孤独症谱系障碍儿童医教结合康复模式应用

Application of the Rehabilitation Model of Combining Medicine with Education in Children with Autism Spectrum Disorder

目的探讨孤独症谱系障碍(autism spectrum disorder,ASD)儿童综合康复训练医教结合模式的应用价值。方法选取2019年6月~2020年5月丽水市残联康复医院就诊且符合入组标准的66例ASD儿童为研究对象,分为实验组和对照组。对照组采用常规康复训练,实验组采用医教结合模式康复训练。采用自闭症儿童心理教育评核(第三版)(psychoeducational profile-3rd edition,PEP-3)比较两组干预前后沟通、体能、行为3方面功能变化情况。结果(1)干预前两组儿童沟通、体能、行为评分均无统计学意义(P>0.05);(2)干预后两组儿童3方面评分均有显著提高(P<0.05),且实验组显著高于对照组(P<0.05)。结论将医教结合模式应用于ASD儿童综合康复训练中,有助于其改善其临床症状,提升干预效果,值得推广应用。

Objective To explore the application value of the combination of medicine and education in the comprehensive rehabilitation training of children with autism spectrum disorders.Methods Selecting 66 children with ASD who met the enrollment criteria in the hospital from June 2019 to May 2020 as the study subjects,which were divided into control group and experimental group.The control group was treated with routine rehabilitation training,and the experimental group was treated with rehabilitation training combined with medicine and education.The functional changes of communication,physical ability and behavior of the two groups before and after intervention were compared by using the psycho-educational profile-3rd edition(PEP-3).Results(1)Before the intervention,the scores of children's communication,physical ability and behavior in the two groups were not statistically significant(P>0.05);(2)After the intervention,the scores of the two groups of children in three aspects were improved,and the difference was statistically significant(P<0.05).The improvement degree of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Applying the rehabilitation training of the combination of medicine and education model to the comprehensive rehabilitation training of children with autism spectrum disorders is more helpful to improve their clinical symptoms and improve the intervention effect,which is worthy of promotion and application.