多媒体感觉统合训练配合言语训练对伴智力低下孤独症谱系障碍儿童智力发育和事件相关电位的影响
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摘要
目的探讨多媒体感觉统合训练配合言语训练对伴智力低下孤独症谱系障碍(ASD)儿童智力发育和事件相关电位(ERP)的影响。方法将三门峡市中心医院接诊的82例伴智力低下ASD病儿采用随机数字表法等分为联合组和常规组,常规组接受常规康复治疗,联合组在常规组基础上给予多媒体感觉统合训练+言语训练,均治疗6个月,比较两组治疗前后孤独症行为评定量表(ABC)、视听整合连续执行测试(ⅣA-CPT)、中国韦氏儿童智力量表(WISC-R)评分及ERP P3潜伏期、波幅的变化。结果治疗后,两组ABC各维度评分、ERP P3潜伏期均明显降低(P <0. 05),ⅣA-CPT评分、WISC-R评分和ERP P3波幅均明显升高(P <0. 05);联合组ABC [(45. 51±7. 58)比(52. 83±8. 54)分]、ⅣA-CPT[FRCQ (109. 82±18. 30)比(97. 06±16. 14)分,FAQ(97. 18±16. 27)比(86. 25±14. 61)分]、WISC-R评分及ERP P3潜伏期[(426. 88±23. 71)比(439. 72±24. 49) ms]、波幅变化幅度[(7. 23±1. 67)比(6. 35±1. 40)μV]均大于常规组。结论多媒体感觉统合训练配合言语训练可有效改善伴智力低下ASD病儿的认知功能、执行功能,促进病儿智力发育和语言发育。
Objective To explore the effects of multimedia sensory integration training combined with speech training on intelligence development and event-related potential( ERP) in children with autism spectrum disorder( ASD) and mental retardation. Methods Eighty-two cases of ASD children patients with mental retardation in Sanmenxia Central Hospital were randomly divided into combined group and routine group. Routine group was given routine rehabilitation,and combined group was given multimedia sensory integration training and speech training on the basis of routine group,and the two groups were treated for 6 months. The changes of scores of autism behavior checklist( ABC),integrated visual and auditory continuous performance test( ⅣA-CPT) and Wechsler Intelligence Scale for Children( WISC-R),and ERP P3 latency and amplitude were compared between the two groups before and after treatment. Results After treatment,all dimensions scores of ABC scale and ERP P3 latency were significantly lower in the two groups( P < 0. 05) while theⅣA-CPT score,WISC-R score and ERP P3 amplitude were all significantly higher( P < 0. 05). The scores changes of ABC[( 45. 51 ±7. 58) vs.( 52. 83 ± 8. 54) ] and ⅣA-CPT [FRCQ( 109. 82 ± 18. 30) vs.( 97. 06 ± 16. 14),FAQ( 97. 18 ± 16. 27) vs.( 86. 25 ±14. 61) ]and WISC-R,ERP P3 latency [( 426. 88 ± 23. 71) vs.( 439. 72 ± 24. 49) ms] and amplitude [( 7. 23 ± 1. 67) vs.( 6. 35 ±1. 40) μV] were greater in combined group than those in routine group. Conclusion Multimedia sensory integration training combined with speech training can effectively improve cognitive function and executive function in ASD children patients with mental retardation,and promote intelligence development and language development.
Objective To explore the effects of multimedia sensory integration training combined with speech training on intelligence development and event-related potential( ERP) in children with autism spectrum disorder( ASD) and mental retardation. Methods Eighty-two cases of ASD children patients with mental retardation in Sanmenxia Central Hospital were randomly divided into combined group and routine group. Routine group was given routine rehabilitation,and combined group was given multimedia sensory integration training and speech training on the basis of routine group,and the two groups were treated for 6 months. The changes of scores of autism behavior checklist( ABC),integrated visual and auditory continuous performance test( ⅣA-CPT) and Wechsler Intelligence Scale for Children( WISC-R),and ERP P3 latency and amplitude were compared between the two groups before and after treatment. Results After treatment,all dimensions scores of ABC scale and ERP P3 latency were significantly lower in the two groups( P < 0. 05) while theⅣA-CPT score,WISC-R score and ERP P3 amplitude were all significantly higher( P < 0. 05). The scores changes of ABC[( 45. 51 ±7. 58) vs.( 52. 83 ± 8. 54) ] and ⅣA-CPT [FRCQ( 109. 82 ± 18. 30) vs.( 97. 06 ± 16. 14),FAQ( 97. 18 ± 16. 27) vs.( 86. 25 ±14. 61) ]and WISC-R,ERP P3 latency [( 426. 88 ± 23. 71) vs.( 439. 72 ± 24. 49) ms] and amplitude [( 7. 23 ± 1. 67) vs.( 6. 35 ±1. 40) μV] were greater in combined group than those in routine group. Conclusion Multimedia sensory integration training combined with speech training can effectively improve cognitive function and executive function in ASD children patients with mental retardation,and promote intelligence development and language development.
引文
[1]朱莎,钟燕,江淑娟,等.孤独症行为量表和克氏孤独症行为量表在孤独症谱系障碍中的应用分析[J].医学临床研究,2017,34(5):1026-1028.
[2]傅毅堃,周爱琴,戴琼,等.孤独症谱系障碍儿童综合干预年龄及持续时间对治疗效果影响的探讨[J].中国儿童保健杂志,2016,24(12):1312-1314.
[3]杨涛,王垭,刘娟等.孤独症谱系障碍儿童的家庭负担及康复治疗研究进展[J].华西医学,2016,31(6):1147-1151.
[4]郝永敏,孙继伟,关春荣.穴位注射鼠神经生长因子治疗不同年龄段儿童孤独症谱系障碍临床研究[J].中国中医药信息杂志,2018,25(2):30-34.
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[6]张月恒,韩书文,王力芳.听觉统合训练对儿童孤独症的近期疗效及康复效果评价[J].中国医药导报,2013,10(13):50-52.
[7]龚耀先,蔡太生.中国修订韦氏儿童智力量表[J].中国临床心理学杂志,1994,2(1):1-6.
[8]李改智,杜亚松,赵力聪.孤独症谱系障碍男童智力结构特征的分析[J].中国儿童保健杂志,2017,25(12):1218-1221.
[9]田金来,王丽英,张向葵.公立小学儿童孤独症谱系障碍患病率及其影响因素[J].中国临床心理学杂志,2016,24(2):277-281.
[10]梁颖,李楠,郭园园,等.不同干预模式下孤独症谱系障碍儿童干预效果的比较[J].天津医药,2016,44(7):880-883.
[11]阿尔祖古丽·牙合甫,阿斯木古丽·克力木,热依拉·阿不拉,等.综合干预训练对不同年龄段孤独症患儿的效果及对策分析[J].中国妇幼保健,2016,31(4):732-734.
[12]蒋黎艳.感觉统合训练结合语音训练治疗儿童功能性构音障碍的疗效分析[J].中华物理医学与康复杂志,2018,40(1):55-57.
[13]李瑞玲,杨晓艳,曹春红.音乐疗法结合语言训练对孤独症儿童语言康复的疗效观察[J].中国听力语言康复科学杂志,2016,14(3):220-223.
[14]章丽丽,刘毅梅,窦红波,等.伴智力低下孤独症谱系障碍儿童智力特征分析[J].中华行为医学与脑科学杂志,2016,25(4):334-337.
[15]周洋,陈一心,高润,等.听觉统合干预对孤独症谱系障碍患儿脑干听觉诱发电位及临床疗效的影响[J].中华行为医学与脑科学杂志,2016,25(7):615-619.
[16]许才娟,张玲,潘宁,等.孤独症谱系障碍儿童表情面孔工作记忆的事件相关电位研究[J].中国当代儿科杂志,2017,19(3):280-285.
[2]傅毅堃,周爱琴,戴琼,等.孤独症谱系障碍儿童综合干预年龄及持续时间对治疗效果影响的探讨[J].中国儿童保健杂志,2016,24(12):1312-1314.
[3]杨涛,王垭,刘娟等.孤独症谱系障碍儿童的家庭负担及康复治疗研究进展[J].华西医学,2016,31(6):1147-1151.
[4]郝永敏,孙继伟,关春荣.穴位注射鼠神经生长因子治疗不同年龄段儿童孤独症谱系障碍临床研究[J].中国中医药信息杂志,2018,25(2):30-34.
[5]美国精神医学学会,张道龙.精神障碍诊断与统计手册[M].北京:北京大学出版社,2014:53-362.
[6]张月恒,韩书文,王力芳.听觉统合训练对儿童孤独症的近期疗效及康复效果评价[J].中国医药导报,2013,10(13):50-52.
[7]龚耀先,蔡太生.中国修订韦氏儿童智力量表[J].中国临床心理学杂志,1994,2(1):1-6.
[8]李改智,杜亚松,赵力聪.孤独症谱系障碍男童智力结构特征的分析[J].中国儿童保健杂志,2017,25(12):1218-1221.
[9]田金来,王丽英,张向葵.公立小学儿童孤独症谱系障碍患病率及其影响因素[J].中国临床心理学杂志,2016,24(2):277-281.
[10]梁颖,李楠,郭园园,等.不同干预模式下孤独症谱系障碍儿童干预效果的比较[J].天津医药,2016,44(7):880-883.
[11]阿尔祖古丽·牙合甫,阿斯木古丽·克力木,热依拉·阿不拉,等.综合干预训练对不同年龄段孤独症患儿的效果及对策分析[J].中国妇幼保健,2016,31(4):732-734.
[12]蒋黎艳.感觉统合训练结合语音训练治疗儿童功能性构音障碍的疗效分析[J].中华物理医学与康复杂志,2018,40(1):55-57.
[13]李瑞玲,杨晓艳,曹春红.音乐疗法结合语言训练对孤独症儿童语言康复的疗效观察[J].中国听力语言康复科学杂志,2016,14(3):220-223.
[14]章丽丽,刘毅梅,窦红波,等.伴智力低下孤独症谱系障碍儿童智力特征分析[J].中华行为医学与脑科学杂志,2016,25(4):334-337.
[15]周洋,陈一心,高润,等.听觉统合干预对孤独症谱系障碍患儿脑干听觉诱发电位及临床疗效的影响[J].中华行为医学与脑科学杂志,2016,25(7):615-619.
[16]许才娟,张玲,潘宁,等.孤独症谱系障碍儿童表情面孔工作记忆的事件相关电位研究[J].中国当代儿科杂志,2017,19(3):280-285.
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