The Early Signs Study Of Autism On1.5-3-year-old Children In Tianjin City

Objective Autism is an serious PDD which onseted in infant. Now we don’t know why and how it happened, and there isn’t an effective treatment. However the more earlier the autism interfered, the better he will be. So it’s very important to detect the autism as early as possible. We investigated the autism-related behaviors of1.5-3-year-old children in Tianjin, in order to explore the early signs of autisms, thereby remind the parent and doctor of child care of it to diagnose and treat as early as possible.Method The research is a investigational study. It’s divided into two parts:one is screening, and the other one is final diagnosis. First of all we draw off63community service of Tianjin city using stratified and cluster sampling; And then we use personally edit questionnaire to investigate all of the1.5-3-year-old children in63community service, lastly about the suspious autisms we use CARS、ABC、Griffiths to examine more to make certain they are or not. All of the children who we finally diagnosed as autism are made up of the case group, and we will draw off some normal children who are made up of the control group. We use SPSS17.0for data processing.Results We found children of suspicious autism424in8428children,242boys and182girls, there was statistical significant differences between men and women (χ2=4.450,P=0.035.1.5-2years,2-2.5years,2.5-3years group, the detection rate differences was also significant (χ2=21.220, P=0.000),and there was statistical significant differences between urban and suburb(χ2=7.580, P=0.006). The detection rate differences were significant between men and women on the four behavior performance as follows:"abnormal language development"," not look at the things what you are pointing at","not interested in children","not use language or gesture to expresse the need"; and among the1.5-2years,2-2.5years,2.5-3years group on the seven behavior performance as follows "abnormal language development","not point with his/her index finger at the light","special liking the revolving things"、"do not display things he/she interested"," difficult to accept simple instructions","not use language or gesture to expresse the need","dull sense of pain". we finally diagnose21autisms from the266follow-up visit,17boys and4girls; the city proper and the suburbs is respectively8and13. The items that detection rate greater than60%of the score is is equal or greater than3are "phrase and action imitation","language communication","Interpersonal relationship","intelligence capacity". The score of body movement have a positive correlation with the age of the autism. There were statistical significant differences between the autism and normal children on the20symptoms as follows:"over accretion on head circumference","not response when others call his/her name","not look at the things what you are pointing at","not pretend a game","not point with his/her index finger at the light","not seek sound source","have no eye contact","abnormal facial expression","abnormal language development","not interested in children","do not play toys normally","do not display things he/she interested","without reaction to others","facial expression","refuse to imitate","difficult to accept simple instructions","not use language or gesture to expresse the need","the age of beginning to smile> six months","the age of beginning to speak dad or mum> twelve months","he age of beginning to speak two words> twenty-four months ", and"the age of beginning to control urination and defecation>twenty-four months".Conclusion "over accretion on head circumference","not response when others call his/her name","not look at the things what you are pointing at","not pretend a game","not point with his/her index finger at the light" and so on20symptoms may be the early signs of autism, parents and doctors of child care in their daily life should strengthen attention to these children’s performance, In order to find autism as early as possible.