柳州市超早期干预孤独症谱系障碍患儿38例康复治疗的效果观察

Observation on effect of rehabilitation treatment in 38 children with autism spectrum disorder by super early intervention in Liuzhou City

目的观察超早期干预孤独症谱系障碍(ASD)患儿的康复治疗效果。方法选取2019年7月至2020年7月该院收治的ASD患儿72例作为研究对象,将超早期干预(<2.5岁)ASD患儿38例作为观察组,非超早期干预(2.5~6.0岁)ASD患儿34例作为对照组。两组患儿均采用以社交为中心的综合康复训练治疗6个月,比较分析两组患儿治疗前后孤独症行为量表(ABC)、孤独症治疗评估量表(ATEC)和婴幼儿-初中生生活能力评定量表(S-M)评分。结果两组患儿治疗后ABC各项目评分均较治疗前明显降低,且观察组患儿治疗后核心症状感觉、社会交往、语言项目评分均明显低于对照组,差异均有统计学意义(P<0.05);两组患儿ATEC除对照组行为项目外,各项目治疗后评分较治疗前明显降低,且观察组患儿治疗后各项目评分均明显低于对照组,差异均有统计学意义(P<0.05);观察组患儿治疗后S-M总分明显高于对照组,差异有统计学意义(P<0.05)。结论孤独谱系障碍患儿干预年龄越早核心症状改善越快,生活能力提高越快。

Objective To observe the effect of the rehabilitation treatment of children with autism spectrum disorder(ASD)by super early intervention.Methods A total of 72 children with ASD admitted and treated in this hospital from July 2019 to July 2020 were selected as the research subjects,among them 38 cases of ASD by super early intervention served as the observation group,and 34 cases of ASD without super early intervention served as the control group.The two groups were treated with the sociality-centered comprehensive rehabilitation training for 6 months.The scores of ABC,ATEC and S-M before and after treatment were compared between the two groups and analyzed.Results After treatment,the scores of each item of ABC in the two groups were significantly decreased compared with those before treatment(P<0.05),moreover the scores of core symptom sensation,social interaction and language items in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Except for the behavioral items in the control group,the scores of various items after treatment in the two groups were significantly decreased compared with those before treatment,moreover the scores of all items after treatment in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the total score of S-M in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The earlier the intervention age in children with ASD,the faster the improvement of core symptoms and the faster the improvement of living ability.