目的 探讨语言训练团体模式对孤独症谱系障碍(ASD)儿童的影响。方法 2014年7月至2015年7月,ASD患儿60例随机分为对照组(n=30)和实验组(n=30)。对照组接受常规康复训练,实验组在此基础上增加团体语言训练,共训练6个月。干预前后采用孤独症行为量表(ABC)和孤独症治疗评估量表(ATEC)进行评定。结果 训练后,两组ABC评分均较治疗前明显改善(t>3.079, P<0.01),两组差值比较实验组明显优于对照组(t=3.149, P<0.01)。训练后,对照组ATEC健康/躯体/行为评分及总分明显改善(t>3.018, P<0.01),实验组各项评分及总分均改善(t>2.498, P<0.05),两组间治疗前后差值均有显著性差异(t>2.027, P<0.05)。结论 增加团体语言训练可以更有效改善孤独症谱系障碍儿童行为。
Objective To observe the effect of speech therapy in group on children with autism spectrum disorders (ASD). Methods From July, 2014 to July, 2015, 60 children with ASD were randomly divided into control group (n=30) and experimental group (n=30). Both groups accepted regular rehabilitation training, while the experimental group accepted speech therapy in group in addition, for six months. They were assessed with Autism Behavior Checklist (ABC) and Autism Treatment Evaluation Checklist (ATEC) before and after training,. Results The scores of ABC in both groups decreased after training (t>3.079, P<0.01), and decreased more in the experimental group (t=3.149, P<0.01). The score of Health/Physical/Behavior and total score of ATEC decreased in the control group (t>3.018, P<0.01), while the scores of all the items of ATEC decreased in the experimental group (t>2.498, P<0.05) after treatment. The scores of all the items of ATEC decreased more in the experimental group than in the control group (t>2.027, P<0.05).Conclusion The addition of speech therapy in group can further improve the behavior in children with ASD.
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