广州医药 ›› 2025, Vol. 56 ›› Issue (3): 403-409.DOI: 10.20223/j.cnki.1000-8535.2025.03.019

• 论著 • 上一篇    下一篇

运动干预联合治疗性聆听对孤独症谱系障碍儿童社会交往功能的影响

冉欣, 左晓晓, 于楠湘, 张玲   

  1. 黄河三门峡医院儿童康复科(河南三门峡 472000)
  • 收稿日期:2024-05-28 出版日期:2025-03-20 发布日期:2025-04-08
  • 通讯作者: 左晓晓,E-mail:wkzuoxiao@163.com

The effect of exercise intervention combined with therapeutic listening on social communication function in children with autism spectrum disorder

RAN Xin, ZUO Xiaoxiao, YU Nanxiang, ZHANG Ling   

  1. Children's Rehabilitation Department,Yellow River Sanmenxia Hospital,Sanmenxia 472000,China
  • Received:2024-05-28 Online:2025-03-20 Published:2025-04-08

摘要: 目的 探讨运动干预联合治疗性聆听对孤独症谱系障碍儿童社会交往功能的影响。方法 选取黄河三门峡医院2020年1月—2023年10月收治的100例孤独症患儿,应用随机数字表法分为两组,各50例。对照组患儿实施常规护理,观察组在对照组基础上增加运动干预联合治疗性聆听。分别在干预前及干预6个月后采用孤独症治疗评价量表(ATEC)、儿童感觉统合发展评定量表、格塞尔发育量表(GDS)及中国韦氏儿童智力量表(WISC-R)评价两组患儿社会交往能力、感觉统合发展水平、神经发育水平及智力水平变化。结果 干预后两组患儿的ATEC各部分评分,包括健康/生理/行为、感知/认知能力、社交能力、语言表达/沟通能力及ATEC总分均降低,观察组低于对照组(P<0.05);干预后两组患儿学习能力发展、本体感觉、触觉防御、前庭功能及儿童感觉统合发展评定量表总分均升高,观察组高于对照组(P<0.05);干预后两组患儿动作能、应物能、言语能、应人能相关神经发育情况评分均升高,观察组高于对照组(P<0.05);干预后两组患儿言语智商、操作智商、总智商相关WISC-R评分均升高,观察组高于对照组(P<0.05)。结论 运动干预联合治疗性聆听对孤独症谱系障碍儿童应用效果显著,可提升其社会交往能力,促进感觉统合发展,进而促进其神经发育及智力水平提升。

关键词: 孤独症谱系障碍, 运动干预, 资料性聆听, 社会交往功能, 神经发育, 智力

Abstract: Objective To explore the effect of exercise intervention combined with therapeutic listening on social communication function in children with autism spectrum disorder.Methods A total of 100 autistic children who were admitted to our hospital from January 2020 to October 2023 were selected and divided into two groups by random number table method,with 50 children each.The control group received routine care,while the observation group received exercise intervention combined with therapeutic listening in addition to routine care.The Autism Treatment Evaluation Scale (ATEC),Children's Sensory Integration Development Scale,Gesell Development Scale,and Wechsler Intelligence Scale for Children-Revised by China (WISC-R)were used before and 6 months after the intervention to evaluate the social communication ability,sensory integration development level,neural development level,and intellectual level changes of the two groups of children.Results After intervention,the score of every dimension in ATEC including the health/physiology/behavior,perception/cognitive ability,social ability,language expression/communication ability,and total ATEC score of the two groups of children decreased,and the observation group was lower than the control group (P<0.05).After intervention,the total scores of the learning ability development insufficient,proprioceptive dysfunction,excessive tactile defense,vestibular dysfunction,and children's sensory integration development assessment scale in both groups of children increased,with the observation group being higher than the control group (P<0.05).After intervention,the neurological development scores related to motor,adapt,language,and social ability in both groups of children increased,and the observation group was higher than the control group (P<0.05).After intervention,the WISC-R scores related to verbal intelligence,operational intelligence,and total intelligence in both groups of children increased,and the observation group was higher than the control group (P<0.05).Conclusions The combination of exercise intervention and therapeutic listening has a significant effect on children with autism spectrum disorder,which can enhance their social communication ability,promote sensory integration development,and ultimately promote their neural development and intellectual level improvement.

Key words: autism spectrum disorder, exercise intervention, informative listening, social communication function, neurodevelopment, intelligence