孤独症谱系障碍儿童的早期诊断与识别

Early diagnosis and identification of children with autism spectrum disorder

目的:探讨连云港市婴幼儿孤独症谱系障碍患病的早期诊断及识别方法。方法:采用随机分层整群抽样方法对连云港市8 532名0～3岁儿童进行横断面调查研究,用婴幼儿孤独症筛查表(CHAT)筛查出可疑儿童,进一步应用儿童孤独症家长评定量表(ABC)、儿童期孤独症评定量表(CARS)及美国精神障碍诊断和统计手册(DSM-IV)诊断依据进行确诊。结果:8 532名儿童中9名为孤独症阳性,阳性率为10.55/万,其中<1岁1例,1～2岁3例,2～3岁5例;男孩7例,女孩2例。结论:加强对孤独症谱系障碍患儿的早期识别能力,做到早期诊断孤独症患儿,对孤独症患儿的日后康复工作意义重大。

Objective：To explore the methods to diagnose and identify the children with autism spectrum disorder in Lianyungang city. Methods：Random stratified cluster sampling method was used to conduct a cross sectional study among 8 532 children aged 0-3 years old in Lianyungang city,CHAT was used to screen suspected children,the diagnostic criteria of ABC,CARS,and DSM-IV were further used to diagnose the children definitely. Results：Among 8 532 children,9 children were found with autism,the positive rate was 10.55/10 000,including one child less than one year,3 children aged 1-2 years old,and 5 children aged 2-3 years old;7 children were boys and 2 children were girls. Conclusion：Enhancing the ability to early identify the children with autism spectrum disorder and early diagnosing the children with autism have important significances for recovery of children with autism.