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目的探究早期医学干预对儿童孤独症预后改善的影响。方法 2012年10月-2014年4月对泰安市妇幼保健院2~6岁的儿童进行孤独症的早期筛查,将发现的刚被确诊为孤独症的患儿34例作为观察组,对其进行早期的医学干预,干预时间为3个月。同时选择34例已被确诊为孤独症,错过早期干预治疗的患儿,作为对照组,同样对其进行相应的医学干预,干预时间为3个月。干预前,对两组患儿的一般资料以及孤独症治疗评估量表(ATEC)评分变化进行记录分析,并在干预之后再次对两组患儿的ATEC评分进行统计比较,同时对两组患儿识别他人面部表情的正确率进行对比分析。结果干预前,两组患儿的一般资料情况以及ATEC评分情况无明显差异(P>0.05)。干预治疗3个月后,观察组患儿的ATEC各项评分均低于对照组,差异有统计学意义(P<0.05),同时对两组患儿就他人的面部表情进行识别,发现观察组患儿的各面部表情的识别正确率均高于对照组,差异有统计学意义(P<0.05)。结论早期医学干预能够从一定程度上改善孤独症患儿的预后情况,促进孤独症儿童社会认知的发展,为孤独症患儿的身心健康发展提供可能。
Objective To explore the effect of early medical intervention on the improvement of autistic children’s prognosis. Methods From October 2012 to April 2014, early screening for autism was performed in children aged 2-6 years in the Maternal and Child Health Care Hospital of Tai’an City. 34 children newly diagnosed with autism were selected as the observation group, Early medical intervention, intervention time is 3 months. At the same time select 34 cases have been diagnosed with autism, missed the early intervention treatment of children, as a control group, the same medical intervention, the intervention time of 3 months. Before intervention, the general data of two groups of children and autism treatment evaluation scale (ATEC) score changes were recorded and analyzed, and after intervention again ATEC score of two groups of children were compared statistically, while two groups of children To identify the correct rate of facial expressions of others comparative analysis. Results Before the intervention, there was no significant difference between the two groups in the general information and the ATEC score (P> 0.05). After intervention for 3 months, the scores of ATEC in the observation group were lower than those in the control group (P <0.05). At the same time, the facial expressions of the two groups were identified, and the observation group Children’s facial expression recognition rate were higher than the control group, the difference was statistically significant (P <0.05). Conclusion Early medical intervention can improve the prognosis of children with autism to some extent, promote the development of social cognition in children with autism, and provide the possibility for the development of children with autism.