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目的探讨婴幼儿期孤独症谱系障碍(ASD)患儿的早期发现及识别方法。方法对来郑州大学第三附属医院正常体检的1 000名婴幼儿用婴幼儿孤独症筛查表(CHAT)和Gesell发育量表筛查出可疑儿童,进一步应用儿童孤独症家长评定量表(ABC)、儿童期孤独症评定量表(CARS)及美国精神障碍诊断和统计手册(DSM-IV)诊断依据进行确诊。结果 1 000名儿童中9名为ASD患儿,阳性率为0.9%,其中1.5~2.0岁1例,2.0~2.5岁3例,2.5~3.0岁5例;男孩7例,女孩2例。结论加强对ASD患儿的早期识别能力,使患儿得到早期发现、早期干预、早期康复。
Objective To investigate the early detection and identification of children with autism spectrum disorder (ASD) in infancy. Methods A total of 1 000 infants and young children from the Third Affiliated Hospital of Zhengzhou University were enrolled in the questionnaire to screen for suspicious children with CHAT and Gesell scale. The children’s autism parental rating scale (ABC ), The Children’s Autism Rating Scale (CARS) and the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV). Results Among the 1000 children, 9 were ASD children, with a positive rate of 0.9%. Among them, 1 was from 1.5 to 2.0 years, 3 from 2.0 to 2.5 years and 5 from 2.5 to 3.0 years. There were 7 boys and 2 girls. Conclusions The early identification of children with ASD is strengthened so that children can get early detection, early intervention and early rehabilitation.