摘要:
系统评价听觉统合训练(AIT)在孤独症儿童中的应用效果,为促进孤独症儿童症状的改善提供参考.方法 计算机检索PubMed、EBSCO host、EM base、Science Direct数据库、万方学术会议论文全文数据库、维普中文期刊数据库、中国知网CKNI数据库中,关于听觉统合训练在儿童孤独症中应用的随机对照试验(RCT),检索时间为1995年1月一2015年10月.按照纳入与排除标准选择文献、评价文献质量和提取资料,采用RevMan 5.3软件进行Meta分析.结果 共纳入9篇RCT.其中有6个研究表明,听觉统合训练可以降低孤独症儿童行为检查表(ABC)的分值(WMD=-7.08,95%CI=-12.04~-2.13,P=0.002);有3个研究表明,听觉统合训练可以降低孤独症儿童的孤独症治疗评估量表(ATEC)的分值(WMD=-6.75,95%CI =-8.96~-4.55,P=0.96);有3个研究表明,听觉统合训练可以提高孤独症儿童的智商(IQ)(MD=7.72,95%CI=3.90~ 11.55,P=0.62);经敏感性分析,听觉统合训练对孤独症儿童ABC分值影响的Meta分析结果稳定.结论 听觉统合训练能改善孤独症儿童的行为问题,提高孤独症儿童的智商,在对儿童孤独症干预上有一定的控制效果.
Abstract:
Objective To evaluate the efficacy of auditory integration training (AIT) in children with autism.Methods Databases including Pubmed,EBSCO host,EM base,Science Direct database,WanFang database,VIP database,CKNI database were recruited to search for randomized controlled trials (RCT) of auditory integration training among children with autism from January 1995 to October 2015.Quality of RCTs was appraised and data were extracted for meta-analyses by using RevMan 5.3 software.Results Nine RCTs of AIT were included,six studies showed that AIT could reduce Autism Behavior Checklist (ABC) score [WMD=-7.08,95%CI=(-12.04--2.13),P=0.005];three studies showed that AIT could reduce children with Autism Treatment Evaluation Cheek-list (ATEC) scores (WMD=-6.75,95%CI=-8.96--4.55,P<0.01];three studies showed that AIT could improve IQ of children with autism(WMD=7.72,95%CI=3.90-11.55,P<0.01).Conclusion Auditory integration training can reduce the score of Autism Behavior Checklist,Autism Evaluation Check-list and increase IQ among children with autism.It is necessary for autism children receive auditory integration training.
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