论文部分内容阅读
目的:对29名孤独症儿童进行3年随访及相关康复情况调查。方法:对家长进行康复相关情况的访谈,对患儿进行Gesell量表和孤独症评定量表(childhoodautismratingscale,CARS)量表检查。结果:随访到完整资料的22名孤独症儿童中,45.5%从未接受过康复,66.7%在4—6岁时才开始康复,41.7%患儿父母未接受过康复方面的业务培训,接受过康复的患儿回到家中仅有41.7%按照专业人员要求继续系统训练,家庭训练中最大的困难是患儿不配合,患儿未接受康复训练的原因主要是费用过高。与3年前相比,大部分患儿各种能力及一半患儿核心症状都得到改善,改善比例最高和最低的领域分别是大运动和核心症状。接受过康复的患儿比未接受过康复的患儿适应性和言语改善明显较好。结论:康复可以改善患儿的短期预后,但患儿的早期康复时机未得到充分利用,家长缺乏相关知识,也受到经济等客观条件的制约。
Objective: To investigate the 3-year follow-up and related rehabilitation of 29 autistic children. METHODS: Interviews with parents about rehabilitation were conducted, and the children were examined with the Gesell scale and the autism list (CARS). Results: Of the 22 autistic children who followed up to complete information, 45.5% never received rehabilitation, 66.7% started recovery at 4-6 years of age, 41.7% of the parents did not receive rehabilitation training, Only 41.7% of the children returned to school were trained in the system according to the requirements of the professionals. The biggest difficulty in family training was that the children did not cooperate and the reason why the children did not receive rehabilitation training was due to the excessive cost. Compared with 3 years ago, most children’s abilities and half of their children’s core symptoms improved. The areas with the highest and the lowest rates of improvement were major motor and core symptoms respectively. Children who received rehabilitation were significantly better than those who did not receive rehabilitation and speech. Conclusion: Rehabilitation can improve the short-term prognosis in children, but the timing of early rehabilitation in children is not fully utilized. Parents lack relevant knowledge and are subject to economic and other objective conditions.