摘要
目的探讨针刺联合计算机言语疾病矫治训练治疗孤独症患儿的临床疗效。方法选择2019年12月至2021年12月新乡医学院附属濮阳市油田总医院儿科收治的108例孤独症患儿为研究对象,根据治疗方式将患儿分为对照组和观察组,每组54例。对照组患儿接受计算机言语疾病矫治训练,观察组患儿在对照组治疗基础上联合针刺治疗,所有患儿治疗4个月。分别于治疗前后采用儿童孤独症评定量表(CARS)评估患儿的症状严重程度,采用语言发育迟缓检查法(S-S法)评估患儿的语言功能治疗效果,采用孤独症儿童行为量表(ABC)评估患儿的异常行为,采用格塞尔发育量表(GDS)评估患儿的中枢神经系统功能。采用重危患者家属满意度量表中文修订版(C-CCFSS)评估患儿家属满意度。结果治疗前2组患儿的CARS评分比较差异无统计学意义(P>0.05);治疗后,观察组患儿的CARS评分显著低于对照组(P<0.05);对照组患儿治疗前后的CARS评分比较差异无统计学意义(P>0.05);观察组患儿治疗后的CARS评分显著低于治疗前(P<0.05)。对照组和观察组患儿的语言功能治疗总有效率分别为83.33%(45/54)、96.30%(52/54),观察组患儿的语言功能治疗总有效率显著高于对照组(χ^(2)=4.960,P<0.05)。治疗前2组患儿的ABC各项评分及总分比较差异无统计学意义(P>0.05);2组患儿治疗后的ABC各项评分及总分显著低于治疗前(P<0.05);治疗后,观察组患儿的ABC各项评分及总分显著低于对照组(P<0.05)。治疗前2组患儿的GDS评分比较差异无统计学意义(P>0.05);治疗后,观察组患儿的GDS评分显著高于对照组(P<0.05);对照组患儿治疗前后的GDS评分比较差异无统计学意义(P>0.05);观察组患儿治疗后的GDS评分显著高于治疗前(P<0.05)。对照组和观察组患儿家属的满意度分别为81.48%(44/54)、94.44%(51/54),观察组患儿家属的满意度显著高于对照组(χ^(2)=4.285,P<0.05)。结论针刺联合计算机言语疾病矫治训练能够有效改善孤独症患儿临床症状及异常行为严重程度,促进语言功能及智力恢复,家属满意度较高,值得临床推广应用。
Objective To explore the clinical efficacy of acupuncture combined with computer speech disorder correction training in the treatment of children with autism.Methods A total of 108 children with autism admitted to the Department of Pediatrics,Puyang Oilfield General Hospital Affiliated to Xinxiang Medical University from December 2019 to December 2021 were selected as the research subjects.According to the treatment methods,the children were divided into the control group and the observation group,with 54 children in each group.The children in the control group received computer speech disorder correction training,while the children in the observation group received acupuncture treatment on the basis of the control group,and all children were treated for 4 months.Before and after treatment,the severity of symptoms of children was evaluated by the childhood autism rating scale(CARS),the treatment effectiveness of language function of children was evaluated by the language delayed development test(S-S method),the abnormal behavior of children was evaluated by the autism behavior checklist(ABC),and the central nervous system function of children was evaluated by the Gesell development scale(GDS).The satisfaction of the children′s family members was evaluated by the Chinese version of critical care family satisfaction survey(C-CCFSS).Results There was no significant difference in the CARS score of children between the two groups before treatment(P>0.05);after treatment,the CARS score of children in the observation group was significantly lower than that in the control group(P<0.05);there was no significant difference in the CARS score before and after treatment in the control group(P>0.05);the CARS score of children in the observation group after treatment was significantly lower than that before treatment(P<0.05).The total effective rates of language function therapy of children in the control group and observation group were 83.33%(45/54)and 96.30%(52/54),respectively;the total effective rate of language function therapy of children in the observation group was significantly higher than that in the control group(χ^(2)=4.960,P<0.05).Before treatment,there was no significant difference in the each item scores and scores total scores of ABC of children between the two groups(P>0.05);the each item scores and total scores of ABC of children in the two groups after treatment were significantly lower than those before treatment(P<0.05);after treatment,the each item scores and total scores of ABC of children in the observation group were significantly lower than those in the control group(P<0.05).Before treatment,there was no significant difference in GDS score of children between the two groups(P>0.05);after treatment,the GDS score of children in the observation group was significantly higher than that in the control group(P<0.05);there was no significant difference in GDS score of children before and after treatment in the control group(P>0.05);the GDS score of children in the observation group after treatment was significantly higher than that before treatment(P<0.05).The satisfaction of family member of children in the control group and the observation group was 81.48%(44/54)and 94.44%(51/54),respectively.The satisfaction of family member of children in the observation group was significantly higher than that in the control group(χ^(2)=4.285,P<0.05).Conclusion Acupuncture combined with computer speech disorder correction training can effectively improve the severity of the clinical symptoms and abnormal behavior of children with autism,promote language function and intellectual recovery,and has high family satisfaction,which is worthy of clinical promotion and application.
作者
缑梦帆
和俊杰
GOU Mengfan;HE Junjie(Department of Pediatrics,Puyang Oilfield General Hospital Affiliated to Xinxiang Medical University,Puyang 457000,Henan Province,China)
出处
《新乡医学院学报》
CAS
2024年第1期26-31,共6页
Journal of Xinxiang Medical University
关键词
孤独症
针刺
计算机言语疾病矫治训练
言语康复
疗效
autism
acupuncture
computer speech disorder correction training
speech rehabilitation
curative effect
作者简介
缑梦帆(1983-),女,河南濮阳人,学士,副主任医师,研究方向:儿童神经康复。
