机构结构化教育联合家庭康复训练治疗儿童孤独症的疗效观察

Clinical efficacy of structured institution-based teaching programme combined with family rehabilitation training in treatment of childhood autism

摘要:

目的探讨机构结构化教育联合家庭康复训练模式治疗儿童孤独症的疗效。方法选取100例孤独症儿童,随机分为联合治疗组(n=50)和对照组(n=50)。对照组给予机构结构化教育,联合治疗组给予机构结构化教育联合家庭康复训练。比较两组孤独症儿童行为检查量表(ABC)评分、孤独症治疗评估量表(ATEC)评分、中文版儿童孤独症及相关发育障碍心理教育评定量表(C-PEP)评分。结果训练12个月后,联合治疗组患儿ABC各维度评分及总分均显著低于对照组(P<0.05);联合治疗组患儿ATEC各维度评分及总分均显著低于对照组(P<0.05),而其C-PEP各维度评分及总分均显著高于对照组(P<0.05)。结论机构结构化教育联合家庭康复训练是儿童孤独症的有效治疗模式,值得临床推广应用。

Abstract:

Objective To investigate the clinical efficacy of a structured institution-based teaching programme combined with family rehabilitation training in the treatment of childhood autism. Methods One hundred children with autism were divided into a combination therapy group (n=50) and a control group (n=50). The children in the control group received a structured institution-based teaching programme, and the children in the combination therapy group received a family rehabilitation training besides the structured institution-based teaching programme. Comparisons were made between the two groups by the Autism Behavior Checklist (ABC) score, Autism Treatment Evaluation Checklist (ATEC) score, and Chinese version of Psychoeducational Profile (C-PEP) sore. Results After 12-months training, each dimension score and total score of ABC in the combination therapy group were all significantly lower than those in the control group (P<0.05). The combination therapy group had significantly lower dimension scores and total score of ATEC than the control group (P<0.05). Each dimension score and total score of C-PEP were significantly higher in the combination therapy than in the control group (P<0.05). Conclusions As an effective treatment mode for childhood autism, structured institution-based teaching programme combined with family rehabilitation training is worthy of clinical promotion and application.