低功能孤独症患儿听觉统合训练疗效研究及心理护理

Effects of auditory integrative training and psychological nursing on low-functional autistic children

目的探讨听觉统合训练(auditory integration training,AIT)及心理护理对儿童孤独症低功能患者的疗效及其持续性。方法将48例低功能孤独症患儿随机分为实验组和对照组,实验组接受AIT治疗及心理护理,对照组在实验期间不作治疗,实验结束后给予同等治疗。疗效评估主要采用孤独症儿童行为检查量表(Autism Behavior Checklist,ABC),比较治疗前,治疗结束当天,治疗后1个月、2个月、3个月ABC分值的变化。结果 5例患儿失访。实验组经过AIT治疗后,与对照组比较,ABC分值明显下降(P<0.05);治疗结束当天,治疗后1个月、2个月、3个月ABC分值持续下降。结论 AIT对低功能儿童孤独症的临床症状有疗效,且在3个月内持续作用。

Objective To explore the treatment effect of auditory integrative training and psychological nursing on low- functional autistic children. Methods A total of 48 cases of low-functional autistic children were selected and divided randomly into the experimental group and the control group.They were treated with auditory integrative training or no special training during the study period.All participants were investigated using autism behavior checklist （ABC） be- fore, immediately after, 1 month, 2 months and 3 months after treatment.The effect was evaluated through the changes of scores of ABC. Results After the auditory integrative training, compared to the control group, patients in the exper- imental group have their ABC scores significantly dropped （P〈0.01）.The decreasing trend of ABC scores sustained through the 3 months after treatment. Conclusion The treatment of auditory integrative training （AIT） could greatly im- prove symptoms of the low-functional autistic children and the treatment effect were sustainable in 3 months at least.