应用行为分析联合感觉统合训练对孤独症谱系障碍儿童行为、发育、睡眠障碍的影响

摘要 目的：评价应用行为分析（ABA）联合感觉统合训练对孤独症谱系障碍（ASD）儿童行为、发育以及睡眠障碍的影响。方法：选入我院2021年1月~2023年1月收治的ASD儿童62例，随机分为对照组和观察组，各31例。两组均予以ABA疗法，观察组在此基础上接受感觉统合训练。评价两组的行为、发育及睡眠情况等，并进行统计比较。结果：观察组治疗总有效率87.10%，显著高于对照组的61.29%（P＜0.05）；两组治疗后ABC和ATEC量表的各项得分及总分均较治疗前减少，而观察组减少幅度更大，与对照组差异显著（P＜0.05）；与治疗前比较，两组治疗后Gesell量表各项得分明显升高（P＜0.05），而观察组升高幅度显著大于对照组（P＜0.05）；两组治疗前CSHQ的各项评分及总分无明显差异（P＞0.05），而治疗后，与对照组相比，观察组CSHQ各项评分及总分均较低（P＜0.05）。结论：ABA疗法联合感觉统合训练能够减轻ASD患儿的疾病症状，改善行为状态及睡眠质量，促进患儿发育，提高临床疗效。

The Effect of Application Behavior Analysis Combined with Sensory Integration Training on Behavior, Development and Sleep Disorders in Children with Autism Spectrum Disorders

ABSTRACT Objective: To evaluate the effect of applying behavioral analysis (ABA) combined with sensory integration training on behavior, development and sleep disorders in children with autism spectrum disorder (ASD). Methods: 62 children with ASD admitted to our hospital from January 2021 to January 2023 were randomly divided into a Matched group and an observation group, with 31 cases in each group. Both groups received ABA therapy, and the observation group received sensory integration training on this basis. Evaluate and compare the behavior, development and sleep status of the two groups. Results: The total effective rate of the observation group was 87.10%, higher than 61.29% in the matched group (P<0.05). After the treatment, the item scores and total scores on ABC and ATEC in both groups decreased compared to before the treatment, while the observation group showed a greater decrease, with a significant difference compared to the matched group (P<0.05). Compared with pretherapy, the Gesell scale scores of the two groups increased post-treatment (P<0.05), while the observation group showed a increase compared to the matched group (P<0.05). There was no difference in the item score and total score of CSHQ between the two groups pretherapy (P>0.05), but post-treatment, all CSHQ scores and total scores were lower in the observation group compared with the matched group (P<0.05). Conclusion: ABA therapy combined with sensory integration training can alleviate the symptoms of ASD in children, improve behavioral status and sleep quality, promote their development, and improve clinical efficacy.