儿童孤独症早期诊断和早期干预.docVIP

儿童孤独症早期诊断和早期干预 　　[摘要] 目的 对未确诊为孤独症，但有言语迟缓或社交问题或象征行为问题的部分症状儿童进行早期干预。方法 从2009年9月始，对1～2岁儿童进行孤独症的早期筛查，对筛查后确诊及疑似孤独症患儿进行专门治疗，实行早期干预。结果 在进行早期干预后，确诊的9例孤独症儿童显效8例，有效1例；语言迟缓、社交问题、象征行为问题等症状显著好转，未发展为孤独症儿童。结论 通过对孤独症儿童进行早期的诊断和干预可以有效预防孤独症的发生，从而为儿童的健康成长和美好未来提供了可能。 　　[关键词] 儿童孤独症；诊断；早期干预 　　[中图分类号] R749.94 [文献标识码] A [文章编号] 1674-0742（2013）07（c）-0141-02 　　Early Stage Diagnosis and Intervention of Child Autism 　　ZHOU Lang REN Luzhong SHI Junxia 　　1. Department of Pediatrics， Kuiyong Peoples Hospital of Dapeng District，Shenzhen，Guangdong Province， 518119， China；2. Department of Child Healthcare， Maternal and Child Health Hospital of Longgang District， Shenzhen，Guangdong Province， 518052， China；3.Shenzhen Pingshan New District Center for Disease Control and Prevention， Shenzhen， Guangdong Province， 5181182， China 　　[Abstract] Objective Children with undiagnosed autism or parts of symptoms like slow words or social problems or symbol behavior problems were given early stage intervention. Methods From September 2009， children of 1～2 years old were given early stage of screen of autism. Children of diagnosed and suspected autism were given special treatments and early stage intervention. Results After early stage intervention， among 9 children of diagnosed autism， 8 cases were significantly effective， 1 case was effective； symptoms like slow words or social problems or symbol behavior problems were improved obviously and the children didn’t develop into autism. Conclusion Early stage of diagnosis and intervention can effectively prevent children from developing into autism and supply opportunity for the healthy growth and bright future of children. 　　[Key words] Child Autism； Diagnosis； Early stage intervention 　　儿童孤独症是临床常见的儿童发育障碍性疾病，一般在患儿出生到两周岁左右就可以观察到明显的孤独症症状，如不爱发声或声音很小、兴趣狭窄、喜欢独处等。孤独症首见于Leo Kanner [1]在1943年的报道，此后孤独症患者越来越多，尤其是近年来，儿童孤独症人数不断上升，不完全统计中国有将近300万儿童孤独症患者[2]，尽管目前对儿童孤独症治疗尚无明确的标准和有效的治疗方案，但是临床一直都认为及早的诊断和干预可以有效改善孤独症儿童的症状。该研究于2009年9月开始对深圳市大鹏新区，龙岗区的儿童孤独症进行筛查和治疗，取得良好效果，现报道如下。 　　1 资料与方法 　　1.1