(Statement: This article is only for popular science purposes. In order to protect the patient's privacy, the relevant information in the following content has been processed) [Basic information] Male, 5 years old and 8 months [Disease type] Autism [Treatment hospital] Weinan Bra

(Statement: This article is only for popular science purposes. In order to protect patient privacy, the relevant information in the following content has been processed)

[Basic information] Male, 5 years and 8 months

[Disease type] Autism

[Treatment hospital] Xi'an Traditional Chinese Medicine Brain Disease Hospital, Weinan Branch

[Treatment plan] Rehabilitation treatment

[Treatment period] Rehabilitation training for more than 4 months

[Treatment effect] The score of the child development examination report increased, and the score of the children's autism behavior scale decreased.

1. Getting to know the patient for the first time

1 years ago, when I was visiting the clinic, a little boy was brought into the clinic by his mother. The little boy was very timid and asked questions, but he hesitated to answer.

The mother of the child told me: The child was born naturally at full term and grew and developed normally after birth. However, when he was 2 years old, the child still could only say "Mom, Dad" and could not take the initiative to communicate with others. Because they were very worried about their child's intellectual problems, the parents took their child to a local hospital. A cranial MRI showed no abnormalities, and an autism examination was performed. The score was 31 points, and he was diagnosed with "autism." He has been receiving rehabilitation training and treatment in other hospitals, but the treatment effect is not good.

1 years ago, because the child did not take the initiative to communicate with others in the kindergarten, did not play with children of the same age, and preferred to be alone, the parents took the child to our hospital for treatment and wanted to receive systematic rehabilitation treatment.

2. Treatment process

After the children were admitted to the hospital, in order to evaluate the level of the child's development, movement, language and other functions, the "Development Examination Report for Children Aged 0-6", "Children's Autism Behavior Scale", "Children's Autism Rating Scale" and other specialist examinations were completed. Among them, the "Autism Behavior Scale for Children (ABC)" indicates that the child has difficulty interacting with others, has poor language skills, and has cognitive impairment . The "Children's Autism Rating Scale" score was 33 points, showing signs of mild autism.

Based on the above examination results and the child's medical history and symptoms, clinically diagnosed as autism in children. Comprehensive functional rehabilitation training was considered to restore the child's normal language and communication functions and improve his life treatment.

The specific treatment plan is: injection of adenosylcobalamin plus mouse nerve growth factor acupoints to nourish nerves and promote the recovery of damaged nerves, assist speech training, occupational therapy, sensory integration training , behavior correction training, hand function training, field effect, hearing integration, cognitive perceptual dysfunction training, guided education and other comprehensive rehabilitation treatments to stimulate children's cerebral cortex activity, form effective ways of thinking, and improve children's social abilities.

Because the recovery process is long and arduous, I told the family members of the children to persevere and cooperate closely with the doctors. In addition to rehabilitation exercises and treatment time in the hospital, they should also train on their own in their free time and communicate more with the children.

During the more than four months of rehabilitation training, the parents were very eager for their children's condition to improve, and they cooperated very well with our treatment. Children also gradually open their hearts and accept the outside environment. During ward rounds, he would also greet us and be willing to share his toys with other children. A happy smile gradually appeared on his face.

3. Precautions for patients during treatment

1. During the treatment process, parents of patients should view the disease correctly, be patient with their children, eliminate fear and nervousness, have confidence in their children, and teach them patiently.

2. The treatment of autism in children is a protracted battle and cannot be rushed. Parents should formulate a long-term rehabilitation training plan under the guidance of a doctor and stick to it, and do not let the plan become a mere formality.

3. Parents of patients should fully trust doctors, actively cooperate with treatment, and communicate with medical staff in a timely manner if they have any questions.

4. The patient’s therapeutic effect

Through standardized, reasonable, and joint long-term rehabilitation training and treatment plans, the patient’s autism symptoms have been improved, and he is also willing to take the initiative to communicate with others, share his toys, and open his heart to accept the external environment. The scores on the Children's Autistic Behavior Scale have been reduced on reexamination, and parents are very satisfied with this.

Since autism is a long-term treatment process, parents are informed that they need to return to the hospital for regular check-ups, spend more time with their children in life, and take their children to participate in more social activities.

5. Precautions for patients in daily life

1. In daily life, parents should actively encourage/guide their children correctly, and do not repeatedly blame their children for the disease.

2. Parents of children should actively participate in the popularization of medical knowledge, enhance their understanding of diseases, maintain communication and exchanges with medical staff, and provide scientific and long-term education to guide their children.

3. To establish parent-child attachment and emotional connection, parents should allow their children to have more contact with the outside environment, participate in various exercises, and allow children to play, interact, and learn with children of the same age, so that their personality and social adaptability can develop healthily. Children should not be allowed to live a "closed" life for a long time, so as not to form a withdrawn character that will affect the child's life.

6. Doctors’ insights

Autism is a widespread developmental disorder. The cause is not very clear. Most people believe that it has a certain relationship with genetics, external environment, and life experience. Generally speaking, autism begins in infants and young children, and can manifest as a certain degree of social communication impairment, communication difficulties , decreased interest in the external environment, stereotyped movements, and repetition of certain behaviors.

In this case, starting from the age of 2, the parents found that compared with children of the same age, the child lacked eye contact, had single movements, and simple speech. After entering kindergarten, the child showed a lack of social initiative, communication difficulties, monotonous behavior, and withdrawn personality. These symptoms are consistent with the symptoms of autism.

After these symptoms appear, parents should not blame their children too much. They should encourage and help their children more, take their children to see a doctor in time, and start rehabilitation training as early as possible to restore the children's normal language and behavioral functions and ensure their normal growth and development.

Through long-term rehabilitation treatment, the child's consciousness, way of thinking, and behavioral habits have been deliberately trained. The child's symptoms have been significantly relieved than before, and the child has become more gregarious, optimistic and positive.

At the same time, the autistic group also needs the attention, understanding and tolerance of people from all walks of life. Only by working together can these children be integrated into the social family. Therefore, I hope that everyone will work together to help the children adapt to the world as soon as possible.

Name: Guo Xiaocheng

Unit: Weinan Branch of Xi'an Traditional Chinese Medicine Brain Disease Hospital

Department: Children's Neurorehabilitation Department

Professional title: Attending physician