医学评估对孤独症谱系障碍儿童训练效果影响的研究

目的 探索医学评估对孤独症谱系障碍(ASD)儿童康复训练的影响。方法 采用Gesell发育量表、社会生活能力量表(SM)、社会沟通能力问卷(SCQ)分别对特教学校67名ASD儿童的发育水平、社会生活能力,社会交流能力进行评估。然后对其中48名干预组儿童,根据其发育年龄、实际生活能力制定干预目标,由特教老师根据目标,制定符合其发育水平的个体化训练方案实施训练。对19名对照组儿童按特教学校原有日常康复训练课程进行训练。训练1年后,采用同样方法再次进行评估。结果 干预组儿童训练后,在适应性、语言、沟通能力方面的进步情况好于对照组,差异有统计学意义。结论 在医学评估的基础上对ASD儿童制定康复训练方案,有利于促进ASD儿童发育水平、社会生活能力,沟通能力的提高。

The effect of medical assessment on the rehabilitation training of autism spectrum disorder children

Objective To explore the effect of medical assessment on the rehabilitation training of children with autism spectrum disorders (ASD).Methods There were 67 children with ASD selected from special education schools. Their developmental level, ability of social life and social communication were evaluated by child health care physicians. There were 48 children classified as intervention group:individualized rehabilitation training targets were designed based on the assessment results and individualized rehabilitation training program was carried out. The other 19 children were served as controls and routine rehabilitation training was carried out. All children were reevaluated by physicians with the same methods after training for one year.Results The adaptability, language level and communication ability of children in the intervention group improved better than the control group, with statistically significant difference.Conclusion It is beneficial to develop training programs for children with ASD on the basis of medical assessment which can promote the development level of ASD children, social life ability and communication ability.