佳木斯大学附属第三医院 佳木斯 154007
聂颖 硕士 技师;研究方向:孤独症儿童康复治疗
朱俊丽,E-mail:247815165@qq.com
收稿:2026-04-20,
修回:2026-05-18,
录用:2026-06-29,
网络首发:2026-10-12,
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聂颖,李佳霞,张旭等.脑电生物反馈联合精准家庭干预对孤独症谱系障碍儿童的影响[J].中国听力语言康复科学杂志,
NIE Ying,LI Jia-xia,ZHANG Xu,et al.Effects of Electroencephalogram Biofeedback Combined with Precise Family Intervention on Children with Autism Spectrum Disorder[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,
聂颖,李佳霞,张旭等.脑电生物反馈联合精准家庭干预对孤独症谱系障碍儿童的影响[J].中国听力语言康复科学杂志, DOI:10.3969/j.issn.1672-4933...001.
NIE Ying,LI Jia-xia,ZHANG Xu,et al.Effects of Electroencephalogram Biofeedback Combined with Precise Family Intervention on Children with Autism Spectrum Disorder[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation, DOI:10.3969/j.issn.1672-4933...001.
目的
2
探讨脑电生物反馈治疗联合个体化精准家庭干预模式对孤独症谱系障碍(ASD)儿童社交互动、认知功能、语言沟通能力及生活质量的改善效果,为临床优化ASD儿童康复干预方案提供参考依据。
方法
2
选取2024年1月~2025年3月于佳木斯大学附属第三医院接受康复治疗的60例符合纳入标准的ASD儿童为研究对象,采用随机分组法将其分为常规组与联合组各30例。常规组采用常规机构康复干预联合基础家庭指导模式开展治疗,联合组在常规干预基础上,叠加脑电生物反馈治疗,并实施系统化、个体化的精准家庭干预方案。干预前后采用社交反应量表(social responsiveness scale,SRS)、韦氏幼儿智力量表第四版(Wechsler preschool and primary scale of intelligence-fourth edition,WPPSI-Ⅳ)、儿童语言发育迟缓检查量表(sign-significance relation,S-S)、儿童孤独症评定量表第二版(childhood autism rating scale-second edition,CARS-2)、孤独症疗效评定量表(autism treatment evaluation checklist,ATEC)及儿童生活质量量表4.0幼儿版(pediatric quality of life inventory 4.0 for children,PedsQL)对两组患儿的核心症状、认知水平、语言能力、社交功能及生活质量进行全面评估与对比分析。
结果
2
治疗后两组患儿各项指标均有改善。其中SRS评分、CARS-2评分、ATEC评分均降低(
P
<0.05),且联合组评分低于常规组(
P
<0.05);治疗后两组S-S评分、PedsQL评分、WPPSI-Ⅳ评分均升高(
P
<0.05),且联合组显著高于常规组(
P
<
0.05)。
结论
2
脑电生物反馈治疗联合个体化精准家庭干预的综合方案可有效改善ASD儿童的社交缺陷、语言障碍及孤独症核心症状,显著提升患儿认知功能与生活质量,康复干预效果优于常规干预模式,具备较高的临床应用价值与推广意义。
Objective
2
This study aimed to explore the efficacy of electroencephalogram biofeedback therapy combined with individualized precise family intervention in improving social interaction
cognitive function
language communication ability and quality of life in children with autism spectrum disorder (ASD)
so as to provide references for optimizing clinical rehabilitation intervention programs for ASD children..
Methods
2
A total of 60 ASD children meeting the inclusion criteria who received rehabilitation treatment in our hospital from January 2024 to March 2025 were enrolled and randomly divided into the routine group and combined group
with 30 cases in each group. The routine group received institutional routine rehabilitation intervention combined with basic family guidance. On the basis of routine intervention
the combined group was additionally treated with EEG biofeedback therapy and implemented systematic and individualized precise family intervention. Before and after intervention
the Social Responsiveness Scale (SRS)
Wechsler Preschool and Primary Scale of Intelligence-Fourth Edition (WPPSI-IV)
Sign-Significance Relation (S-S) scale
Childhood Autism Rating Scale-Second Edition (CARS-2)
Autism Treatment Evaluation Checklist (ATEC) and Pediatric Quality of Life Inventory 4.0 for Young Children (PedsQL) were used to comprehensively evaluate and compare core symptoms
cognitive level
language ability
social function and quality of life of children in the two groups.
Results
2
After intervention
all evaluation indicators of children in both groups were significantly improved compared with those before intervention (
P
<0.05). The SRS
CARS-2 and ATEC scores of the two groups decreased obviously
and the scores in the combined group were significantly lower than
those in the routine group. The S-S
WPPSI-IV and PedsQL scores of the two groups increased significantly
and the improvement in the combined group was superior to that in the routine group
with statistically significant between-group differences (
P
<0.05).
Conclusion
2
The combined regimen of EEG biofeedback therapy and individualized precise family intervention can effectively ameliorate social deficits
language disorders and core autistic symptoms of ASD children
and significantly improve their cognitive function and quality of life. Its rehabilitation effect is better than that of conventional intervention
which has high clinical application value and promotion significance.
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