Zwaigenbaum Lonnie, Brian Jessica A, Ip Angie
Canadian Paediatric Society, Autism Spectrum Disorder Guidelines Task Force, Ottawa, Ontario.
Paediatr Child Health. 2019 Nov;24(7):424-443. doi: 10.1093/pch/pxz119. Epub 2019 Oct 24.
Autism spectrum disorder (ASD) is a life-long neurodevelopmental disorder, characterized by impairments in social communication, repetitive, restricted patterns of behaviour, and unusual sensory sensitivities or interests. ASD significantly impacts the lives of children and their families. Currently, the estimated prevalence of ASD is 1 in 66 Canadians aged 5 to 17 years. General paediatricians, family physicians, and other health care professionals are, therefore, seeing more children with ASD in their practices. The timely diagnosis of ASD, and referral for intensive behavioural and educational interventions at the earliest age possible, may lead to better long-term outcomes by capitalizing on the brain's neuroplasticity at younger ages. This statement provides clear, comprehensive, evidence-informed recommendations and tools to help community paediatricians and other primary care providers monitor for the earliest signs of ASD-an important step toward an accurate diagnosis and comprehensive needs assessment for intervention planning.
自闭症谱系障碍(ASD)是一种终身神经发育障碍,其特征是社交沟通受损、行为重复且受限、以及异常的感官敏感性或兴趣。ASD对儿童及其家庭的生活有重大影响。目前,估计每66名5至17岁的加拿大人中就有1人患有ASD。因此,普通儿科医生、家庭医生和其他医疗保健专业人员在其诊疗过程中会接触到更多患有ASD的儿童。及时诊断ASD,并尽早转诊接受强化行为和教育干预,通过利用大脑在较年轻时的神经可塑性,可能会带来更好的长期结果。本声明提供了明确、全面、基于证据的建议和工具,以帮助社区儿科医生和其他初级保健提供者监测ASD的早期迹象——这是朝着准确诊断和全面需求评估以进行干预规划迈出的重要一步。