茂名市学龄前儿童孤独症筛查情况分析  

Analysis of screening for autism in preschool children in Maoming

作　　者：梁茂萍[1] 陈绮琳[1] 刘春华[1] 古灼和[1] 麦梅东[1] 江颖[1] 

机构地区：[1]广东省茂名市妇幼保健院,525000

出　　处：《中国妇幼保健》2011年第8期1164-1165,共2页Maternal and Child Health Care of China

基　　金：茂名市医学科技计划项目〔20092116〕

摘　　要：目的:了解茂名市学龄前儿童孤独症的发病情况,为实施干预措施提供科学依据。方法:采用整群随机抽样方法,抽取茂名市17所幼儿园3～6岁在园的儿童,采用克氏孤独症行为量表和自拟影响因素问卷进行调查和评定。结果:共调查2 485例儿童,查出孤独症35例,患病率1.41%,病例男女比为6∶1。不同性别儿童患病率差异有明显统计学意义(P<0.01),不同年龄段儿童孤独症患病情况差异无统计学意义(P>0.05),孤独症儿童行为表现在克氏量表中出现率最高的前5位分别为:不愿与别人一起玩;听而不闻;避免视线的接触;对周围漠不关心;活动量过大。结论:学龄前儿童孤独症患病现状不可忽视,建议加强儿童孤独症的宣传工作,做好孕产期保健,开展儿童孤独症的筛查,做到早发现、早诊断、早干预,减少致残率。Objective：To understand the prevalence of preschool children with autism. Methods：Using cluster random sampling method,extracting the children aged 3～6 years old at 17 kindergartens in Maoming,adopt Clincy Autism Behavior Scale and the Specially formulated factors of the questionnaire to be investigated and assessed. Results：Survey of 2 485 children in total,35 cases diagnosed with autism,prevalence rate was 1.41%,cases of male to female ratio was 6∶1.There was a significant difference with different genders in the prevalence of children（P0.01）.The prevalence of autism was no significant difference（P0.05） in children of different age groups.Behavior of autistic children appeared morely in the Clincy scale were not get along well with others,turn a deaf ear,as if deaf,avoid eye contact,on the surrounding indifference,hyperactivity. Conclusion：Disease status of preschool children with autism can not be ignored,suggestions to strengthen the publicity work of children with autism,make a good health care for pregnancy,to carry out the screening of children with autism,so that children can be early detection,early diagnosis and early intervention to reduce morbidity.

关 键 词：学龄前儿童 孤独症 早期诊断 

分 类 号：R749.94[医药卫生—神经病学与精神病学]