行为有一定效果。

Objective To observe the effect of oral motor exercise on the feeding behaviour of autistic children.Methods 59 children with autism were assigned to control group（n=29） and exercise group（n=30）.The control group received diet intervention,while the exercise group received oral motor exercises in addition.Both groups were assessed with questionnaire related to children’s diet before and after treatment.Results Bad feeding behaviors such as little eating,overlength eating,picky eating,partial eating,refuse to eat significantly improved after treatment in the exercise group（P＆lt;0.05）,and improved more than in the control group（P＆lt;0.05）.Stereotyped feeding behavior improved after treatment in both groups（P＆lt;0.05） and there was no difference between 2 groups（P＆gt;0.05）.Conclusion Oral motor exercises may improve the feeding behaviour of autistic children.