journal1 ›› 2017, Vol. 25 ›› Issue (10): 1019-1022.DOI: 10.11852/zgetbjzz2017-25-10-12

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Early recognition and intervention of developmental behavioral disorder in children

CHEN Shan   

  1. Department of Pediatrics,Fujian Medical University Union Hospital,Fuzhou,Fujian 350001,China
  • Received:2017-08-04 Online:2017-10-10 Published:2017-10-10

儿童发育行为障碍的早期识别与干预

陈珊   

  1. 福建医科大学附属协和医院儿科,福建 福州 350001
  • 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。

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

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

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