CAJ | 학술논문

目的观察高压氧干预对孤独症儿童的行为和家庭环境的影响,评价高压氧治疗对孤独症儿童的疗效.方法遴选68名在青岛大学医学院附属医院儿童保健科门诊就诊的孤独症儿童,经患儿家长知情同意后分为2组:高压氧结合康复训练组(高压氧组)和单纯康复训练组(对照组).采用孤独症儿童行为检查量表和家庭环境量表中文版评价孤独症儿童的行为特点及家庭特征,研究高压氧干预对孤独症儿童的疗效.结果高压氧组与对照组比较,治疗后行为检查量表(ABC)总分、交往、生活自理因子得分降低(分别为54.23±14.63、63.42±20.15,t=-2.031,P=0.047；13.07±4.98、16.23±6.19,t=-2.190,P=0.032;10.10 ±4.18、13.87±5.08,t=-3.161,P=0.002)差异有统计学意义；家庭环境方面亲密度和情感表达得分增高(分别为7.90±0.662、7.19±1.62,t=2.215,P=0.031；5.97±1.35、5.06±1.46,t=2.503,P=0.015),差异有统计学意义.结论高压氧结合康复训练治疗孤独症儿童较单纯康复训练疗效好.
목적 관찰고압양간예대고독증인동적행위화가정배경적영향,평개고압양치료대고독증인동적료효.방법 린선68명재청도대학의학원부속의원인동보건과문진취진적고독증인동,경환인가장지정동의후분위2조:고압양결합강복훈련조(고압양조)화단순강복훈련조(대조조).채용고독증인동행위검사량표화가정배경량표중문판평개고독증인동적행위특점급가정특정,연구고압양간예대고독증인동적료효.결과 고압양조여대조조비교,치료후행위검사량표(ABC)총분、교왕、생활자리인자득분강저(분별위54.23±14.63、63.42±20.15,t=-2.031,P=0.047；13.07±4.98、16.23±6.19,t=-2.190,P=0.032;10.10 ±4.18、13.87±5.08,t=-3.161,P=0.002)차이유통계학의의；가정배경방면친밀도화정감표체득분증고(분별위7.90±0.662、7.19±1.62,t=2.215,P=0.031；5.97±1.35、5.06±1.46,t=2.503,P=0.015),차이유통계학의의.결론 고압양결합강복훈련치료고독증인동교단순강복훈련료효호.
Objective To observe the effect of HBO intervention and family environment on the behavior of children with autism,and also to evaluate the therapeutic effect of HBO on autism in children.Methods A total of 68 children with autism were chosen from the outpatient of Child Health Care Department affiliated to the hospital of Medical Collage,Qingdao University.The child patients were randomly divided into 2 groups:the HBO combined with rehabilitation training group and the simple rehabilitation training group.Autism behavior checklist (ABC) and Family Environment Scale-Chinese Version (FES-CV) were used to assess behavior characteristics of children with autism and their family environment characteristics,so as to investigate the therapeutic effect of HBO intervention on autism in children.Results When compared with the control group,the total scores of ABC and the scores of communication and independent living for the patients in the HBO combined with rehabilitation training group were lower,with statistical differences between them (54.23 ± 14.63 vs 63.42 ±20.15,t =-2.031 P =0.047; 13.07 ±4.98 vs 16.23 ±6.19,t =-2.190 P=0.032; 10.10 ± 4.18 vs 13.87 ± 5.08,t =-3.161 P =0.002).The scores for intimacy between family folks and the expression of emotion for patients in the HBO combined with rehabilitation training group were higher than those of the simple rehabilitation training group,and statistical differences could be noted between them (7.90±0.66vs7.19±1.62,t=2.215 P=0.031; 5.97±1.35 vs5.06±1.46,t=2.503 P=0.015).Conclusions HBO combined with rehabilitation training could produce better effect on children with autism,when compared with simple rehabilitation training.