【摘要】 目的对比医体结合训练与常规训练对学龄前孤独症谱系障碍(autism spectrum disorder, ASD)儿童的干预效果,为学龄前ASD儿童的综合干预提供新的思路和实践依据。方法将2018年9月—2019年6月在扬州市妇幼保健院儿童康复科就诊并接受训练的69例学龄前ASD儿童随机分为常规对照组(normal couple, NC组)和医体结合训练组(medical and physical couple, MPC组),开展为期12周的训练干预,NC组接受常规训练,MPC组在常规训练基础上,介入以幼儿篮球为载体的体育运动训练。2组ASD儿童在治疗前、治疗后分别用ASD儿童心理教育评估系统第3版(psychoeducational profile, thirdedition, PEP-3)进行全面发育评估,比较2组ASD儿童功能改善情况。结果干预12周后,2组儿童在ASD核心症状、问题行为及其他行为特征方面均得到有效改善;与NC组相比,MPC组的康复效果更为显著(P<0.01)。结论医体结合干预能有效改善学龄前ASD儿童的核心症状和减少问题行为,对ASD儿童的整体发育水平有促进作用。更多还原

【Abstract】 Objective By comparing the effects of interventions and treatments of combined medical and physical training and conventional training on preschool children with autism spectrum disorder(ASD), to provide new ideas and practical basis for comprehensive intervention of preschool ASD children. Methods From September 2018 to June 2019, 69 preschool ASD children who were treated and trained in the Children’s Rehabilitation Department of Yangzhou Maternal and Child Health Hospital were randomly divided into normal control group(normal couple, NC group) and combined medical and physical training group(medical and physical couple, MPC group). In 12 weeks of intervention training, the NC group received routine training, and the MPC group received routine training and physical training with children’s basketball as the carrier. Before and after treatment, ASD children of two groups were assessed comprehensively by using the psychoeducational profile, third edition(PEP-3). The functional improvements of the two groups were compared. Results After 12 weeks of intervention, the children in both groups were more effective in improving the core symptoms of autism, reducing problem behaviors and other behavioral characteristics. Compared with the NC group, the MPC group was significantly effective(P<0.01). Conclusion Medical-physical integration intervention can effectively improve the core symptoms and reduce problem behaviors of preschool ASD children, and promote the overall development level of ASD children.更多还原