ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2020, Vol. 12 ›› Issue (3): 196-199.doi: 10.3969/j.issn.1674-3865.2020.03.003

• 孤独症治疗专栏 • 上一篇    下一篇

作业疗法结合图片交换交流系统在儿童孤独症康复治疗中的应用

邢晓曼   

  1. 450000 郑州，郑州大学附属儿童医院、河南省儿童医院、郑州儿童医院康复医学科
  • 出版日期:2020-06-25 发布日期:2021-05-17
  • 作者简介:邢晓曼（1992-），女，康复技师。研究方向:儿童康复，E-mail:dnltlb@163.com

Application of occupational therapy combined with picture exchange communication system in the rehabilitation therapy for children with autism

  • Online:2020-06-25 Published:2021-05-17

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摘要： 目的 探究作业疗法结合图片交换交流系统（PECS）在儿童孤独症康复治疗中的应用。 方法 选取2017年1月至2018年12月于我院接受治疗的孤独症患儿86例为受试对象，随机分为观察组与对照组各43例。对照组予以PECS治疗，观察组在其基础上实施作业疗法治疗。比较两组患儿治疗前及治疗6个月后心理发育水平、病情恢复情况及治疗依从性变化。 结果 治疗6个月后，两组患儿沟通、体能及行为3项得分均较治疗前显著提升，且观察组的体能及行为得分明显高于对照组，差异有统计学意义（P<0.05），而两组沟通能力得分比较差异无统计学意义（P>0.05）。治疗后两组患儿孤独症儿童行为量表、儿童孤独症评定量表得分较治疗前均有显著下降，且观察组明显低于对照组，差异有统计学意义（P<0.05）。治疗后观察组患儿治疗总依从率明显高于对照组，差异有统计学意义（P<0.05）。 结论 作业疗法结合PECS确可明显改善孤独症患儿症状，改善患儿心理发育水平，且能显著提高其治疗依从性。

关键词: 孤独症, 作业疗法, PECS, 心理发育, 依从性

Abstract: Objective To explore the application for occupational therapy combined with Picture Exchange Communication System (PECS) in the rehabilitation therapy for children with autism. Methods Eightysix children with autism who were treated in our hospital from January 2017 to December 2018 were selected as study subjects and were randomly divided into observation group and control group, with 43 cases in each group. Control group was treated with PECS while observation group was treated with occupational therapy on this basis. Changes in psychological development level, disease recovery and treatment compliance were compared between the two groups before treatment and after 6 months of treatment. Results After 6 months of treatment, the scores of the three items（communication, physical fitness and behavior） in the two groups were significantly improved compared with those before treatment, and the scores of physical fitness and behavior in observation group were significantly higher than those in control group(P<0.05), but there was no significant difference in communication ability score between the two groups(P>0.05). After treatment, the scores of children' s autism behavior scale and children' s autism assessment scale in the two groups were significantly decreased compared with those before treatment, and the scores in observation group were significantly lower than those in control group(P<0.05). After treatment, the overall rate of treatment compliance in observation group was significantly higher than that in control group(P<0.05). Conclusion Occupational therapy combined with PECS can obviously improve the symptoms, enhance the psychological development level and significantly promote the treatment compliance of children with autism.

Key words: Autism, Occupational therapy, PECS, Psychological development, Compliance