乌鲁木齐市2～7岁孤独症儿童饮食行为问题  

Dietary behavior problems of 2-7 year-old autistic children in Urumqi

作　　者：于梦雪 高文玉 热依拉.阿不拉 韩洁 阿斯木古丽.克力木 YU Mengxue;GAO Wenyu;Reyila ABULA;HAN Jie;Asimuguli KELIMU(Department of Child and Maternal Health,School of Public Health,Xinjiang Medical University,Urumqi(830011),China)

机构地区：[1]新疆医科大学公共卫生学院儿少卫生与妇幼保健教研室,乌鲁木齐830011 [2]乌鲁木齐市精神病福利院 [3]乌鲁木齐儿童医院 [4]新疆维吾尔自治区残疾人联合会

出　　处：《中国学校卫生》2019年第1期55-57,61,共4页Chinese Journal of School Health

基　　金：中国残联2014-2015年度残疾人事业理论与实践研究课题(2014&YB006);新疆维吾尔自治区自然科学基金(2017DOC225)

摘　　要：目的探讨孤独症儿童存在的饮食行为问题,为改善孤独症儿童的饮食行为提供依据。方法病例组选自乌鲁木齐市某医院和某孤独症康复训练机构的2～7岁孤独症儿童113例,对照组为乌鲁木齐市某医院2～7岁常规体检儿童223例,采用"学龄前儿童饮食行为问卷"调查2组儿童的饮食行为。结果病例组挑食、食物响应、不良进食习惯、过饱响应和情绪性进食得分均高于对照组,而外因性进食和主动进食能力得分低于对照组(P值均<0.05)。饮食行为问题比较结果显示,病例组饮食行为发生率在挑食项、不良进食习惯、过饱响应项、情绪性进食项均高于对照组(P值均<0.05)。结论孤独症儿童主要存在的饮食问题有挑食,不同程度的食物响应、过饱响应、不良的进食行为和情绪性进食。Objective To compare the differences of dietary behavior between autistic children and normal children,and to explore the dietary behavior problems and their influencing factors in autistic children,so as to provide theoretical basis for improving dietary behavior problems and guiding scientific feeding of autistic children.Methods 113 autistic children aged 2-7 from a hospital and an autism rehabilitation training institution in Urumqi were selected as the case group and 223 children aged 2-7 from a hospital in Urumqi as the control group.Results The results showed that there were significant differences between the two groups in the main type of care,caregiver education,caregiver occupation and monthly per capita economic income(P<0.05).The scores of picking food,food response,unhealthy eating habits,overeating response and emotional eating were significantly higher in the case group than in the control group,while the scores of extrinsic eating and active eating ability were significantly lower in the ease group than in the control group(P<0.05).Conclusion The main dietary problems of autistic children include severe picky eating,food response to different degrees,over fullness response,bad eating behavior,emotional eating and so on.

关 键 词：孤独性障碍 饮食习惯 危险行为 儿童 

分 类 号：R749.94[医药卫生—神经病学与精神病学]