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目的分析孤独症谱系障碍(ASD)儿童的早期行为学特征,为开展儿童ASD早期识别和早期干预提供依据。方法选取2010年7月-2015年8月湖北省妇幼保健院收治的符合ICD-10 ASD诊断标准的420例儿童为ASD组,另随机选取同期在该院门诊进行儿童系统保健的正常儿童505例为对照组,回顾性分析两组儿童的相关资料。结果 ASD的早期行为学特征明显,严重的ASD儿童在12个月之前就存在异常。“缺乏社会性微笑”、“眼神交流少而短暂”、“依恋行为缺乏”、“叫其名字无反应”、“姿势性语言发育落后”、“共同注意缺陷”、“面部表情识别困难”和“想象性游戏、模仿他人缺陷”可作为ASD儿童的早期行为学特征。结论 ASD儿童12个月前已存在明显行为学特征,应加强早期识别和筛查。
Objective To analyze the early behavioral characteristics of children with autism spectrum disorder (ASD) and provide evidence for the early identification and early intervention of ASD in children. Methods A total of 420 children with ICD-10 ASD diagnostic criteria admitted to Hubei Maternal and Child Health Hospital from July 2010 to August 2015 were selected as ASD group. Another 505 children with normal children’s system health care during the same period were enrolled in this study. For the control group, retrospective analysis of two groups of children’s relevant information. Results The early behavioral characteristics of ASD were obvious. Serious ASD children had abnormalities 12 months earlier. “Lack of Social Smile ”, “Eye contact is short and short”, “Lack of Attachment ”, “Calling name no response ”, “Postural language development ” Attention deficiencies “, ” facial expression recognition difficulties “and ” imaginative game, imitating other people ’s defects "can be used as ASD children’ s early behavior characteristics. Conclusion Children with ASD have obvious behavioral characteristics 12 months ago, and early identification and screening should be strengthened.