无锡市1~6岁儿童孤独症患病现状调查

目的:了解无锡市1~6岁儿童孤独症患病情况,并进行干预性治疗。方法:采用整群随机抽样方法对无锡市25521名1~6岁儿童进行横断面调查,采用婴幼儿孤独症筛查表(CHAT)、克氏孤独症行为量表筛查,采用DSM-IV诊断标准和儿童孤独症评定量表(CARS)诊断,评估程度。结果:25 521名儿童中确诊孤独症25名,现患病率0.98‰,男女比例3.2∶1,城区患病率6.22‰,明显高于郊区患病率0.54‰(P<0.05),患病年龄高峰与3年心理行为门诊自然就诊患病年龄高峰相似。结论:无锡市1~6岁儿童孤独症患病率在国内外报道的患病率低范围内,家长、保健医生对孤独症的识别能力有待提高。

The latest investigation of autism epidemic of children aged from 1 to 6 years old in Wuxi city

Objective:To learn about the prevalence of autism of children aged from 1to 6 years old in Wuxi and treat the disorder by means of intervention.Methods:A cross sectional study was carried out with 25 521 subjects aged from 1 to 6 years by mass random sampling and the results was screened by Checklist for Autism in Toddlers and Clancy autism behavior scale and the cases were diagnosed and rated according to the diagnosing criteria of DSM-Ⅳ or by Childhood autism rating scale.Results:Twenty-five of the 25 521 subjects were diagnosed with autism and the rate was 0.98‰,a ratio of 3.2 male to 1 female with 6.22‰ in urban areas while 0.54‰ in rural areas(P<0.05).The peak age when the children diagnosed as the disorder was similar to that when the ordinary outpatients went to the clinic for 3 years running because of psychological disorder.Conclusion:In face of the very small number of domestic reports on 1 to 6 years old children with childhood autism,parents and health doctors should improve their recognition of childhood autism further.