听觉整合训练对听觉传导功能障碍修复的自闭症谱系障碍儿童核心症状的影响

中华行为医学与脑科学杂志 Pub Date : 2020-02-20 DOI:10.3760/CMA.J.CN371468-20191023-00769

Yi-xin Chen, Yang Zhou, R. Gao, Tu-nong Chen, Jianjun Wang, Juan Cao, Yiyang Huang

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引用次数: 1

摘要

目的探讨接受听觉整合训练（AIT）后听觉通路功能障碍得到修复的自闭症儿童核心症状的改善。方法将听觉诱发电位异常的ASD患儿分为AIT组（AIT训练后BAEP恢复正常者分为试验组）、对照组A（空白对照组）和对照组B（ABA训练组）。在入院时、入院后1个月、入院后3个月采用Portage Development Checklist、Child Autism Rating Scale（CARS）和Autism Therapy Assessment Scale（ATEC）对ASD儿童进行评估。评价疗效与各因子组分的变化值。结果在入学时，CARS（（36.31±4.08）、（36.33±3.76）、（3.633±5.14））、ATEC语言（（19.08±6.43）、（16.40±6.42）、（18.48±5.96））、社会（（15.63±7.13）、17.26±8.93），AIT组、对照组B和对照组A的CARS评分分别为（33.96±3.79）、（35.09±4.38）和（34.30±3.98）；AIT组、对照组B和对照组A在3个月后分别为（32.95±3.15）、（36.86±3.86）和（33.95±3.90），AIT组与对照组A的ATEC自理能力量表得分有统计学意义（I-J=4.46，P<0.05）。结论AIT训练可改善BAEP恢复正常的ASD患儿的核心症状。关键词：自闭症谱系障碍；听觉整合训练；脑干听觉诱发电位；效果

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Effect of auditory integration training on core symptoms in children with autism spectrum disorders whose auditory conduction dysfunction repaired

Objective To explore the improvement of core symptoms in children with autism whose auditory pathway dysfunction were repaired after accepting auditory integration training(AIT). Methods The ASD children with abnormal auditory evoked potentials were divided into AIT group (the ones whose BAEP return to normal after AIT training into test group), control group A (blank control group) and control group B (ABA training group). The ASD children were assessed by Portage Development Checklist, Child Autism Rating Scale (CARS) and Autism Therapy Assessment Scale (ATEC) at the time of admission, one month after admission, three months after admission.The curative effect with the change value of each factor fraction was evaluated. Results At the time of enrollment, there were no significant differences among the scores of CARS((36.31±4.08), (36.33±3.76), (36.33±5.14)) as well as ATEC language ((19.08±6.43), (16.40±6.42), (18.48±5.96)), social ((15.63±7.13), (16.05±7.57), (16.19±7.19)), and perception ((16.78±5.39) (16.92±6.75), (17.12±6.73)) and self-care ((15.98±8.71), (17.93±8.22), (17.26±8.93), respectively)) in the AIT group, control group B and control group A. After one month and three months from enrollment, the scores of CARS were ((33.96±3.79), (35.09±4.38) and (34.30±3.98), respectively after one month; (32.95±3.15), (36.86±3.86) and (33.95±3.90), respectively) after three months in the AIT group, control group B and control group A. The repeated measurement analysis of variance showed that the main effect of time was significant (F=22.308, P 0.05), and there was interaction between time and group (F= 8.626, P 0.05). Multiple comparisons showed that the scores of ATEC self-care ability scale between the AIT group and the control group A were statistically significant (I-J=-4.46, P<0.05). Conclusion The results of this study show that AIT training can improve the core symptoms of the ASD children whose BAEP returns to normal. Key words: Autism spectrum disorder; Auditory integration training; Brainstem auditory evoked potential; Effects

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来源期刊

中华行为医学与脑科学杂志

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8131

期刊介绍： "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.