孤独症谱系障碍与特定语言障碍语言发育差异研究

Study on the differences of language development between autism spectrum disorders and specific language disorders

目的研究孤独症谱系障碍(ASD)与特定语言障碍(SLI)患儿在语言发育方面的差异。方法选择符合标准的353例患儿,分为ASD临床诊断组、ASD确诊组和SLI组,记录就诊年龄、语言能力评分及其他临床资料。结果ASD临床诊断组和ASD确诊组的平均就诊年龄高于SLI组,差异有统计学意义(P<0.05)。ASD临床诊断组和ASD确诊组在语音和语言表达能力、听觉感受和理解能力、与视觉相关的理解和表达能力3方面得分均较SLI组低,差异有统计学意义(P<0.05)。结论ASD与SLI患儿在语言发育方面存在差异,且在非语言共同注意方面的缺陷特定存在且明显。

Objective To investigate the differences in language development between children with autism spectrum disorder (ASD) and specific language impairment (SLI). Methods A total of 353 children were selected and divided into the ASD clinical diagnosis group,the ASD diagnosis group and the SLI group.The age,language ability score and other clinical data were recorded. Results The average age of visits in the ASD clinical diagnosis group and the ASD confirmed group was older than that in the SLI group ( P <0.05).The scores of speech and language expression,auditory sensation and comprehension,visual relevance and expression ability were lower in the ASD clinical diagnosis group and the ASD diagnosis group than those in the SLI group,and the difference was statistically significant ( P <0.05). Conclusion There is difference in language development between children with ASD and SLI,and the defects in non-verbal common attention are specific and obvious.