Abstract: Objective　To analyze the efficacy of interest-oriented floor play therapy combined with multimedia sensory and speech training in the treatment of children with autism spectrum disorder (ASD). Methods　A total of 82 children with ASD in Children's Hospital Affiliated to Zhengzhou University from November 2018 to December 2020 were selected and were divided into a study group (41 cases) and a control group (41 cases) according to the random number table method. There were 20 males and 21 females in the control group, aged (6.87±1.49) years; there were 23 males and 18 females in the study group, aged (6.02±1.35) years. The control group was given routine rehabilitation, and the study group was given interest-oriented floor play therapy combined with multimedia sensory and speech training on the basis of the control group. The efficacy, Autism Behavior Checklist (ABC) score, Childhood Autism Rating Scale (CARS) score, Integrated Visual and Auditory Continuous Performance Test (IVA-CPT) [comprehensive response control quotient (FRCQ) and comprehensive attention quotient (FAQ)], Pediatric Evaluation of Disability Inventory (PEDI), and language developmental delay test (S-S) were compared between the two groups. Independent sample t test was used for the measurement data and χ² test was used for the count data. Results　Compared with 68.29% (28/41) of the control group, the total effective rate of the study group [87.80% (36/41)] was higher (P<0.05). After treatment, the ABC and CARS scores of the study group were (31.56±8.45) points and (28.16±5.59) points, respectively, which were lower than those of the control group [(39.04±9.61) points and (33.48±6.15) points] (both P<0.05). After treatment, the FRCQ and FAQ scores of the study group were (109.12±17.16) points and (97.54±16.38) points, respectively, which were higher than those of the control group [(98.25±16.46) points and (86.19±14.37) points] (both P<0.05). After treatment, the PEDI and S-S scores of the study group were (82.23±11.32) points and (56.64±5.41) points, respectively, which were higher than those of the control group [(75.16±10.64) points and (43.79±4.85) points] (both P<0.05). Conclusion　Interest-oriented floor play therapy combined with multimedia sensory and speech training in the treatment of children with autism spectrum disorder can improve the treatment effect, improve their language disorder, reduce the severity of the disease, and improve the body function and language function.

Key words: Autism spectrum disorder, Interest-oriented floor play therapy, Multimedia sensory, Speech training

摘要： 目的　分析兴趣导向的地板游戏疗法联合多媒体感觉及言语训练治疗孤独症（ASD）患儿的疗效。方法　选取2018年11月至2020年12月郑州大学附属儿童医院ASD患儿82例，按随机数字表法分为研究组41例和对照组41例。对照组男20例，女21例，年龄（6.87±1.49）岁；研究组男23例，女18例，年龄（6.02±1.35）岁。对照组给予常规康复，研究组在对照组基础上给予兴趣导向的地板游戏疗法联合多媒体感觉及言语训练。对比两组疗效、孤独症行为评定量表（ABC）评分、儿童孤独症评定量表（CARS）评分、视听整合连续执行测试表（IVA-CPT）［综合反应控制商数（FRCQ）、综合注意力商数（FAQ）］、能力低下儿童评定量表（PEDI）、语言发育迟缓检查法（S-S）。计量资料组间比较行独立样本t检验，计数资料组间比较行χ²检验。结果　与对照组总有效率68.29%（28/41）比较，研究组总有效率87.80%（36/41）高（P<0.05）。治疗后，研究组ABC、CARS评分分别为（31.56±8.45）分、（28.16±5.59）分，均低于对照组（39.04±9.61）分、（33.48±6.15）分（均P<0.05）；治疗后，研究组FRCQ、FAQ评分分别为（109.12±17.16）分、（97.54±16.38）分，均高于对照组（98.25±16.46）分、（86.19±14.37）分（均P<0.05）；治疗后，研究组PEDI、S-S评分分别为（82.23±11.32）分、（56.64±5.41）分，均高于对照组（75.16±10.64）分、（43.79±4.85）分（均P<0.05）。结论　兴趣导向的地板游戏疗法联合多媒体感觉及言语训练治疗ASD患儿可提高治疗效果，改善ASD患儿的语言障碍，减轻病情严重程度，改善机体功能和语言功能。

关键词: 孤独症, 兴趣导向的地板游戏, 多媒体感觉, 言语训练