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论著·临床研究 | 更新时间:2026-10-12
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言语康复训练联合模拟游戏训练对孤独症患儿社交沟通能力的影响
Effect of speech rehabilitation training combined with simulated game training on social communication ability in children with autism

广西医学 页码:1318-1323

作者机构:邵瑞,本科,初级康复治疗师,研究方向为儿童康复。

基金信息:江苏省科技计划项目(BK20221221)

DOI:10.11675/j.issn.0253⁃4304.2026.09.10

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目的 探讨言语康复训练联合模拟游戏训练对孤独症患儿社交沟通能力的影响。方法 选取116例孤独症患儿作为研究对象,根据干预方法将其分为对照组和观察组,每组58例。对照组实施常规康复训练,观察组在常规康复训练基础上实施言语康复训练联合模拟游戏训练。比较两组患儿干预前后的社交沟通能力[孤独症治疗评估量表(ATEC)评分]、孤独症核心症状[孤独症行为量表(ABC)评分、儿童孤独症评定量表(CARS)评分]、临床症状改善情况,以及干预后患儿家长的满意度。结果 干预后,两组患儿的ATEC各维度得分、ABC评分及CARS评分均较干预前降低,且观察组上述评分低于对照组(P<0.05)。干预后,观察组患儿的胃肠道反应、兴奋症状发生率低于对照组,且观察组患儿家长的总满意度高于对照组(P<0.05)。结论 言语康复训练联合模拟游戏训练可有效提升孤独症患儿的社交沟通能力,减轻孤独症核心症状,降低胃肠道反应及兴奋症状的发生风险,并提高患儿家长的满意度。

Objective To explore the effect of speech rehabilitation training combined with simulated game training on social communication ability in children with autism. Methods A total of 116 children with autism were selected as the research subjects, and they were divided into control group or observation group according to the interventional methods, with 58 cases in each group. The control group received routine rehabilitation training, based on which the observation group implemented speech rehabilitation training combined with simulated game training. Social communication ability with respect to Autism Treatment Evaluation Checklist (ATEC) score, core symptoms of autism in terms of Autism Behavior Checklist (ABC) score, childhood autism rating scale (CARS) score, improvement of clinical symptoms before and after intervention, and satisfaction of parents of children after intervention were compared between the two groups. Results After intervention, the scores of all dimensions of ATEC, ABC and CARS of the two groups were lower than those before intervention, and the aforesaid scores of the observation group were lower than those of the control group (P<0.05). The incidence rates of gastrointestinal reactions and excitement symptoms in the observation group were lower than those in the control group (P<0.05). The total satisfaction of parents of children in the observation group was higher than that in the control group (P<0.05). Conclusion Speech rehabilitation training combined with simulated game training can effectively improve the social communication ability of children with autism, reduce the core symptoms of autism, reduce the occurrence risk of gastrointestinal reactions and excitement symptoms, and improve the satisfaction of parents of children.

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