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目的:探讨连云港市婴幼儿孤独症谱系障碍患病的早期诊断及识别方法。方法:采用随机分层整群抽样方法对连云港市8 532名0～3岁儿童进行横断面调查研究,用婴幼儿孤独症筛查表(CHAT)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:8 532名儿童中9名为孤独症阳性,阳性率为10.55/万,其中<1岁1例,1～2岁3例,2～3岁5例;男孩7例,女孩2例。结论:加强对孤独症谱系障碍患儿的早期识别能力,做到早期诊断孤独症患儿,对孤独症患儿的日后康复工作意义重大。
Objective: To investigate the early diagnosis and identification of infantile autism spectrum disorders in Lianyungang. Methods: A randomized stratified cluster sampling method was used to conduct a cross-sectional survey of 8,532 children aged 0-3 years in Lianyungang. Suspected children were screened out by using CHAT, and parents of children with autism Assessment scale (ABC), Children’s Autism Rating Scale (CARS), and American Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) were diagnosed. Results: Nine out of 8 532 children were positive for autism. The positive rate was 10.55 / 10 000, of which 1 was <1 year, 3 cases were 1-2 years old and 5 cases were 2-3 years old. There were 7 boys and 2 girls. Conclusion: To improve the ability of children with autism spectrum disorders to recognize early, and to diagnose children with autism early is of great significance to the rehabilitation of children with autism.