中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (11): 1191-1195.DOI: 10.11852/zgetbjzz2022-1169

• 科研论著 • 上一篇    下一篇

不同性别2~5岁孤独症谱系障碍与发育性语言障碍儿童发育水平的比较

沈世慧, 马晨欢, 李孟凡, 董传菲, 王瑜, 陈津津   

  1. 上海市儿童医院,上海交通大学医学院附属儿童医院儿童保健科,上海 200062
  • 收稿日期:2022-09-24 修回日期:2023-04-19 发布日期:2023-11-03 出版日期:2023-11-10
  • 通讯作者: 陈津津,E-mail: jjvoo@163.com;王瑜,E-mail: wy_rain@126.com
  • 作者简介:沈世慧(1990-),女,浙江人,康复治疗师,学士学位,主要研究方向为儿童康复。
  • 基金资助:
    上海交通大学临床研究培育专项重点项目(2021YLYZ02);上海市公共卫生体系建设三年行动计划(2020-2022年)重点学科建设项目子课题(GWV-10.1-XK14);上海申康医院发展中心市级医院新兴前沿技术联合攻关项目(SHDC12022114);上海市卫健委老龄化和妇幼健康专项(2020YJZX0207);上海交通大学“交大之星”计划医工交叉研究基金(YG2019ZDB01);上海市科委政府间国际合作项目(20410712700);上海市儿童医院临床研究培育专项面上项目(2022YLYM09)

Comparative study on the development level of children with autism spectrum disorder and developmental language disorder in different genders aged 2 - 5 years

SHEN Shihui, MA Chenhuan, LI Mengfan, DONG Chuanfei, WANG Yu, CHEN Jinjin   

  1. Department of Child Health Care, Shanghai Children′s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200062, China
  • Received:2022-09-24 Revised:2023-04-19 Online:2023-11-10 Published:2023-11-03
  • Contact: CHEN Jinjin, E-mail: jjvoo@163.com;WANG Yu, E-mail: wy_rain@126.com

摘要: 目的 比较不同性别孤独症谱系障碍(ASD)儿童与发育性语言障碍(DLD)儿童发育水平的差异,以期为不同性别学龄前ASD儿童的个性化教育干预提供理论依据。方法 运用 Griffiths发育量表于2021年10月—2022年6月对116名2~5岁ASD儿童和97名同年龄DLD儿童进行发育评估。结果 除运动领域外,ASD组男、女童总体在个人社会、听力语言、手眼协调、表现以及实际推理领域的发育商显著低于DLD组(t=4.45、3.69、5.88、5.60、5.76,P<0.001)。ASD组男、女童分别在个人-社会、听力语言、手眼协调、表现以及实际推理领域的发育商均低于DLD组(男童t=3.28、2.57、2.85、2.52、3.92,女童t=3.29、2.79、8.62、9.07、6.86,P<0.01)。ASD女童在手眼协调和表现领域的发育商均低于ASD男童(t=3.51、4.84,P<0.01)结论 除运动领域外, ASD儿童的发育水平均落后于DLD儿童;相较于ASD男童,ASD女童部分领域发育水平落后,因此需针对不同性别ASD儿童提供高强度个体化的干预。

关键词: Griffiths发育评估量表, 孤独症谱系障碍, 发育性语言障碍

Abstract: Objective To compare the differences in developmental levels between children with autism spectrum disorder (ASD) and children with developmental language disorder (DLD) of different genders, so as to provide theoretical basis for individualized educational interventions for preschool ASD children. Methods A total of 116 ASD children aged 2 - 5 years and 97 DLD children from October 2021 to June 2022 were evaluated by using the Griffiths Developmental Scale, and the evaluation results of the two groups were analyzed and compared. Results Except for motor development, personal-social,language, hand-eye coordination, performance dimension and practical reasoning DQs of ASD chilren were all significantly lower than those of DLD children(t=4.45, 3.69, 5.88, 5.60, 5.76, P<0.001). ASD children had significantly lower scores in personal-social, language, hand-eye coordination, performance dimension and practical reasoning DQs than DLD children(boys: t=3.28、2.57、2.85、2.52、3.92; girls: t=3.29、2.79、8.62、9.07、6.86, P<0.01). Girls with ASD had lower hand-eye coordination and performance DQs than boys with ASD(t=3.51, 4.84, P<0.01). Conclusions Except for motor development, DQs of ASD children are all significantly lower than DLD children. DQs of some developmental areas in ASD girls lag behind those of ASD boys. Therefore, it is necessary to provide high-intensity individualized interventions for ASD children of different genders.

Key words: Griffiths Mental Development Scales for China, autism spectrum disorder, developmental language disorder

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