58对孤独症谱系障碍双胞胎临床特点及同病率分析

doi:10.11852/zgetbjzz2018-0126

中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (1): 23-25.DOI: 10.11852/zgetbjzz2018-0126

58对孤独症谱系障碍双胞胎临床特点及同病率分析

邓文林¹, 邢艺沛², 汪芳², 游聪², 陈碧媛², 梁亚勇², 邓红珠², 邹小兵²

1 中山大学附属第六医院,广东广州 510655;
2 中山大学附属第三医院儿童发育行为中心,广东广州 510630

收稿日期:2018-04-28 发布日期:2019-01-10 出版日期:2019-01-10
通讯作者: 邹小兵,E-mail: zouxb@163.net
作者简介:邓文林(1984-),男,主治医师,硕士学位,主要研究方向为儿童发育行为及儿童消化疾病研究。
基金资助:
广东省省级产业技术研究与开发专项资金项目(20160914)

Clinical characteristics and the concordance rates of 58 pairs of ascertained autism spectrum disorder

DENG Wen-lin¹, XING Yi-pei², WANG Fang², YOU Cong², CHEN Bi-yuan², LIANG Ya-yong², DENG Hong-zhu², ZOU Xiao-bin²

1 The Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou, Guangdong 510655,China;
2 Children's Development Behavior Center, the Third Affiliated Hospital ofSun Yat-sen University,Guangzhou,Guangdong 510630,China

Received:2018-04-28 Online:2019-01-10 Published:2019-01-10
Contact: ZOU Xiao-bing,E-mail:zouxb@163.net

摘要/Abstract

摘要： 目的分析58对孤独症谱系障碍(ASD)双胞胎临床特点及同病率,以及其遗传规律和影响因素。方法收集1999-2015年就诊于中山大学附属第三医院发育行为中心的ASD双胞胎,对随访的58对ASD双胞胎临床资料进行总结分析,其中至少1名双胞胎诊断为ASD,通过统计描述,使用R软件进行分析同病率。结果双胞胎出生体重较低,胎龄较小,围生期有较多高危因素;同卵双胞胎的同病率为73.68%,异卵双胞胎的同病率为12.82%,差异具有统计学意义(χ²＝18.81,P<0.001)。结论 ASD双胞胎同卵双胞胎具有较高的同病率,提示遗传因素是其重要病因。

关键词: 孤独症谱系障碍, 遗传, 双胞胎, 同病率

Abstract: Objective To analyze the clinical characteristics and the concordance rates of 58 pairs of ascertained autism spectrum disorder(ASD) and to discuss their genetic patterns and risk factors. Methods ASD twins were collected from Children's Development Behavior Center, the Third Affiliated Hospital of Sun Yat-sen University in 1999-2015. Totally 58 pairs of ASD twins in the follow-up program were analyzed,and at least 1 twin had been diagnosed with an ASD in each pair. R software was used to analyze data. Results The birth weight of twins was lower,the gestational age was lower,the perinatal period had more risk factors. The concordance rates of monozygotic twins was 73.68%,while 12.82% for dizygotic twins,and the difference was statistically significant(χ²=18.81,P＜0.01). Conclusion ASD monozygotic twins have high concordance rates,indicating that the genetic factors are one of the important etiology.

Key words: autism spectrum disorder, genetics, twins, concordance rate

中图分类号:

R749.94

邓文林, 邢艺沛, 汪芳, 游聪, 陈碧媛, 梁亚勇, 邓红珠, 邹小兵. 58对孤独症谱系障碍双胞胎临床特点及同病率分析[J]. 中国儿童保健杂志, 2019, 27(1): 23-25.

DENG Wen-lin, XING Yi-pei, WANG Fang, YOU Cong, CHEN Bi-yuan, LIANG Ya-yong, DENG Hong-zhu, ZOU Xiao-bin. Clinical characteristics and the concordance rates of 58 pairs of ascertained autism spectrum disorder[J]. journal1, 2019, 27(1): 23-25.

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58对孤独症谱系障碍双胞胎临床特点及同病率分析

Clinical characteristics and the concordance rates of 58 pairs of ascertained autism spectrum disorder

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