Abstract: Objective To observe the effects of auditory integration stimulus unite play therapy on behavior and psychology in autistic children. Methods Totally 60 autistic children were devided into three groups,with 20 case in each group.All children were treated with treatment and education for autistic and related communication handicapped children (TEACCH),group B was added play therapy,group C was added auditory integration stimulus in the basis of group B.They were assessed with the Childhood Autism Rating Scale (CARS),Autism Behavior Checklist (ABC),development quotient (DQ) of adaptability,language and personal life of Gesell Developmental Schedules before and 6 months after the treatment. Results CARS,ABC,development quotient (DQ) of adaptability,language and personal life of Gesell Developmental Schedules improved after treatment in three groups (P<0.05),the ABC and the DQ of personal life improved more in the group B,C than in the group A(P<0.05).In the DQ of language,group C were improved most in three groups,group B were improved better than group A. Conclusion auditory integration stimulus combined with the play therapy is more effective on behavior and psychology in autistic children.

Key words: auditory integration stimulus, play, treatment and education for autistic and related communication handicapped children, autism

摘要： 目的 探讨听觉统合训练联合游戏疗法对孤独症儿童行为心理的影响。方法 将孤独症患儿60例随机分为三组，A组(单纯的结构化教育治疗模式)、B组(结构化教育模式+游戏治疗)和C组(结构化教育治疗模式+游戏治疗+听觉统合治疗)，每组各20例，治疗前后均采用儿童孤独症评定量表(CARS)，孤独症儿童行为量表(ABC)，Gesell发育诊断量表(社会适应性，个人社交，语言)进行评估。结果 三组患儿治疗6个月后的CARS、社会适应、语言、个人社交均有改善(P<0.05)，其中在ABC及个人社交变化值方面，B组及C组较A组改善更为明显(P<0.05)。在语言变化值方面，C组变化值显著高于B组(P<0.05)，同时B组变化值又显著高于A组(P<0.05)。结论 听觉统合训练联合游戏疗法在自闭症儿童行为心理治疗中，效果优于单纯结构化教育。

关键词: 听觉统合训练, 游戏, 结构化教育, 孤独症