| 陈桂华,穆菲,单秀丽,韩婷婷,关春荣,顾怀婷.济宁市任城区学龄前儿童孤独症谱系障碍患病情况[J].济宁医学院学报,2022,45(5):351-353,358 |
| 济宁市任城区学龄前儿童孤独症谱系障碍患病情况 |
| The prevalence of autism spectrum disorder(ASD) in preschool children in Rencheng district of Jining city |
| 投稿时间：2022-03-20 |
| DOI：10.3969/j.issn.1000-9760.2022.05.009 |
| 中文关键词: 孤独症谱系障碍;学龄前儿童;患病率 |
| 英文关键词: Autism Spectrum Disorder;Preschool Children;Prevalence |
| 基金项目:济宁医学院教师扶持基金(JYFC2019kj019) |
| 作者 | 单位 | E-mail | | 陈桂华 | 济宁市任城区妇幼保健院, 济宁 272149 | | | 穆菲 | 济宁市任城区妇幼保健院, 济宁 272149 | | | 单秀丽 | 济宁市任城区妇幼保健院, 济宁 272149 | | | 韩婷婷 | 济宁市任城区妇幼保健院, 济宁 272149 | | | 关春荣 | 济宁市任城区妇幼保健院, 济宁 272149 | | | 顾怀婷 | 济宁医学院公共卫生学院, 济宁 272013 | guhuaiting@mail.jnmc.edu.cn |
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| 中文摘要: |
| 目的 探索济宁市任城区学龄前儿童孤独症谱系障碍(Autism Spectrum Disorder,ASD)的患病情况,为ASD儿童的防治工作提供参考依据。方法 采用整群抽样方法,于2021年3-5月,选择济宁市任城区94所幼儿园的3~6岁儿童为研究对象,使用《克氏量表》(Clancy Behavior Scale,CABS)进行初次筛查,筛出的疑似ASD儿童由专业医生根据ICD-10的诊断标准,结合儿童期孤独症评定量表(Childhood Autism Rating Scale,CARS)或孤独症行为量表(Autism Behavior Checklist,ABC)对其进行明确诊断。结果 共收集有效问卷14263份,其中男童7788人,女童6475人,初次筛查可疑ASD阳性人数557人,初筛阳性率为3.91%。男童检出率(5.02%)高于女童(2.56%),差异有统计学意义(χ2=56.867,P<0.001)。不同年龄组CABS量表ASD检出率差异有统计学意义(χ2=6.553,P=0.038),三岁年龄组检出率(4.36%)较高。最后确诊ASD患儿94人,ASD患病率为6.59‰。男童ASD检出率(10.53‰)高于女童(1.85‰),性别比为3.56∶1。3岁组ASD的检出率为7.68‰,4岁组为6.98‰,5岁以上组为4.67‰,差异无统计意义(χ2=2.917,P=0.233)。结论 济宁市任城区3~6岁ASD儿童患病率为6.59‰。定期开展学龄前儿童心理行为筛查,对于及时发现ASD儿童是非常必要的。 |
| 英文摘要: |
| Objective To investigate the prevalence of autism spectrum disorder (ASD) in preschool children in Rencheng district of Jining city.Methods By using the cluster sampling method,children aged from 3 to 6 years old were selected from 94 kindergartens in Rencheng district of Jining city.The Clancy Behavior Scale (CABS) was used for initial screening.Children with suspected ASD should be diagnosed by professional doctors based on the ICD-10 criteria,the Childhood Autism Rating Scale (CARS) and the Autism Behavior Checklist (ABC).Results A total of 14263 valid questionnaires were collected,of which 7788 were boys and 6745 were girls.According to the initial screening by CABS,the detection rate of ASD was 3.91%.The difference between boys (5.02%) and girls (2.56%) had statistical significance (χ2=56.867,P<0.001).A statistically significant relationship was observed in different age groups:children of 3 years old had a higher rate (4.36%) than other age groups (χ2=6.553,P=0.038).Although 557 children were screened as suspected ASD,only 94 children were confirmed having ASD.The observed ASD prevalence rate of preschool children was 6.59‰.The prevalence was significantly higher in boys (10.53‰) than ingirls (1.85‰).The sex ratio (boys:girls) was 3.56:1.The detection rate of ASD was 7.68‰ in the 3-year old group,6.98‰ in the 4-year old group and 4.67‰ in the 5-year old group,and the difference was not statistically significant (χ2=2.917,P=0.233).Conclusion The prevalence rate of ASDin preschool children was 6.59‰ in Rencheng district of Jining city.In order to detect children with ASD in time,it is necessary to carry out the regular screening of psychological and behavioral problems in preschool children. |
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