3岁前有和无睡眠障碍孤独症儿童临床症状的比较分析  

Comparison and analysis of clinical symptoms of autistic children with or without sleep disorders in children before 3 years old

作　　者：熊妮娜[1] 季成叶[1] 刘继同[2] 田惠平 王秀卿 王蓓蓓 

机构地区：[1]北京大学儿童青少年卫生研究所,北京100083 [2]北京大学公共卫生学院卫生政策与管理系,北京100083 [3]北京星星雨教育研究所,北京100024

出　　处：《中国实用儿科杂志》2007年第3期189-191,共3页Chinese Journal of Practical Pediatrics

基　　金：国家973重点基金项目(2001CB5103105)

摘　　要：目的比较3岁前有无睡眠障碍孤独症儿童临床症状及发展特点。方法对1999--2006年在北京星星雨教育研究所接受特殊教育的275例孤独症学生进行儿童期孤独症评定量表（CARS）、克氏行为量表（CABS）测量。结果总体上3岁前有过睡眠障碍者症状严重于无睡眠障碍者。2—4岁时，有过睡眠障碍者比无睡眠障碍者病情严重，如有过睡眠障碍者情感、感觉、行为、社交问题均比无睡眠障碍者严重；5—8岁时，两者病情严重程度却比较接近，且有过睡眠障碍患儿情感反应优于无睡眠障碍患儿。结论3岁前有过睡眠障碍者与无睡眠障碍者有着不同的病情发展模式。前者起始症状严重，随后病情进展缓慢；后者起始症状虽然较轻，但病情进展迅速，以至于两类患者在学龄初期时病情严重程度基本相当。Objective Compare clinical symptoms and developmental characteristics of autistic children with or without sleep disorder in 3 years old. Methods A total of 275 autistic children who received special education in Beijing Stars Rain Education Institute for Autistic Children were measured with CARS and CABS from 1999 to 2006. Results Sensibility ,feeling, behavior and communication problems were more severe in autistic children with sleep disorder than autistic children without sleep disorder when they were 2 - 4 years old, while sensibility problem was more improved in autistic children with sleep disorder than autistic children without sleep disorder when they were 5 - 8 years old. Among children with sleep disorder,sensibility response and expressing demand by gesture of 5 -8 years old got more progress than 2 -4 years old, but odd behavior increased. Among children without sleep disorders, language communication and expressing de- mands by gesture of 5 - 8 years old got more progress than 2 - 4 years old, but feeling and behavior problems got more severe. Conclusion The state of illness of autistic children with sleep disorders is more severe than autistic children without sleep disorders at the age of 2 - 4 years old ; the state of illness of two kinds of autistic children is the same basically at the age of 5 -8years old.

关 键 词：儿童 孤独症 睡眠障碍 儿童孤独症评定量表 克氏行为量表 

分 类 号：R72[医药卫生—儿科]