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　　中新网8月16日电 据卫生部网站消息，卫生部办公厅于今日印发关于《儿童孤独症诊疗康复指南》的通知。《指南》中指出，目前尚缺乏针对儿童孤独症核心症状的药物，药物治疗为辅助性的对症治疗措施。

　　《指南》说，儿童孤独症是一种日益常见的心理发育障碍性疾病。第二次全国残疾人抽样调查结果显示，我国0-6岁精神残疾(含多重)儿童占0-6岁儿童总数的1.10‰，约为11.1万人，其中孤独症导致的精神残疾儿童占到36.9%，约为4.1万人。儿童孤独症以男孩多见，其患病率与种族、地域、文化和社会经济发展水平无关。

　　《指南》指出，儿童孤独症患儿在社会交往方面存在质的缺陷，他们不同程度地缺乏与人交往的兴趣，也缺乏正常的交往方式和技巧。具体表现随年龄和疾病严重程度的不同而有所不同，以与同龄儿童的交往障碍最为突出。

《指南》强调，儿童孤独症的治疗以教育干预为主，药物治疗为辅。因儿童孤独症患儿存在多方面的发育障碍及情绪行为异常，应当根据患儿的具体情况，采用教育干预、行为矫正、药物治疗等相结合的综合干预措施。目前尚缺乏针对儿童孤独症核心症状的药物，药物治疗为辅助性的对症治疗措施。

孩子不爱说话不合群 或是患上了儿童孤独症

　　长沙4月21日讯（记者 董雷 实习生 李鑫 通讯员 刘菊秀 姚玥 李奇）记者从今日在湖南省儿童医院召开的2011儿童孤独症国际论坛上获悉，大约每1万个儿童中就有2～13个孤独症儿童，仅在湖南省儿童医院，近5年来便接诊560多例，尤其以近两年居多，约400例，较前三年增加了2.5倍。

　　 男孩更容易患孤独症

　　该院儿童保健所主任钟燕教授介绍说，该院接诊的孤独症儿童最小的只有1岁2个月，最大的7岁多，以2-4岁儿童居多，其中男孩480例，女孩80例，男女比例约6:1。这也与现有的流行病学调查资料基本相符，即男女性别间差异显著为6～9∶1。

　　这类孩子通常存在交往、语言、行为三方面的障碍。他们自我封闭，不合群，不能跟小朋友一起进行游戏。大部分儿童言语很少，或者词不达意、自言自语等。此外，他们行为刻板重复，喜欢反复不断地重复摇头、拍手、转圈等简单的动作，对非生命物体感兴趣，对生命物体没有兴趣，比如，有些孤独症儿童热衷于看电视广告和天气预报，着迷于单调地摆放积木，等等。

　　钟燕教授说，目前孤独症病因不是很清楚，通常跟多种生物学因素、遗传因素、病毒和免疫学因素、围生期因素以及社会、心理学因素等有关，同时也跟环境因素、压力有关。

　　为预防孩子成为孤独症患儿，母亲要特别注意孕期保健，提倡母乳喂养，合理饮食，减少高糖、高脂、肉类等“酸性食物”的摄入，建立亲子依恋和情感联系。家长还应让孩子多与外界环境接触，让孩子与同龄儿童一起玩耍、交往和学习，使其个性和社会适应性健康发展，从而有效地预防儿童孤独症。

　　 早诊断早治疗是治疗成败的关键

　　
　　早期诊断，早期治疗是治疗成败的关键，钟燕说，孤独症训练在3岁以前效果最好，6岁以前训练是关键。

　　但仍有很多孤独症孩子耽误了最佳治疗时机。原来，在2岁以前孤独症的早期诊断很困难，即使很多家长发现了孩子的异常，却选择去看儿科，而普通的儿科医生对孤独症又无法确诊，会当作别的病来治疗。
　　更有些家长不愿承认孩子的异常，认为孩子说话晚是“贵人语迟”；孩子重复、单调地玩一个玩具，认为是孩子做事专注。

　　所以，父母对疑有孤独症倾向的儿童，应尽早去医院就诊，由专科医生（儿童神经、精神、心理、保健专业）确诊。由于孤独症儿童的年龄、临床表现、功能损害各不相同，治疗需要因人而异。
　　为了提高对儿童孤独症的早期诊断率，提升训练效果，湖南省儿童医院与美国纽约州立基础研究院共同成立“儿童孤独症研究合作中心”，开展两院的交流与合作，从病因诊断、干预训练等多方面进行研究，更好地造福于孤独症儿童。




























孤独症—孤独症能治好吗：

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孤独症儿童上陌生人车 好心司机照料他一夜

　　“要不是他，我还不知道能见到娃不？”60岁的陈先英抹着眼泪说，几天前，大人没注意，患有自闭症的10岁孙子李小波(化名)跑出家门。幸亏被好心市民李兴武收留，并将其送回。她现在最大的心愿，就是“想请恩人吃顿饭。
”
　　趁大人不注意跑出托养地

　　6月21日下午，看着“失而复得”的孙子小波，陈先英和老伴满脸笑容。陈先英说，他们是安康宁陕县人。8年前，孙子小波被发现患有自闭症和多动症后，儿子和媳妇均辞去工作，全家人带着孩子，辗转北京、上海、成都等城市求医。2011年，一家五口来渭。去年，儿媳与儿子离婚后，年迈体衰的陈先英和老伴将其送至一家托养机构，周一至周五托养，周末接孙子回家。

　　6月20日晚上，趁大人没注意，小波偷偷跑出托养机构。接到托养机构工作人员的电话后，全家人把附近搜了个遍，也没发现小波。令家人揪心的是，和其他自闭症患儿一样，小波无法表达自己的意愿，又很喜欢乱动，“他走失的地方离沋河水库那么近，万一掉进水库就完了。”

　　面包车等红灯孩子拉门而入

　　“当时他拉开车门就坐了上来，把我吓了一跳。”6月23日晚上9时许，27岁的李兴武回忆道，19日晚上12时许，自己刚吃完夜宵，开着拉货的面包车准备回家。路过南小桥附近，就发现了一个小孩正穿行护栏。没想到等红灯时，孩子就直接冲过来，拉开车门上了车。

　　见他一直躁动不安，李兴武怀疑孩子是不是受虐跑出来的，询问孩子姓名、家庭住址等信息时发现他一个完整的词语也说不出。无奈之下，他只好慢慢开着车，带着孩子一圈圈地转，“我猜他应该家住在附近，所以想让他回忆下家在哪个方向。”

　　转了一个多小时后，孩子还是没有反应，李兴武便带他回了家。勉强给他洗了个澡后，孩子也不肯睡觉，一直乱蹦乱跳，没有一刻安静。担心夜深吵到邻居，李兴武只好将孩子带回车里，整夜看护着。

　　好心面包车司机帮孩子找到

　　第二天早上8时许，考虑到孩子的家人一定很着急，李兴武赶紧报了警。“当时我们也问了娃，可惜娃一个字也说不清。”向阳派出所民警介绍说，孩子被送来时，他们怀疑孩子是智障儿童。当天10时许，头一天曾来报案的托养机构工作人员将孩子接回。

　　“当时陈阿姨就要跪下去了。”11时许，为了确认孩子的安全，李兴武又来到托养机构，与陈先英一家见了面。情绪激动的陈先英边哭，边准备给恩人跪下。李兴武赶紧将她拉了起来，“我说我这么小，她跪我我受不起啊！”

　　“现在这样的好人太少了！”陈先英哽咽说，尽管自己三番五次提出，想请李兴武吃顿饭道谢，并多次吩咐儿子拿出钱，塞给李兴武，都被拒绝了。李兴武还以工作忙为由，匆匆离开。

　　“这么小的事，我不希望弄得那么俗气。”李兴武说，自己以前当过武术教练，教过不少孩子，看到孩子走失，心存恻隐的他只是“帮个小忙”。虽然不接受李家的谢意，但也一直牵挂着那个“捡到的孩子”。听说孩子有自闭症和多动症后，他希望能教教这个孤独症孩子学武术，“多和人接触接触，也许孩子病情会好转些。”

















孤独症最好治疗方法：style="font-family: 'Arial'; color: rgb(0,0,0); font-size: 9pt; mso-spacerun: 'yes'">

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有效论坛总量始终保持在5000个！所以发的时间越长效果越好！
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