《中国康复理论与实践》

《中国康复理论与实践》

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孤独症谱系障碍儿童的胃肠道问题①

丛妍1，姜志梅1，王浩2，朱俊丽1，周雪1，刘洋1   

  1. 1.佳木斯大学附属第三医院，佳木斯大学康复医学院，黑龙江佳木斯市154003；2.黑龙江省社会康复医院，黑龙江哈尔滨市150000。
  • 出版日期:2016-03-25 发布日期:2016-06-01

Gastrointestinal Problems in Children with Autism Spectrum Disorder

CONG Yan1, JIANG Zhi-mei1, WANG Hao2, ZHU Jun-li1, ZHOU Xue1, LIU Yang1   

  1. 1. The Third Affiliated Hospital of Jiamusi University, Rehabilitation College of Jiamusi University, Jiamusi, Heilongjiang 154003, China; 2. Heilongjiang Social Rehabilitation Hospital, Harbin, Heilongjiang 150000, China
  • Published:2016-03-25 Online:2016-06-01

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摘要： 目的探究孤独症谱系障碍(ASD)儿童与胃肠道问题的关系。方法2014 年7 月~2015 年8 月，对172 例明确诊断的ASD儿童采用自制行为问题调查表进行筛查，比较ASD儿童胃肠道症状期间和没有胃肠道症状期间的运动行为频率、声音行为频率、行为问题频率、行为问题强度。结果胃肠道症状期间，运动行为频率(F=67.4, P<0.001)、声音行为频率(F=43.6, P<0.001)、行为问题频率(F=79.4, P<0.001)、行为问题强度(F=65.7, P<0.001)显著高于没有胃肠道症状期间。结论较无胃肠问题的ASD儿童而言，有胃肠道问题的ASD儿童更易发生行为问题；行为症状可为ASD儿童胃肠道问题的筛查提供新途径。

关键词: 孤独症谱系障碍, 胃肠, 行为, 功能障碍

Abstract: Objective To explore the relationship between autism spectrum disorder (ASD) and gastrointestinal problems. Methods 172 ASD children were investigated with self-made questionnaire from July, 2014 to Augest, 2015. The frequencies of motor behaviors, vocal behaviors and behavioral problems, and the intensity of the behavioral problems in the period with or without gastrointestinal symptoms were compared. Results The frequencies of motor behaviors (F=67.4, P<0.001), vocal behaviors (F=43.6, P<0.001) and behavioral problems (F=79.4, P<0.001), and the intensity of the behavioral problems (F=65.7, P<0.001) were all more in the period with gastrointestinal symptoms than without gastrointestinal symptoms. Conclusion There are more behavioral problems in the ASD children with the presence of gastrointestinal symptoms; while the behavioral symptoms may be a indicator of gastrointestinal problems in children with ASD.

Key words: autism spectrum disorder, gastrointestine, behavior, dysfunction