儿童发育行为障碍的早期识别与干预

doi:10.11852/zgetbjzz2017-25-10-12

中国儿童保健杂志 ›› 2017, Vol. 25 ›› Issue (10): 1019-1022.DOI: 10.11852/zgetbjzz2017-25-10-12

儿童发育行为障碍的早期识别与干预

陈珊

福建医科大学附属协和医院儿科,福建福州 350001

收稿日期:2017-08-04 发布日期:2017-10-10 出版日期:2017-10-10
作者简介:陈珊(1963-),女,主任医师,副教授,主要研究方向为儿童保健和发育行为。

Early recognition and intervention of developmental behavioral disorder in children

CHEN Shan

Department of Pediatrics,Fujian Medical University Union Hospital,Fuzhou,Fujian 350001,China

Received:2017-08-04 Online:2017-10-10 Published:2017-10-10

摘要/Abstract

摘要： 发育行为障碍是发育行为儿科常见慢性疾病,影响儿童身心健康和生活质量。早期识别有利于早期干预,降低或减少病残率。早期识别主要依赖于发育行为监测和筛查,将结构化监测和非结构化监测相结合,并实施到儿童保健体检中,可提高发育行为障碍的早期识别率。发育行为障碍的评估方法包括生长发育里程碑监测、儿童心理发育预警征象及标准化发育筛查量表,对发育筛查存在风险者采用诊断性量表进行诊断性评估。干预应遵循早期开展、个体化指导、适应能力培养、家庭参与、多学科合作和启动慢病管理原则,能有效提高干预的科学性和精准性。

关键词: 发育行为障碍, 早期识别, 干预, 监测, 筛查

Abstract: Developmental behavioral disorder is a common chronic disease in developmental behavioral pediatrics,which affects the physical and mental health as well as quality in life of children.Early recognition is conducive to early intervention,and may reduce disability rate.Early recognition mainly depends on the monitoring and screening of development behavior.The combination of structured and unstructured monitoring,and the implementation of the child health examination,can improve the early recognition rate of developmental behavioral disorders.The evaluation methods of developmental behavioral disorders include developmental milestones monitoring,early warning signs of children's psychological development and standardized development screening scale,and the diagnostic scale should be used if screening results indicate risk of developmental disorders.The intervention should follow the principles of early development,individual guidance,adaptive ability training,family participation,multi-disciplinary cooperation and chronic disease management,in order to effectively improve the scientificity and accuracy of intervention.

Key words: developmental behavioral disorder, early recognition, intervention, monitoring, screening

中图分类号:

R179

陈珊. 儿童发育行为障碍的早期识别与干预[J]. 中国儿童保健杂志, 2017, 25(10): 1019-1022.

CHEN Shan. Early recognition and intervention of developmental behavioral disorder in children[J]. journal1, 2017, 25(10): 1019-1022.

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https://manu41.magtech.com.cn/Jwk_zgetbjzz/CN/Y2017/V25/I10/1019

参考文献

[1] 金星明.发育行为临床诊断特点[J].中国实用儿科杂志, 2012,27(3):183-185.
[2] Stein DS,Blum NJ.Barbaresi WJ.Developmental and behavioral disorders through the life span[J].Pediatrics,2011,128(2):364-373.
[3] Marks KP,LaRosa AC.Understanding developmental behavioral screening measures[J].Pediatr Rev,2012,33(10):448-458.
[4] Walker WO,Johnson CP.Mental retardation:overview and diagnosis[J].Pediatr Rev,2006,27:204-211.
[5] 金星明,静进.发育与行为儿科学[M].北京:人民卫生出版社,2014.
[6] Council on Children With Disabilities,Section on Developmental Behavioral Pediatrics,Bright Futures Steering Committee and Medical Home Initiatives for Children With Special Needs Project Advisory Committee.Identifying infants and young children with developmental disorders in the medical home:an algorithm for developmental surveillance and screening[J].Pediatrics,2006,118(1):405-420.
[7] Marks KP,Page Glascoe F,Macias MM.Enhancing the algorithm for developmental - behavioral surveillance and screening in children 0 to 5 years[J].Clin Pediatr,2011,50(9):853-868.
[8] Meisels SJ,Provence S.Screening and assessment,Guidelines for identifying young disabled and developmentally vulnerable children and their families[M].Washington DC:National Center for Clinical Infant Programs,1989:57.
[9] Warren R,Kenny M,Bennett T,et al.Screening for develop mental delay among children aged 1-4 years:a systematic review[J].CMAJ Open,2016,4(1):20-27.
[10] Schonwald A,Huntington N,Chan E,et al.Routine develop mental screening implemented in urban primary care settings:more evidence of feasibility and effectiveness[J].Pediatrics,2009,123(2):660-668.
[11] 国家卫生计生委妇幼保健服务司.儿童心理保健技术规范[S].北京:卫办妇社,2013:1-3.
[12] 杨玉凤.儿童发育行为心理评定量表[M].北京:人民卫生出版社,2016:195-233.
[13] Hauser-Cram P,Warfield ME.Early intervention services[M]//Carey WB,Crocker AC,Coleman WL,et al.Developmental-behavioral pediatrics[M].4th ed.Philadelphia:Elsevier,2009:923-932.

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儿童发育行为障碍的早期识别与干预

Early recognition and intervention of developmental behavioral disorder in children

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