儿童阿斯伯格综合征64例临床分析

Clinical analysis of 64 children with Asperger syndrome.

目的 探讨儿童阿斯伯格综合征的临床特点 ,加深对我国阿斯伯格综合征的认识 ,提高对孤独症与阿斯伯格综合征的鉴别能力。方法 对 2 0 0 0年 4月至 2 0 0 3年 3月中山大学附属第三医院收治的 6 4例阿斯伯格综合征患儿的首诊主诉和常见的临床表现、家庭因素、围生期因素等资料进行分析。结果 阿斯伯格综合征患儿首诊主诉以多动、成绩差和不合群为最常见 ,发生率最高的症状行为是交流障碍 (94 % )、有重复刻板行为、兴趣狭窄 (89% ) ,其他行为依次为不听指挥、有持久记忆力等。有 2 5 %的患儿发现存在特殊面容。父母的文化水平以高中及高中以上居多 ,围生期高危因素似乎与发病无关。结论 孤独症与阿斯伯格综合征存在显著区别 ,当前提高对阿斯伯格综合征的认识非常重要。

Objective To observe the clinical manifestation of children with Asperger syndrome and to make differential diagnosis between autism and asperger syndrome.Methods The chief complaints and manifestations,family factor、perinatal factor of 64 children with Asperger syndrome were studied.Results The most common chief complaints of children with Asperger syndrome were hyperactivity,poor achievement and difficulty in social interaction; the most common manifestation were poor communication skill(94%), restricted interest and repetitive behavior(89 1%).25% children with Asperger syndrome had special facial features.Conclusion There exists remarkable difference between autism and Asperger syndrome.It’s essential for us to know more about Asperger syndrome.