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【目的】通过针对孤独症谱系障碍的现况调查,了解大庆市2~6岁儿童孤独症谱系障碍的患病率及干预现况。【方法】采用分层随机整群抽样方法抽取样本7 034人,用克氏孤独症行为量表进行筛查,用儿童孤独症家长评定量表和精神障碍诊断与统计手册(第4版)诊断标准进行诊断。【结果】大庆市孤独症谱系障碍现患率为2.42‰,孤独症谱系障碍的城乡分布、年龄分布差异无统计学意义,男性患儿多于女性患儿,男女比例为3.25∶1,47.1%的确诊儿童父母尚未发现儿童存在异常或尚未带儿童就诊,64.7%的确诊儿童未得到治疗康复,所有确诊儿童都有康复需求。【结论】大庆市2~6岁儿童的孤独症谱系障碍现患率与国内对比较高,对比国外属现患率报告范围低值域,孤独症谱系障碍儿童就诊率低,干预治疗及康复率低,所有儿童都有康复需求。
【Objective】 To investigate the prevalence and intervention status of autistic spectrum disorders in children aged 2 ~ 6 years in Daqing City through the survey of the current status of autism spectrum disorders. 【Method】 A total of 7 034 samples were stratified by stratified random sampling method and screened by Kirschner Autism Behavior Scale. The autistic parents’ rating scale and the Handbook of Mental Disorders Diagnostic and Statistical Manual (4th edition) were used to diagnose Standard diagnosis. 【Results】 The prevalence rate of autism spectrum disorders in Daqing was 2.42 ‰. There was no significant difference in age distribution among autism spectrum disorders in urban and rural areas. There were more males and females than females, the ratio of male to female was 3.25:1,47.1% Confirmed children’s parents have not yet found abnormal children or not with children, 64.7% of the children diagnosed without treatment and rehabilitation, all children with a diagnosis of rehabilitation needs. 【Conclusion】 The present prevalence rate of autism spectrum disorder in children aged 2 ~ 6 years in Daqing is relatively high compared with that in China. Compared with the current low prevalence rate in foreign countries, the attendance rate of children with autism spectrum disorder is low, the intervention rate and rehabilitation rate are low, All children have rehabilitation needs.