婴幼儿孤独症谱系障碍的早期发现

Early Detection of Autism Spectrum Disorders in Infants and Young Children

目的探讨婴幼儿期孤独症谱系障碍(ASD)患儿的早期发现及识别方法。方法对在郑州大学第三附属医院正常体检的1 000名婴幼儿用婴幼儿孤独症筛查表(CHAT)和Gesell发育量表筛查出可疑儿童,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 1 000名儿童中9名为ASD患儿,阳性率为0.90%,其中1.5～2.0岁1例,2.0～2.5岁3例,2.5～3.0岁5例;男孩7例,女孩2例。结论加强对ASD患儿的早期识别能力,使患儿得到早期发现、早期干预、早期康复。

Objective To explore the methods to detection and identify autism spectrum disorders（ASD） in infants and young children. Methods For the third affiliated hospital of Zhengzhou university of normal physical examination 1000 children aged 1.5 ~ 3 years old, CHAT and Gesell 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 1000 children,9 children were found with ASD, the positive rate was 0.9%,including one child aged 1.5-2.0 years old, 3 children aged 2.0-2.5 years old, and 5 children aged 2.5-3.0 years old; 7 children were boys and 2 children were girls. Conclusion Enhancing the ability to early identify the children with ASD and making ASD children get early discovery, early intervention, early rehabilitation.