听觉统合训练对孤独症谱系障碍儿童治疗效果的持续时间研究

目的 研究听觉统合训练对孤独症谱系障碍(ASD)儿童治疗效果的持续时间,为确定听觉统合训练的最佳频率提供依据。方法 2016年7月-2017年12月选取符合ICD-10孤独症诊断标准的65名儿童,分为研究组(n=33)和对照组(n=32),两组均进行一般康复训练,研究组在康复训练时给予1个疗程听觉统合训练。分别用ABC量表及韦氏幼儿智力量表在训练前、训练后1个月、3个月及6个月评估患儿ASD行为及智力水平。结果 训练后1个月,ABC总分及交往、语言因子得分显著下降(P<0.05)。训练后3个月,ABC总分及各因子得分均显著下降,IQ得分显著增加(P<0.01)。训练后6个月,ABC总分、各因子得分较3个月时有所上升(P<0.05),但与治疗前相比,仍有显著下降(P<0.05)。与对照组相比,ABC总分及IQ得分在训练后3个月及6个月时差异均有统计学意义(P<0.05)。结论 听觉统合训练对于ASD儿童治疗有效,1个月开始起效, 3个月时效果最好,6个月时仍有效果,但略有下降。

Research on the efficacy duration of auditory integration training in the treatment of children with autism spectrum disorder

Objective To study the duration time of therapeutic effect of auditory training(AIT)on children with autism spectrum disorder(ASD),in order to provide basis for determining the optimal frequency of AIT. Methods Totally 65 ASD children diagnosed according to the ICD-10 were enrolled in this study from July 2016 to December 2017,and were divided into study group(n=33) and control group(n=32) by coded order.The control group received general rehabilitation training,and the study group was given AIT intervention in addition to general rehabilitation training.The autistic behaviors and intelligence level of children were assessed by Autism Behavior Checklist (ABC) scale and China-Wechsler Young Children Scale of Intelligence (C-WYCSI) before intervention,1 month after training,3 months after training and 6 months after training,respectively. Results After one-month AIT intervention,the total score of ABC,communication and language scores significantly decreased (P<0.05).The total score of ABC and the score of all factors significantly decreased,and the IQ score significantly increased after 3 months of training (P<0.01).After 6 months of training,the total score of ABC and the score of each factor improved somewhat compared with that of 3 months after training(P<0.05). But compared with that before treatment,there was still significant decrease (P<0.05). Conclusions The auditory integration training is effective in treating ASD children.The efficacy starts in 1 month,works best in 3 months and still works in 6 months after training,but decreased slightly in 6 months.