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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。
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孤独症—孤独症能治好吗:
帮个小忙&rdquo
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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。”
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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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