目的 分析在社区儿童保健门诊工作中应用M-CHAT量表开展儿童心理行为问题的筛查,筛查结果与后期儿童心理行为问题发生是否存在一定统计学关联。方法 在社区儿童保健门诊使用M-CHAT表开展儿童心理行为问题的筛查工作,记录筛查结果,一年后,应用自行编制问卷对84例筛查阳性的儿童进行电话随访,询问筛查阳性儿童是否到三级专科医院心理门诊确诊,记录确诊结局;同时,采用成组配对的方法,选取门诊使用M-CHAT量表筛查阴性的儿童作为对照组,对84例筛查阴性的儿童进行电话随访,询问在过去的一年内是否存在心理行为问题,是否到三级专科医院心理门诊确诊,分析使用M-CHAT量表的筛查结果与儿童心理行为问题是否存在一定的统计学关联。结果 使用M-CHAT量表筛查,一年后随访结果显示,筛查阳性儿童心理行为问题的发生率显著高于筛查阴性儿童,差异具有统计学意义(P<0.05)。 结论 在社区儿童保健门诊工作中纳入M-CHAT量表具有一定的临床意义。

Objective To analyze necessity of applying for Modified checklist for Autism in Toddlers (M-CHAT) provision during the primary health care for children,so as to figure out the children with psychology problem at the very early age. Methods As to quantitative research,a total of 84 screen-positive children parents were surveyed relied on the questionnaire,moreover the results of the diagnosis relating to children psychology problems were obtained;Meanwhile,a total of 84 screen-negative children were paired,and their parents were invited to participate simultaneously the relationship,exploried between the effectiveness of M-CHAT during the primary child health care services. 【Result】 There was significant difference of the prevalence rate of autism between the screen-positive and screen-nogitive groups (P<0.05). Conclusion M-CHAT has certainly dinical meaning for community children healthcare.