成都市基层医院孤独症谱系障碍早期筛查技能培训效果的多中心研究  

Multicenter study on the effect of early screening skills training for autism spectrum disorders in primary care hospitals in Chengdu

作　　者：杨文旭 乐郊 章岚 张颖 杨萍[3] 赵春霞 杜春华[5] 何君妮 曹艳梅 尚佳[8] 李莉 刘燕 吴胜兰[11] 李霞 陈秀锦[13] 兰海 李华 孔翔 李恒莉 米德芳 赵杰 聂扬[20] 高金秀 李灵 Yang Wenxu;Le Jiao;Zhang Lan;Zhang Ying;Yang Ping;Zhao Chunxia;Du Chunhua;He Junni;Cao Yanmei;Shang Jia;Li Li;Liu Yan;Wu Shenglan;Li Xia;Chen Xiujin;Lan Hai;Li Hua;Kong Xiang;Li Hengli;Mi Defang;Zhao Jie;Nie Yang;Gao Jinxiu;Li Ling(Chengdu Women's and Children's Central Hospital,School of Medicine,University of Electronic Science and Technology of China,Chengdu 611731,China;Jinniu Maternity and Child Health Hospital of Chengdu,Chengdu 610081,China;Chengdu Xindu Maternal and Child Health Care Hospital,Chengdu 610599,China;Chengdu Tianfu New District Huayang Community Health Service Center,Chengdu 611237,China;Longquanyi District of Chengdu Maternity and Child Health Care Hospital,Chengdu 610199,China;Wuhou District Health Hospital for Women and Children of Chengdu,Chengdu 610047,China;Dayi Maternal and Child Health Care Hospital,Chengdu 611330,China;Chengdu Chenghua District Health Care Hospital,Chengdu 610056,China;Chengdu Wenjiang District Maternal and Child Health Care Hospital,Chengdu 611130,China;Jintang County Maternal and Child Health Care Hospital,Chengdu 610499,China;Chengdu Jinjiang Hospital for Women and Children Health,Chengdu 610066,China;Chengdu Shuangliu District Maternity and Child Health Care Hospital,Chengdu 610299,China;Jianyang Maternal and Child Health Care Hospital,Chengdu 641401,China;Pengzhou Maternal and Child Health Care Hospital,Chengdu 611930,China;Qingbaijiang District Maternal and Child Health Care Hospital,Chengdu 610399,China;Qionglai Maternal and Child Health Care Hospital,Chengdu 611530,China;Pujiang County Maternal and Child Health Hospital,Chengdu 611631,China;Maternal and Child Health Care Hospital of Dujiangyan,Chengdu 611830,China;Chengdu Pidu District Maternal and Child Health Care Hospital,Chengdu 611730,China;Chongzhou Maternal and Child Health Care Hospital,Chengdu 611230,China;Chengdu Xinjin District Maternal and Child Health Care and Family Planning Service Center,Chengdu 611430,China;Guang'an District Maternal and Child Health and Family Planning Service Center,Guang'a

机构地区：[1]电子科技大学医学院附属妇女儿童医院·成都市妇女儿童中心医院,四川成都611731 [2]成都市金牛区妇幼保健院,四川成都610081 [3]成都市新都区妇幼保健院,四川成都610599 [4]成都市天府新区华阳社区卫生服务中心,四川成都611237 [5]成都市龙泉驿区妇幼保健院,四川成都610199 [6]成都市武侯区妇幼保健院,四川成都610047 [7]大邑县妇幼保健院,四川成都611330 [8]成都市成华区妇幼保健院,四川成都610056 [9]成都市温江区妇幼保健院,四川成都611130 [10]金堂县妇幼保健院,四川成都610499 [11]成都市锦江区妇幼保健院,四川成都610066 [12]成都市双流区妇幼保健院,四川成都610299 [13]简阳市妇幼保健院,四川成都641401 [14]彭州市妇幼保健院,四川成都611930 [15]成都市青白江区妇幼保健院,四川成都610399 [16]邛崃市妇幼保健计划生育服务中心,四川成都611530 [17]蒲江县妇幼保健院,四川成都611631 [18]都江堰市妇幼保健院,四川成都611830 [19]成都市郫都区妇幼保健院,四川成都611730 [20]崇州市妇幼保健院,四川成都611230 [21]成都市新津区妇幼保健计划生育服务中心,四川成都611430 [22]广安市广安区妇幼保健计划生育服务中心,四川广安638000

出　　处：《四川精神卫生》2022年第4期337-342,共6页Sichuan Mental Health

基　　金：四川省科技计划重点研发项目(项目名称:成都市三级妇幼网络的孤独症谱系障碍早期筛查转诊的多中心研究,项目编号:2020YFS0484)。

摘　　要：目的了解孤独症谱系障碍(ASD)早期筛查技能培训对提高基层医院儿保科医护人员ASD早期筛查能力的效果。方法于2021年9月,对成都市各县(市、区)共20家基层医院儿保科工作人员进行ASD早期筛查技能培训。以培训前后各基层医院向上级医院转诊的疑似ASD患儿人数、确诊ASD人数以及转诊的ASD患儿平均诊断年龄作为指标,评价培训效果。结果培训后,基层医院转诊的疑似ASD患儿人数多于培训前,差异有统计学意义[(16.65±11.60)人vs.(3.40±2.23)人,t=5.431,P<0.01]。确诊ASD人数多于培训前,差异有统计学意义[(6.85±4.93)人vs.(2.45±1.67)人,t=4.171,P<0.01]。诊断年龄方面,培训后,ASD患儿平均诊断年龄小于培训前,差异有统计学意义[(34.95±11.67)个月vs.(42.2±14.64)个月,t=-2.553,P=0.019]。结论对基层医院儿保科医护人员进行ASD早期筛查技能培训,可能有助于提高其ASD早期筛查能力。Objective To investigate effect of conducting training of autism spectrum disorder(ASD)early screening skill on improving the ability to early identify ASD of medical staffs in primary care hospitals.Methods In September 2021,the training of ASD early screening skills was carried out for medical staffs from 20 primary care hospitals in Chengdu.After training,the training effect was evaluated.The numbers of referrals from primary care hospitals to superior hospitals,confirmed ASD as well as their average diagnostic age of children with ASD before and after training were used as evaluation indicators.Results After training,the number of children with suspected ASD referred by primary care hospitals was more than that before training[(16.65±11.60)vs.(3.40±2.23),t=5.431,P<0.01],the number of children diagnosed with ASD was more than that before training[(6.85±4.93)vs.(2.45±1.67),t=4.171,P<0.01],and the differences were statistically significant.As for the diagnosed age of ASD children,after training,the average age was lower than that before training[(34.95±11.67)vs.(42.2±14.64),t=-2.553,P=0.019].Conclusion Training of ASD early screening skills for medical staffs in primary care hospitals may help to improve their ability to early screening ASD children.

关 键 词：孤独症谱系障碍 早期筛查 多中心研究 基层医院 技能培训 

分 类 号：R749[医药卫生—神经病学与精神病学]