摘要
目的:分析沙盘游戏联合综合干预在儿童孤独症治疗中的应用价值。方法:纳入孤独症患儿86例,分为观察组44例和对照组42例。对照组采用综合干预治疗,观察组加用沙盘游戏治疗。分别于治疗前、治疗3及6个月时采用孤独症儿童行为量表(ABC)评分、孤独症治疗评估量表(ATEC)评分以及儿童孤独症及相关发育障碍心理教育评定量表(C-PEP)评分进行评估。结果:治疗3及6个月后,2组ABC及ATEC评分均较治疗前呈明显下降趋势(均P <0. 05),且各时间点观察组ABC及ATEC评分均显著低于对照组(均P <0. 05); 2组治疗6个月后,CPEP各功能领域得分及其总分均明显高于对照组(P <0. 05)。Spearman相关性分析显示观察组患儿年龄与治疗效果存在负相关(r=-0. 524,P <0. 001)。结论:沙盘游戏联合综合干预对儿童孤独症患者的治疗效果明显优于单纯综合干预,且其治疗效果与年龄呈负相关,这对儿童孤独症的治疗具有一定的临床应用价值。
Objective:To analyze the difference in efficacy between sandplay combined intervention and simple comprehensive intervention in the treatment of autism in children,and to explore its applied value in children with autism.Methods:Eighty-six children with autism were enrolled and randomly divided into observation group(44 cases)and control group(42 cases).The observation group was treated with sandplay combined with comprehensive intervention,and the control group was treated with simple comprehensive intervention.Before,and 3 and 6 months after treatment,the Autism Child Behavior Scale(ABC)score,the Autism Treatment Assessment Scale(ATEC)score,and the Child Autism and Related Developmental Disorders Psychological Education Rating Scale(C-PEP)scores were evaluated.Results:The total scores of ABC and ATEC in the observation group were significantly lower than those in the control group at 3rd and 6th month(P<0.05),and the function-dimensional scores and total scores of C-PEP in the observation group were significantly higher than in the control group(P<0.05).Spearman correlation analysis showed a negative correlation between the age and the treatment effect in the observation group(r=-0.524,P<0.001).Conclusion:The combination of sandplay and comprehensive intervention is better than simple comprehensive intervention in children with autism,and its therapeutic effect is negatively correlated with age.This has certain clinical application value for the treatment of autism in children.
作者
李恩耀
原丹
赵鹏举
李立国
杨健全
孙榛誉
徐翠香
于谦
夏斯曼
牛少朵
Li Enyao;Yuan Dan;Zhao Pengju(The Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou,450000,China)
出处
《中国康复》
2019年第2期78-81,共4页
Chinese Journal of Rehabilitation
基金
河南省医学科技攻关计划项目(2018020223)
河南省中医药科学研究专项课题(2018ZY3013)
河南省高等学校重点科研项目(17A320007)
关键词
沙盘游戏
综合干预
儿童孤独症
sandplay
comprehensive intervention
childhood autism
