85例儿童孤独症临床分析  

Clinical analysis on 85 autistic children

作　　者：庄宝玲[1] 杜亚松[2] 

机构地区：[1]南京军区福建漳州第175医院儿科,363000 [2]上海市心理咨询中心

出　　处：《上海精神医学》2003年第1期23-26,共4页Shanghai Archives of Psychiatry

摘　　要：目的 探讨儿童孤独症的临床特征以及相应的干预措施。方法 调查患儿首诊主诉、发病与就诊时间间隔、个人史以及家庭史。采用PPVT、DDST智力量表,CARS、ABC孤独症量表以及ADQ儿童适应行为评定量表进行测试。结果 85例患儿临床症状完全符合DSM-Ⅳ儿童孤独症诊断标准。临床特征以社会交往障碍、言语障碍、智力迟滞以及主动回避与他人眼对视为主。患儿从发病到就诊时间平均延迟22个月。45例(占53％)患儿系由剖宫产或产钳助产而娩出。结论 作者提出早期发现,早期干预以及综合性行为、语言等训练对孤独症来说至关重要。Objectives: To explore clinical feature and appropriate intervention for autistic children. Method: To investigate interval between first onset and first consultation, personal and family history in autistic children. All subjects were tested with PPVT. DDST. Childhood Autism Behavior Rating Scale (CARS), ABC and Adaptive Behavior Check List (ADQ). Results: 85 autistic children met DSM- IV diagnostic criterion were included. Their primary clinical features included communication retardation, speech disorder, mental retardation and poor eyes contact. The average interval between first onset and first consultation was 22 months. Forty-five (53%) cases were delivered throngh cesarean section or obstetric pliers. Conclusion: Early detection and intervention as synthetic behavior and language training are. therefore of utmost importance for autism.

关 键 词：儿童孤独症 语言障碍 社会交往障碍 

分 类 号：R749.94[医药卫生—神经病学与精神病学]