团体语言训练对孤独症谱系障碍儿童的效果-中国康复理论与实践.PDF

中国康复理论与实践2018年3月第24卷第3期 ChinJRehabilTheoryPract,Mar.,2018,Vol.24,No.3 - 333 - DOI: 10.3969/j.issn. 1006-9771.2018.03.017 ·临床研究 · 团体语言训练对孤独症谱系障碍儿童的效果① 李明娣，顾琴，魏来，徐欢岚，张爱霞 苏州大学附属儿童医院康复中心，江苏苏州市215003 通讯作者：顾琴。E-mail: 229545990@ 基金项目：苏州市民生科技项目(No. SS201538) 摘要 目的 探讨语言训练团体模式对孤独症谱系障碍(ASD)儿童的影响。 方法 2014 年7 月至2015 年7 月，ASD 患儿60 例随机分为对照组(n=30)和实验组(n=30) 。对照组接受常规康复 训练，实验组在此基础上增加团体语言训练，共训练6 个月。干预前后采用孤独症行为量表(ABC)和孤独 症治疗评估量表(ATEC)进行评定。 结果 训练后，两组ABC 评分均较治疗前明显改善(t3.079, P0.01) ，两组差值比较实验组明显优于对照组(t= 3.149, P0.01) 。训练后，对照组ATEC 健康/躯体/行为评分及总分明显改善(t3.018, P0.01) ，实验组各项 评分及总分均改善(t2.498, P0.05) ，两组间治疗前后差值均有显著性差异(t2.027, P0.05) 。 结论 增加团体语言训练可以更有效改善孤独症谱系障碍儿童行为。 关键词 孤独症谱系障碍；儿童；团体语言训练；康复 Effects of Speech Therapy in Group on Children with Autism Spectrum Disorders LI Ming-di, GU Qin, WEI Lai, XU Huan-lan, ZHANG Ai-xia Rehabilitation Center, Childrens Hospital of Soochow University, Suzhou, Jiangsu 215003, China Correspondence to GU Qin. E-mail: 229545990@ Supported by Suzhou Peoples Livelihood Science and Technology Project (No. SS201538) Abstract Objective To observe the effect of speech therapy in group on children with autism spectrum disorders (ASD). Methods From July, 2014 to July, 2015, 60 children with ASD were randomly divided into control group (n=30) and ex- perimental group (n=30). Both groups accepted regular rehabilitation training, while the experimental group ac- cepted speech therapy in group in addition, for six months. They were assessed with Autism Behavior Checklist (ABC) and Autism Treatment Evaluation Checklist (ATEC) before and after training,. Results The scores of ABC in both groups decreased after training (t3.079, P0.01), and decreased more in the experi