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目的进行儿童孤独症临床分析,探讨围产期的危险因素。方法按照DSM-Ⅳ儿童孤独症标准和儿童孤独症评定量表做诊断,采用儿童孤独症家长评定量表,收集2010年-2012年在郑州大学第三附属医院儿童心理门诊就诊和儿童心理行为中心康复治疗的186名孤独症患儿。结果孤独症与妊娠期和围产期某些危险因素如父母的生育年龄、父母性格、先兆流产、母孕期患躯体疾病、窒息、新生儿黄疸、早产等相关。结论加强孕产妇的保健,减少围产期存在的一些危险因素,可能减少孤独症的发病。
Objective To carry out clinical analysis of children with autism and explore the risk factors of perinatal period. Methods According to the DSM-IV children’s autistic children’s standard of autism and children’s autism assessment scale, using the autistic parental assessment scale of children, collected from 2010 to 2012 in the Third Affiliated Hospital of Zhengzhou University Children’s Psychological Outpatient Service and Children’s Psychological Behavior Center Rehabilitation of 186 autistic children. Results Autism was associated with some risk factors during pregnancy and perinatal period such as parental reproductive age, parental character, threatened abortion, somatic disease during pregnancy, asphyxia, neonatal jaundice, premature delivery and so on. Conclusion Strengthening maternal health and reducing some risk factors during perinatal period may reduce the incidence of autism.