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目的:分析儿童孤独症的临床特征和干预状况,达到早期诊断、早期干预治疗、改善预后的目的。方法:对56例孤独症患儿通过病史采集,临床观察记录,儿童孤独症评定量表(CARS)、儿童孤独症行为评定量表(ABC量表),对结果进行统计分析。结果:孤独症患儿在病史、临床表现方面的异常情况十分普遍,且具有特征性;临床特征以言语障碍、社会交往障碍、行为异常为主,缺乏早期诊断与早期干预治疗。结论:妊娠史、出生史、家族史的异常与孤独症的发病相关,语言发育迟缓为孤独症儿童最常见的主诉,ABC量表评定有助于早期诊断、早期发现、早期干预,对孤独症的治疗至关重要。
Objective: To analyze the clinical features and interventional status of children with autism to achieve the purpose of early diagnosis, early intervention and prognosis. Methods: Fifty-six children with autism were collected through clinical history, clinical observation records, Children’s Autism Rating Scale (CARS), Children’s Autism Behavior Checklist (ABC Scale), and the results were statistically analyzed. Results: The children with autism had abnormalities in their history and clinical manifestations. The abnormalities of children with autism were common and characterized. The main clinical features were speech disorder, social interaction disorder and behavioral disorders, and lack of early diagnosis and early intervention. Conclusion: The abnormal pregnancy history, birth history and family history are related to the onset of autism. Delayed language development is the most common complaint in children with autism. The ABC scale is helpful for early diagnosis, early detection and early intervention. The treatment is crucial.