孤独症谱系障碍儿童的胃肠道问题

Gastrointestinal Problems in Children with Autism Spectrum Disorder

目的探究孤独症谱系障碍（ASD）儿童与胃肠道问题的关系。方法 2014年7月~2015年8月,对172例明确诊断的ASD儿童采用自制行为问题调查表进行筛查,比较ASD儿童胃肠道症状期间和没有胃肠道症状期间的运动行为频率、声音行为频率、行为问题频率、行为问题强度。结果胃肠道症状期间,运动行为频率（F=67.4,P〈0.001）、声音行为频率（F=43.6,P〈0.001）、行为问题频率（F=79.4,P〈0.001）、行为问题强度（F=65.7,P〈0.001）显著高于没有胃肠道症状期间。结论较无胃肠问题的ASD儿童而言,有胃肠道问题的ASD儿童更易发生行为问题;行为症状可为ASD儿童胃肠道问题的筛查提供新途径。

Objective To explore the relationship between autism spectrum disorder（ASD） and gastrointestinal problems. Methods 172 ASD children were investigated with self-made questionnaire from July, 2014 to Augest, 2015. The frequencies of motor behaviors, vocal behaviors and behavioral problems, and the intensity of the behavioral problems in the period with or without gastrointestinal symptoms were compared. Results The frequencies of motor behaviors（F=67.4, P〈0.001）, vocal behaviors（F=43.6, P〈0.001） and behavioral problems（F=79.4, P〈0.001）, and the intensity of the behavioral problems（F=65.7, P〈0.001） were all more in the period with gastrointestinal symptoms than without gastrointestinal symptoms. Conclusion There are more behavioral problems in the ASD children with the presence of gastrointestinal symptoms; while the behavioral symptoms may be a indicator of gastrointestinal problems in children with ASD.