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。方法对来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0.9%,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 1 000 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 1 000 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.