文档介绍：上海交通大学医学院硕士学位论文中文摘要
听觉统合训练对儿童孤独症
的疗效评估
摘要
目的:探讨听觉统合训练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:对 88 例孤独症患儿进行随机抽样的病例对照研究,两组在
综合治疗的基础上,对实验组进行听觉统合训练,疗效评估主要采用韦
氏幼儿(或儿童)智力测验(WPPSI,or WISC-R)或格塞尔发育诊断
量表(GDDS,gesell development diagnosis scale)、孤独症儿童行为检
查量表(Autism Behavior Checklist,ABC)等方法,对患儿进行训练前、
后临床症状、ABC 分值及 IQ ( intelligence quotient , IQ ) /DQ
(developmental quotient)分值变化的比较。完成随访的有 81 例孤独症
患儿,其中实验组 41 例,对照组 40 例。
结果:实验组经过听觉统合训练 6 个月后,与对照组比较,患儿在
语言交流障碍、社会交流障碍、某些典型行为特征方面有明显的改善,
并有显著统计学差异(P<);但在异常行为方面两组比较无显著
统计学差异;实验组智商 IQ/DQ 明显提高、ABC 量表的分值明显降低,
V
上海交通大学医学院硕士学位论文中文摘要
两组之间差异有显著统计学意义(P<)。 ABC 分值下降的差值和
IQ/DQ 分值升高差值与患儿年龄呈负相关;ABC 分值下降的差值还与
基线智商呈正相关。
结论:听觉统合训练可以改善孤独症患儿的语言交流障碍、社会交
流障碍、某些典型行为特征和发育水平,它对儿童孤独症近期疗效肯定。
关键词:疗效,听觉统合训练,儿童,孤独症
VI
上海交通大学医学院硕士学位论文中文摘要
THE EFFECT OF AUDITORY INTEGRATIVE TRAINING
ON AUTISTIC CHILDREN
ABSTRACT
Objective: To explore the nearly treatment effect of the auditory
integrative training on autistic children and provide rehabilitative treatment
with clinical support for them.
Methods: 88 cases of autistic children were selected through the
standard of DSM-4 and clinical case study is used, they were divided
randomly into experimental group and control one, respectively received
auditory integrative training and no training based on the multiple therapies.
The patients were investigated using clinical manifestation and ABC
(Autism Behavior Checklist) and IQ (intelligence quotient) or DQ
(developmental quotient) before and after six months of treatment. The
effect is evaluated through the changes of clinical manifestations and scores
of ABC and DQ or IQ. The changes of scores of IQ or DQ were determined
VII
听觉统合训练对儿童孤独症的疗效评估英文摘要
with WPPSI or WISC-Rand GDDS (gesell development diagnosis scale).
The 81 cases autistic children have finished total experimental procedure,
experiment