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1、北京大学学报(医学版)·426·JOURNALOFPEKINGUNIVERSITY(HEALTHSCIENCES)Vol.41No.4Aug.2009·论著·听觉统合训练对儿童孤独症的疗效评估△张改巧,龚群,张凤玲,陈孙敏,胡立群,刘锋,崔瑞华,何琳(上海交通大学附属儿童医院儿童保健所,上海200040)[摘要]目的:探讨听觉统合训练(auditoryintegrationtraining,AIT)对儿童孤独症的近期疗效,为孤独症儿童的康复治疗提供临床依据。方法:将88例孤独症患儿随机分为实验组和对照组,两组均进行综合治疗,实验组在其基础上进一步行AIT治疗,疗效评估主要采用韦氏幼儿(
2、或儿童)智力测验(WPPSI或WISC2R)或Gesell量表、孤独症儿童行为检查量表(AutismBehaviorChecklist,ABC)等方法,对患儿进行治疗前后临床症状、ABC分值及智商(in2telligencequotient,IQ)分值变化的比较。结果:有7例患儿失访。实验组经过AIT治疗6个月后,与对照组比较,患儿在语言障碍、社会交往障碍、某些行为特征方面有明显的改善(P<0105);但在异常行为方面两组比较差异无统计学意义。实验组IQ明显提高、ABC分值明显降低,两组之间差异有统计学意义(P<0105)。ABC分值下降的程度和IQ分值升高程度与患儿年龄呈负相关;AB
3、C分值下降的程度与患儿基础智商呈正相关。结论:AIT可以改善孤独症患儿的语言障碍、社会交往障碍、某些行为特征和发育水平,其对儿童孤独症的近期疗效比较肯定。[关键词]音乐疗法;孤独性障碍;治疗结果;儿童[中图分类号]R749.94[文献标识码]A[文章编号]16712167X(2009)0420426206doi:10.3969/j.issn.16712167X.2009.04.011Effectsofauditoryintegrativetrainingonautisticchildren△ZHANGGai2qiao,GONGQun,ZHANGFeng2ling,CHENSun2min
4、,HULi2qun,LIUFeng,CUIRui2hua,HELin(ShanghaiChildHealthCareInstitute,ShanghaiChildren’sHospital,ShanghaiJiaotongUniversity,Shanghai200040,China)ABSTRACTObjective:Toexploretheshort2termtreatmenteffectoftheauditoryintegrativetrainingonautisticchildrenandprovidethemwithclinicalsupportforrehabilitati
5、vetreatment.Methods:Atotalof81casesofautisticchildrenwereselectedthroughthestandardofDSM24andclinicalcasestudywasused.Theyweredividedrandomlyintoexperimentalgroupandcontrolone,andrespectivelyreceivedau2ditoryintegrativetrainingandnotrainingbasedonthemultipletherapies.Thepatientswereinvestigatedu
6、singclinicalmanifestationandAutismBehaviorChecklist(ABC)andintelligencequotient(IQ)beforeandaftersixmonthsoftreatment.TheeffectwasevaluatedthroughthechangesofclinicalmanifestationsandscoresofABCandIQ.ThechangesofscoresofIQweredeterminedwithGesellandWPPSIorWISC2R.Results:Comparedwith40patientsoft
7、hecontrolgroupafterthesixmonthsoftheauditoryintegrativetraining,41oftheexperimentalgrouphadgreatlyimprovedinmanyaspects,suchasthedis2ordersoftheirlanguage,socialinteractionsandtypicalbehaviorsymptomswhiletheyhadnotchangedint
