社会功能为主线的综合干预模式治疗儿童孤独症临床研究

关键词：社会功能为主线的综合干预模式  拼版式多元模式  儿童孤独症  心理教育量表第3版  儿童孤独症评定量表

Keywords:principal line with social function and integrate treatment mode  join and multielement mode  childhood autism  psychoeducational profile-third edition  childhood autism rating scale

摘要：

      摘要 目的：探讨以社会功能为主线的综合干预模式对儿童孤独症干预治疗的作用。 方法：将符合纳入标准的儿童孤独症患者按不同干预模式分成两组，观察组40例，采用以社会功能为主线的综合干预模式设计治疗方案；对照组40例，采用拼版式多元模式设计治疗方案。治疗时间均控制在每天5h，每周5天，持续治疗6个月。两组患者在治疗前及治疗6个月后均用心理教育量表第3版（psychoeducational profile-third edition， PEP3）及儿童孤独症评定量表（childhood autism rating scale, CARS）各评估一次以观察疗效。 结果：观察组患者在PEP分项目的模仿、情感表达、社交互动、非语言行为特征及CARS得分上优于对照组，其中模仿、情感表达、CARS得分差异有显著性意义（P＜0.05），社交互动、非语言行为特征差异有非常显著性意义（P＜0.001）；大小肌肉、认知、语言理解、语言表达及语言行为特征两组患者差异无显著性意义（P＞0.05）。 结论：以社会功能为主线的综合干预模式更能改善社会交流功能和减少行为问题，较拼版式多元模式优越，值得推广。

Abstract:

      Abstract Objective: To explore the clinical effects of comprehensive treatment mode of principal line with social function for children with autism. Method: 80 autism children meeting the enrolled criterion were assigned to observation group (40 cases) and control group (40 cases). The observation group was treated with comprehensive treatment mode (CTM) of principal line with social function, the control group was treated with join and multielement mode. Programs of both groups were 5 h per day, 5 d per week, for 6 months per course. PEP3 (psychoeducational profile-third edition) and CARS (childhood autism rating scale) were used to evaluate the effects of child autism patients before and after treatment. Result: For observation group, PEP score in imitation, affective expression, social reciprocity, characteristic motor behavior and CARS total score were better than that of control group. There were statistical significant difference in imitation, affective expression and CARS (P＜0.05), and very significant difference in social reciprocity and characteristic motor behaviour (P＜0.001). There were no significant difference between the 2 groups in gross motor, fine motor, cognitive, receptive language, expressive language and characteristic verbal behavior (P＞0.05). Conclusion: The Comprehensive treatment model of principal line with social function might be more advantageous for improving social commumication and reducing behavior problem than the join and multielement mode. It is a recommendable idea and process for autism children.