ASD与非ASD语言发育迟缓儿童的语言行为能力差异分析  

Analysis of differences in language behavioral abilities between children with ASD and non-ASD language developmental delay

作　　者：陈玉美 胡丽娜[1] 牟志伟[2] CHEN Yu-mei;HU Li-na;MOU Zhi-wei(Department of Rehabilitation,Nanfang Hospital,Southern Medical University,Guangzhou 510515,Guangdong,China;不详)

机构地区：[1]南方医科大学南方医院康复医学科,广东广州510515 [2]暨南大学附属第一医院康复医学科,广东广州510515

出　　处：《广东医学》2024年第6期661-665,共5页Guangdong Medical Journal

基　　金：广东省基础与应用基础研究基金项目省企联合基金一面上项目(2021A1515220049);广州市基础研究计划市校(院)联合资助基础与应用基础研究项目(202201020046);南方医科大学南方医院"临床研究专项(2020CR023)。

摘　　要：目的通过比较孤独症谱系障碍(autism spectrum disorder,ASD)与非ASD语言发育迟缓儿童的各项语言行为能力,分析两者的特征差异。方法回顾收集2020年1月至2022年12月就诊的确诊为ASD(98例)和非ASD(122例)语言发育迟缓儿童的年龄、性别、ABC量表和S-S量表得分资料,对两组儿童的结果先进行单因素分析,对单因素分析有统计学差异的项目进行多因素二元logistic回归分析。结果经单因素分析,两组儿童年龄无统计学差异,其他项目包括性别,S-S交流态度能力、S-S操作性课题能力、S-S语言理解能力、S-S语言表达能力和ABC总分均有统计学差异(均P<0.05)。采用输入法把两组有差异的性别、S-S交流态度能力、S-S操作性课题能力、S-S语言理解能力、S-S语言表达能力和ABC总分共6个项目进行多因素二元logistic回归分析,结果表明S-S交流态度能力和ABC总分两个项目是区分两组儿童的独立影响因素(均P<0.05),S-S交流态度不良和ABC总分高均是危险因素。结论S-S交流态度能力和ABC总分是区分ASD和非ASD语言发育迟缓儿童的独立影响因素,临床上对于S-S交流态度不良及ABC总分高的语言发育迟缓儿童要高度警惕是否ASD儿童。Objective To analyze the differences in various language behavioral abilities between children with autism spectrum disorder(ASD)and those with non-ASD language developmental delay,aiming to provide reference for clinical nursing.Methods Clinical data of 98 children diagnosed with ASD and 122 children with non-ASD language developmental delay from January 2020 to December 2022 were retrospectively collected.Age,gender,ABC Scale,and S-S Scale scores were compared between the two groups.SPSS version 22.0 was used for statistical analysis,including univariate analysis and multivariate binary logistic regression analysis for items with statistically significant differences in univariate analysis.Results Univariate analysis showed no statistically significant difference in age between the two groups.However,gender,S-S communication attitude ability,S-S operational subject ability,S-S language comprehension ability,S-S language expression ability,and ABC total score showed statistically significant differences(all P<0.05).Multivariate binary logistic regression analysis was performed on the six items with differences between the two groups,including gender,S-S communication attitude ability,S-S operational subject ability,S-S language comprehension ability,S-S language expression ability,and ABC total score.The results showed that S-S communication attitude ability and ABC total score were independent influencing factors for distinguishing between the two groups(both P<0.05),with poor S-S communication attitude and higher ABC total score being risk factors.Conclusion S-S communication attitude and ABC total score are independent influencing factors for distinguishing between children with ASD and those with non-ASD language developmental delay.Clinicians should be highly vigilant for ASD in children with poor S-S communication attitude and high ABC total score in clinical practice.

关 键 词：孤独症谱系障碍 语言发育迟缓 S-S评估法 ABC量表 LOGISTIC回归 

分 类 号：R749.94[医药卫生—神经病学与精神病学] R767.92[医药卫生—临床医学]