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天津市婴幼儿孤独症患病率与危险因素
引用本文:苏媛嫒,张欣,李爱月,李义民,刘功妹. 天津市婴幼儿孤独症患病率与危险因素[J]. 中国妇幼保健, 2011, 26(32): 5004-5007
作者姓名:苏媛嫒  张欣  李爱月  李义民  刘功妹
作者单位:1. 天津医科大学公共卫生学院儿童少年卫生学教研室,天津,300070
2. 天津市妇女儿童保健中心
基金项目:国家自然科学基金资助项目〔81072313〕
摘    要:目的:探讨天津市婴幼儿孤独症的患病率及相关危险因素,为今后孤独症病因研究提供线索。方法:应用巢式病例对照研究方法,按分层整群抽样的原则随机抽取天津市7 904名1.5~3岁的儿童进行孤独症筛查,对412名筛查阳性儿童进行追踪,年龄满3岁时进行孤独症确诊;每个病例按相同性别月龄匹配4例对照,因素调查表分为四部分,每部分分别进行单因素及多因素条件Logistic回归。结果:22例确诊为孤独症,天津市婴幼儿孤独症患病率及其95%的可信区间为27.83/万(16.22/万~39.44/万),男性孤独症患病率是女性的4倍(P<0.05)。单因素分析时发现孤独症的危险因素总共有8个,各部分多因素分析显示主要危险因素为:父亲有害职业史、母亲人工流产史、被动吸烟、妊娠浮肿、妊娠呕吐、新生儿黄疸。结论:孤独症不应再被认为是极罕见病,环境因素与孤独症发病有一定关系。

关 键 词:婴幼儿期  孤独症  巢式病例  危险因素

Prevalence and risk factors of infantile autism in Tianjin
SU Yuan-Yuan,ZHANG Xin,LI Ai-Yue et al.Public Health College of Tianjin Medical University,Tianjin ,Chian. Prevalence and risk factors of infantile autism in Tianjin[J]. Maternal and Child Health Care of China, 2011, 26(32): 5004-5007
Authors:SU Yuan-Yuan  ZHANG Xin  LI Ai-Yue et al.Public Health College of Tianjin Medical University  Tianjin   Chian
Affiliation:SU Yuan-Yuan,ZHANG Xin,LI Ai-Yue et al.Public Health College of Tianjin Medical University,Tianjin 300070,Chian
Abstract:Objective:To investigate the prevalence and related risk factors of infantile autism in Tianjin,in order to provide clues to etiology of autistic disorder.Methods:Using nested case-control study,7 904 children aged 1.5 to 3 were screened for autistic disorder by cluster random sampling method,412 screening-positive children entered the cohort and were diagnosed when they were 3 years old.4 healthy children were selected to match 1 case,with the same age and sex.The screen and diagnostic questionnaire used i...
Keywords:Infants and young children  Autistic disorder  Nested case-control study  Risk factors  
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