连云港市婴幼儿孤独症患病情况调查

Investigation of childhood autism status in Lianyungang city

目的:探讨连云港市0～3岁儿童孤独症患病情况,为进一步进行干预性治疗提供资料。方法:采用整群随机抽样方法对连云港市8532名0～3岁儿童进行横断面调查,采用婴幼儿孤独症筛查表(CHAT)筛查出可疑患儿,采用DSM-IV诊断标准同时利用儿童孤独症家长评定量表和儿童孤独症评定量表(CARS)诊断,并评估其程度,采用0～6岁儿童神经、心理发育诊断量表进行智能评估(DQ<70为低下)。结果:8532名儿童中确诊孤独症9例,现患病率11.72/万,男女比例3.4:1。患病年龄高峰与3年心理行为门诊自然就诊患病年龄高峰相似。结论:连云港市0～3岁儿童孤独症患病率在国内外报道的患病率低范围内,家长、保健医生对孤独症的识别能力有待提高。

Objective：To learn about the prevalence of autism in children aged less than 3 years in Lianyungang city and to offer the basic data for further intervention treatment.Methods：The cross sectional study was carried out on 8 532 children aged less than 3 years by cluster random sampling.The results were screened by Checklist for Autism in Toddlers and Clancy Autism Behavior Scale.The autism cases were diagnosed and rated according to the diagnosing criteria of DSM-IV or by childhood autism rating scale.The 0-6 years old children neuropsychological development diagnostic scale was adopted to evaluate the intelligence（DQ70 as low）.Results：Nine of 8532 children were diagnosed with autism,the morbidity was 1.17‰ and the male-female ratio was 3.4：1.The peak age of illness was similar to that in the natural outpatients to the 3-year psychological behavior clinic.Conclusion：The incidence rate of autism in children aged less than 3 years in Lianyungang city is in the low range of the incidence rates reported at home and abroad.Parents and healthcare doctors should improve their recognition of childhood autism further.