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被诊断为非典型自闭症儿童的个体的胃肠道疾病:基于医院诊断的丹麦登记研究。

Diseases of the gastrointestinal tract in individuals diagnosed as children with atypical autism: a Danish register study based on hospital diagnoses.

机构信息

Bispebjerg University Hospital, Denmark.

出版信息

Autism. 2013 Jan;17(1):55-63. doi: 10.1177/1362361312455110. Epub 2012 Sep 17.

Abstract

The purpose of this study is to compare the prevalence and types of diseases (International classification of mental and behavioural disorders, 10th edition codes K20-K93) relating to the gastrointestinal tract in a clinical sample of 89 individuals diagnosed as children with atypical autism/pervasive developmental disorder not otherwise specified with 258 controls from the general population. All participants were screened through the nationwide Danish National Hospital Register. The average observation time was 32.9 years, and mean age at the end of the observation period was 48.5 years. Among the 89 cases with atypical autism, a total of 22 (24.7%) were registered with at least one diagnosis of any disease of the gastrointestinal tract, against 47 of 258 (18.2%) in the comparison group (p = 0.22; odds ratio = 1.5; 95% confidence interval = 0.8-2.6). Without reaching statistical significance, the rate of diseases of the gastrointestinal tract was particularly high (odds ratio = 1.2) in those with intelligence quotient < 70. Overall, people with atypical autism had about the same frequency of gastric, intestinal and hepatic diseases as had controls.

摘要

本研究旨在比较 89 名被诊断为非典型自闭症/广泛性发育障碍未特定的儿童临床样本与来自普通人群的 258 名对照者中与胃肠道相关的疾病(国际精神与行为障碍分类,第 10 版编码 K20-K93)的患病率和类型。所有参与者均通过全国丹麦国家医院登记处进行筛查。平均观察时间为 32.9 年,观察期末的平均年龄为 48.5 岁。在 89 例非典型自闭症病例中,共有 22 例(24.7%)至少被诊断出患有任何一种胃肠道疾病,而对照组为 258 例中的 47 例(18.2%)(p = 0.22;比值比 = 1.5;95%置信区间 = 0.8-2.6)。尽管没有达到统计学意义,但智商<70 的患者胃肠道疾病的发病率特别高(比值比 = 1.2)。总体而言,非典型自闭症患者的胃部、肠道和肝脏疾病的频率与对照组相当。

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