目的 通过三级网络进行早期筛查早期诊断儿童孤独症谱系障碍(ASD )的管理模式研究 ,探讨 ASD 早期发现的网络筛查程序及管理流程,为ASD儿童获得早期干预提供有利的条件。方法 成立市级ASD早期诊断管理中心,建立基层社区筛查一级网络及管理流程,进行社区筛查管理技术的指导及培训,再结合二、三级的筛查与诊断给予确诊。结果 1)社区一级网络ASD初筛率由2013年的20.19%上升到2014年的33.68%,呈逐年提高趋势,阳性率维持在4‰~6.0‰;确诊率由0.41‰上升到0.95‰ 。2)ASD早期诊断中心2年干预疑似患儿38 例。结论 三级网络ASD早期筛查的管理模式提高了社区儿保医生对ASD的初筛率,有利于ASD儿童的早期发现,为ASD儿童早期干预提供了最佳时期,是切实可行的ASD早期筛查管理模式。

Objective To explore the network screening procedure and management process of early detection of autism spectrum disorder (ASD),study the community screening and management mode of early detection of ASD,and provide advantages for early intervention of ASD children.Methods Management center of early diagnosis of ASD was established,community screening network and management process were set up,then guidance and training of community screening and management techniques were performed and combined secondary and tertiary screening and diagnosis.Results 1)The primary screening rate of ASD of community level network increased from 20.19%(2013) to 33.68%(2014) with increasing trend year by year.Positive rate reminded between 4‰ to 6‰;Diagnosis rate rose from 0.41 ‰ to 0.95 ‰.2)38 suspected children were intervened in early diagnostic center of ASD within two years.Conclusions The establishment of early diagnosis and management center of ASD improves the primary screening rate of pediatric doctors in communities to ASD and the referral rate,which is beneficial for early detection of ASD children,and it provides an optimal opportunity for early intervention of ASD children.It is a practical and feasible management mode.