儿童孤独症发现与诊疗时间分析  

Analysis on the detection,diagnosis and treatment times of children with autism

作　　者：熊超[1] 蒋秋静[1] 李丹 刘娜[1] 杨昌友[1] 郑小璇[1] 段丽平[1] 胡继红[3] 杨森焙[1] 张静[1] 

机构地区：[1]华中科技大学同济医学院公共卫生学院儿少卫生与妇幼保健学系,湖北武汉430030 [2]武汉市孤独症康复中心 [3]湖南省儿童医院

出　　处：《中国妇幼保健》2011年第30期4688-4690,共3页Maternal and Child Health Care of China

基　　金：2011~2012年联校教育社科医学研究论文奖计划〔YS11010〕

摘　　要：目的:了解孤独症患儿异常行为发现与诊疗时间,为早期干预和改善预后提供科学依据。方法:抽取就诊于武汉市和长沙市两所孤独症康复中心的3岁以下孤独症患儿对其家长进行问卷调查。结果:在调查的71例孤独症患儿中,男57例,女14例,异常行为发现的平均年龄为(17.92±5.68)个月,有80.28%的患儿在2岁前发现异常;首次就诊平均年龄(22.78±6.44)个月,康复治疗平均年龄(25.18±6.74)个月。发现异常行为与首次就诊间隔时间为0～17个月,有57.75%间隔超过3个月,29.58%超过半年;发现异常与康复治疗间隔时间为0～19个月,有77.47%间隔超过3个月,43.67%超过半年;首次就诊与康复治疗间隔时间为0～12个月,有22.54%的超过3个月。结论:孤独症异常情况可在儿童早期发现,但多数患儿就诊和康复治疗不及时,应采取综合性的措施促进早期诊断及康复治疗,改善预后。Objective：To understand the detection,diagnosis and treatment times of abnormal behaviors among the children with autism,provide a scientific basis for early intervention and improving prognosis. Methods：The children with autism less than 3 years were selected from two autism rehabilitation centers in Wuhan city and Changsha city,and their parents were surveyed by a questionnaire. Results：Among 71 children with autism investigated,57 boys and 14 girls were included,the average detection age of abnormal behaviors was（17.92±5.68） months,80.28% of the children were found with abnormal behaviors before 2 years;the average visiting age for the first time was（22.78±6.44） months,the average age of rehabilitation treatment was（25.18±6.74） months.The interval time between detection of abnormal behaviors and visiting time for the first time was 0～17 months,for 57.75% of the children,the interval time was more than 3 months;for 29.58% of the children,the interval time was more than 6 months.The interval time between detection of abnormal behaviors and rehabilitation treatment was 0～19 months,for 77.47% of the children,the interval time was more than 3 months;for 43.67% of the children,the interval time was more than 6 months.The interval time between visiting time for the first time and rehabilitation treatment was 0～12 months,for 22.54% of the children,the interval time was more than 3 months. Conclusion：Autism can be detected among the children at early stage,but most of the children were delayed,comprehensive measures should be adopted to promote early diagnosis and rehabilitation treatment and improve prognosis.

关 键 词：3岁以下 孤独症 早期发现 诊断 治疗 

分 类 号：R173[医药卫生—妇幼卫生保健]