儿童孤独症自伤行为的临床分析

Self injurious behaviour in childhood autism

目的：对儿童孤独症自伤行为作临床分析。方法：符合ＩＣＤ－１０诊断标准的伴有或不伴有自伤行为的孤独症患儿各３２例，按同年龄、同性别１∶１配对进行对照分析。结果：发现二者在起病年龄，首发症状，语言功能，智力水平，孕产期损害，伴发癫痫，以及疗效方面均有显著差异。结论：提示早期发现，早期干预，改善语言功能，积极预防及治疗癫痫，做好围产期保健工作，提高产科质量。

Objective:To study the factors associated with self injurious behaviour in autistic children and explore effective treatment strategy. Method:32 autistic patients with self injurious behaviour were compared with 32 control subjects without injurious behaviour matched in age and sex. Results:Autistic children with self injurious behaviour were significantly different from control in age of onset,primary symptoms,intelligence level,antenatal complications,birth trauma,complication by epilepsy,verbal ability and treatment response. Conclusion:The difference between the two groups indicate that early diagnosis and intervention,verbal ability training and effective antiepiletpic treatment are important measures to reduce self injurious behaviour in autistic children.