Gesell发育量表对2岁内孤独症谱系障碍患儿的应用研究

doi:10.11852/zgetbjzz2016-24-12-29

中国儿童保健杂志 ›› 2016, Vol. 24 ›› Issue (12): 1329-1331.DOI: 10.11852/zgetbjzz2016-24-12-29

Gesell发育量表对2岁内孤独症谱系障碍患儿的应用研究

周翔,陈强,陈红,庄志成,曾彩霞

珠海市妇幼保健院儿童心理行为科,广东珠海 519000

收稿日期:2016-07-20 发布日期:2016-12-01 出版日期:2016-12-01
作者简介:周翔(1971-),女,四川人,副主任心理治疗师,主要研究方向为儿童心理行为问题的矫治。
基金资助:
承德市科技局项目(201601A012)

Application of Gesell Developmental Scale on autism spectrum disorder children under 2-year-old.

ZHOU Xiang,CHEN Qiang,CHEN Hong,ZHUANG Zhi-cheng,ZENG Cai-xia.

Zhuhai Maternal And Child Health Care Hospital,Zhuhai,Guangdong 519000,China

Received:2016-07-20 Online:2016-12-01 Published:2016-12-01

摘要/Abstract

摘要： 目的探索Gesell发育量表对2岁以内孤独症谱系障碍(ASD)患儿的应用效果,为其早期诊断及干预提供科学依据。方法对年龄在24月龄以内的55例ASD患儿、40例精神发育迟滞患儿及131名正常儿童,运用Gesell发育量表对其进行测评,并对3组儿童的发育商进行分析比较。结果 87.26%的ASD组患儿在Gesell发育量表中表现为不同程度的发育迟缓;ASD组患儿及精神发育迟滞组患儿在五个能区中的得分都低于正常对照组儿童,差异有统计学意义(P<0.05);ASD组患儿与精神发育迟滞组患儿在适应性行为及精细动作上的得分与其相当,差异无统计学意义(P>0.05);ASD组患儿在大运动能区的得分优于精神发育迟滞组患儿,在语言及个人-社交能区,ASD组得分低于精神发育迟滞组患儿,差异均有统计学意义(P均<0.05)。结论 2岁以内ASD患儿即有发育落后及发育不平衡的现象,以语言及个人-社交发育落后明显,大运动发育相对接近正常为特征,进行Gesell发育量表评估有利于对ASD患儿的早期发现。

关键词: 孤独症谱系障碍, Gesell发育量表, 患儿

Abstract: Objective To explore the evaluation of Gesell Developmental Scale on autism spectrum disorder (ASD) children under 2-year-old. Methods Gesell Developmental Scale was used to evaluate the neurodevelopmental outcomes of children under 2-year-old,who were divided into three groups including 55 children with ASD,40 children with mental retardation (MR),and 131 normal children.The development quotients of the three groups were compared with each other. Results The growth retardation rate of ASD group was 87.26%.There were no significant differences in the developmental quotients of adaptability and fine motor between ASD group and MR group (P>0.05).The developmental quotient of gross motor in ASD group was significantly higher than that of MR group (P<0.05).With respect to developmental quotients of language and individuality,ASD group were significantly lower than MR group (P<0.05). Conclusions Children with ASD under 2-year-old could perform growth retardation and imbalance development with obvious language,individuality retardation and relative normal gross motor.Gesell Developmental Scale is helpful to early detection of ASD children.

Key words: autism spectrum disorder, Gesell Developmental Scale, children

中图分类号:

R179

周翔,陈强,陈红,庄志成,曾彩霞. Gesell发育量表对2岁内孤独症谱系障碍患儿的应用研究[J]. 中国儿童保健杂志, 2016, 24(12): 1329-1331.

ZHOU Xiang,CHEN Qiang,CHEN Hong,ZHUANG Zhi-cheng,ZENG Cai-xia.. Application of Gesell Developmental Scale on autism spectrum disorder children under 2-year-old.[J]. journal1, 2016, 24(12): 1329-1331.

0
/ / 推荐

导出引用管理器 EndNote|Ris|BibTeX

链接本文: https://manu41.magtech.com.cn/Jwk_zgetbjzz/CN/10.11852/zgetbjzz2016-24-12-29

https://manu41.magtech.com.cn/Jwk_zgetbjzz/CN/Y2016/V24/I12/1329

参考文献

[1] Wong VC,Fung C,Lee S,et al.Review of evolution of clinical,training and educational services and research program for autism spectrum disorders in Hong Kong[J].Science China(Life Sciences),2015,55(10):991-1009.
[2] Thompson T.Autism research and services for young children: history,progress and challenges[J].J Appl Res Intellect Disabil,2013,26(2):81-107.
[3] Hutman T,Chela MK,Gillespie-Lynch K,et al.Selective visual attention at twelve months:signs of autism in early social interactions[J].J Autism Dev Disord,2012,42(4):487-498.
[4] 姜丽娜,李明,边旸.Gesell问卷用于评价小儿神经发育的信度及效度分析[J].临床和实验医学杂志,2015,14(13):1133-1135.
[5] Kumar B,Prakash A,Sewal RK,et al.Drug therapy in autism: a present and future perspective[J].Pharmacol Rep,2012,64(6):1291-304.
[6] 邹小兵.儿童孤独症诊断与治疗新动向[J].中国儿童保健杂志,2012,20(4):294-296.
[7] 赵中.应用行为分析的维度对孤独症行为矫正的提示[J].中国儿童保健杂志,2012,20(1):49-51.
[8] 韦臻,任路忠,翁丽芬,等.深圳市18～24月龄婴幼儿孤独症谱系障碍筛查及3年随访研究[J].中国儿童保健杂志,2012,20(4):354-357.
[9] Atun-Einy O,Lotan M,Harel Y,et al.Physical therapy for young children diagnosed with autism spectrum disorders-clinical frameworks model in an israeli setting[J].Frontiers in Pediatrics,2013,1:19.
[10] 杨玉凤,金星明,静进.发育行为儿科手册[M].南京:江苏科学技术出版社,2009:363-364.
[11] Rao VS,Ashok MV.Intelligence in autism[J].Indian J Psychol Med,2013,35(4):428.
[12] Duncan AW,Bishop SL.Understanding the gap between cognitive abilities and daily living skills in adolescents with autism spectrum disorders with average intelligence[J].Autism,2013,19(1):64-72.
[13] 周翔,陈强,曾彩霞,等.孤独症儿童能力发育特征探讨[J].中国儿童保健杂志,2013,21(4):364-366.
[14] 程红,张芳蓉,崔永波,等.孤独症儿童30例早期智能特征探讨[J].中国儿童保健杂志,2004,12(5):394-396.
[15] 李玲,孙畅,蔡小凡,等.孤独症谱系障碍儿童早期智能特征和疗效分析[J].中国儿童保健杂志,2010,18(2):162-164.
[16] 张颖,徐秀.孤独症的早期干预[J].临床儿科杂志,2010,28(8):741-743

Gesell发育量表对2岁内孤独症谱系障碍患儿的应用研究

Application of Gesell Developmental Scale on autism spectrum disorder children under 2-year-old.

PDF

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	张超. 早期介入丹佛模式在不同病情程度孤独症谱系障碍儿童康复中的应用研究[J]. 中国儿童保健杂志, 2023, 31(7): 736-740.
[2]	刘安南, 姜志梅. 孤独症谱系障碍各年龄段筛查工具研究进展[J]. 中国儿童保健杂志, 2023, 31(6): 645-649.
[3]	黎梦晗, 李廷玉. 孤独症谱系障碍儿童感觉异常的研究进展[J]. 中国儿童保健杂志, 2023, 31(6): 650-655.
[4]	刘梦姣, 郑小琴, 孟仙, 吴晓玲, 葛冬梅, 聂晶. 2~5岁孤独症谱系障碍、疑似孤独症谱系障碍及全面发育迟缓儿童的智能特征分析[J]. 中国儿童保健杂志, 2023, 31(6): 668-673.
[5]	李德欣, 陈强, 庄志成, 陈红, 杨秉娇, 姜顺香, 周翔. 孤独症谱系障碍儿童肠道菌群与症状严重程度相关性研究[J]. 中国儿童保健杂志, 2023, 31(5): 497-501.
[6]	刘金, 张芳, 王建忠. 脑瘫患儿血清25-羟维生素D水平与小腿骨骼肌发育及粗大运动功能量表评分的关系[J]. 中国儿童保健杂志, 2023, 31(5): 541-545.
[7]	王少雯, 张贻霞, 陈静静, 魏秀丽, 叶蓓, 方拴锋. Gesell发展诊断量表在语言相关的发育性疾病中的应用[J]. 中国儿童保健杂志, 2023, 31(4): 442-445.
[8]	柯晓燕. 孤独症谱系障碍早期识别与早期诊断的现状与挑战[J]. 中国儿童保健杂志, 2023, 31(3): 238-240.
[9]	宋超, 胡莉菲, 吴玲玲, 江忠权. 孤独症谱系障碍儿童合并智力功能缺陷的GBM预测模型构建与评价[J]. 中国儿童保健杂志, 2023, 31(3): 241-245.
[10]	李正, 肖贵元, 罗雅婷, 何春燕, 王念蓉, 赵妍. 孤独症谱系障碍儿童血清叶酸、维生素B12水平与肠道菌群的关联[J]. 中国儿童保健杂志, 2023, 31(3): 246-251.
[11]	董海鹏, 杨思渊, 李伟栋, 余婧. 团体社交训练对孤独症谱系障碍儿童康复效果的影响因素及Nomogram预测模型构建[J]. 中国儿童保健杂志, 2023, 31(3): 252-258.
[12]	赵丽华, 李晶. 孤独症谱系障碍儿童非典型人际同步表现及其神经机制[J]. 中国儿童保健杂志, 2023, 31(3): 274-278.
[13]	赵英欣, 何凡, 郑毅. 肠道微生物干预在孤独症谱系障碍中的应用展望[J]. 中国儿童保健杂志, 2023, 31(3): 279-283.
[14]	王静, 黄珊, 高雪婷. 孤独症谱系障碍儿童室内替代座椅干预研究进展[J]. 中国儿童保健杂志, 2023, 31(3): 284-288.
[15]	林欢喜, 刘潘婷, 童梅玲, 池霞, 钱君, 洪琴. 父母介导的干预在孤独症谱系障碍治疗中应用效果的Meta分析[J]. 中国儿童保健杂志, 2023, 31(3): 304-310.