天津医药

天津医药 ›› 2016, Vol. 44 ›› Issue (7): 880-883.doi: 10.11958/20150405

• 临床研究 • 上一篇    下一篇

不同干预模式下孤独症谱系障碍儿童干预效果的比较

梁颖,李楠,郭园园,姚燕滨,刘功殊   

  1. 天津市妇女儿童保健中心
  • 收稿日期:2015-12-17 修回日期:2016-03-07 出版日期:2016-07-15 发布日期:2016-07-15
  • 通讯作者: 梁颖 E-mail:liangying.1231@163.com
  • 作者简介: 梁颖（1972）， 女， 副主任医师， 硕士， 主要从事儿童心理保健方面的研究
  • 基金资助:
    天津市卫生局重点攻关项目

The study of intervention effects under different patterns of ASD children

LIANG Ying, LI Nan, GUO Yuanyuan, YAO Yanbin, LIU Gongshu   

  1. Tianjin Women’ s and Children’ s Health Center, Tianjin 300070, China
  • Received:2015-12-17 Revised:2016-03-07 Published:2016-07-15 Online:2016-07-15
  • Contact: Ying Liang E-mail:liangying.1231@163.com

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摘要： 目的：了解不同干预模式对孤独症谱系障碍儿童干预效果的影响。方法：选择2013年1月-2013年6月在天津市妇女儿童保健中心新诊断为孤独症谱系障碍的12-48月龄儿童作为研究对象，随机进入不同干预模式，在干预前后进行发育商（C-PEP）、疾病严重程度、病理性行为、社会适应行为等测试和评估，评价不同干预模式效果是否存在不同。结果：在正规机构干预的儿童，干预前后C-PEP各项发育测试发育商的增加值和病理评分的减少值均存在明显统计学差异（P<0.001）；非正规机构干预组干预后，在病理评分中，感觉模式和语言障碍的评分减少值有统计学差异，而在发育水平方面无明显变化；居家干预组中，干预后C-PEP的知觉、粗大运动、认知表现、口语认知的发育商均比干预前显著降低，病理学评分无显著变化。不同干预模式间比较结果显示，在模仿、知觉、认知表现、发展总分方面，三组间干预前后差异明显。结论：孤独症谱系障碍儿童在正规机构干预效果显著。

关键词: 孤独者谱系障碍, 儿童, 干预

Abstract: [Abstract] Objective: The purpose of the study was to explore the influence of age-difference on intervention of autism spectrum disorder (ASD). Methods: 101 children aged from 12-48 months newly diagnosed ASD were randomly to different intervention. The intervention data was recorded including time and methods. C-PEP and social adaptive behavior scale were used to test the development quotation (DQ) both before and after intervention. Results: The significant statistical differences were found using C-PEP scale in the professional group, while no statistical differences in the no-professional group or home intervention group. Statistical differences were found between groups in imitation, consciousness, cognition, and total DQ. Conclusions: Significant progress was made in standard intervention.

Key words: autism spectrum disorder, child, intervention