Đặc điểm lâm sàng ngôn ngữ ở trẻ rối loạn phổ tự kỷ từ 24

Đặc điểm lâm sàng ngôn ngữ ở trẻ rối loạn phổ tự kỷ từ 24 - 36 tháng

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Tác giả: Hải Tú Đặng, Anh Vinh Ngô

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng 2022

Mô tả vật lý: 106-112

Bộ sưu tập: Metadata

ID: 400269

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Mô tả đặc điểm lâm sàng ngôn ngữ ở trẻ rối loạn phổ tự kỷ từ 24 đến 36 tháng. Đối tượng và phương pháp nghiên cứu:47 bệnh nhân có độ tuổi từ 24 đến 36 tháng được chẩn đoán rối loạn phổ tự kỷ tại khoa Tâm thần - Bệnh viện Nhi trung ương từ tháng 8/2018 đến tháng 6/2019.Kết quả:Độ tuổi trung bình là 30,6 ± 3,3 tháng tuổi, trẻ nam chiếm đa số (80,9%) và chủ yếu là mức độ tự kỷ nặng (74,5%). Các dấu hiệu bất thường sớm của tự kỷ chủ yếu thuộc nhóm triệu chứng về giao tiếp, tương tác (46,8% ) và ngôn ngữ (27,7%). Hầu hết (97,9%) bệnh nhân có chậm phát triển ngôn ngữ, các triệu chứng về ngôn ngữ hay gặp nhất như nói âm vô nghĩa (93,6%), không hiểu nghĩa bóng, ẩn dụ (100%), không hiểu câu nói đùa, chuyện cười (97,9%).Kết luận:Bất thường về giao tiếp, tương tác và ngôn ngữ là các dấu hiệu cảnh báo sớm giúp phát hiện và can thiệp sớm. Các triệu chứng về ngôn ngữ nổi bật trong nhóm tuổi 24 đến 36 tháng là: chậm phát triển ngôn ngữ, nhại lời tức thì, nói âm vô nghĩa, không hiểu được nghĩa bóng, ẩn dụ., Tóm tắt tiếng anh, To describe the clinical linguistic features of children with autism spectrum disorder (ASD) aged 24 to 36 months. Participants and methods: 47 children aged 24 to 36 months were diagnosed with ASD at the Psychiatric Department of Vietnam National Children's Hospital between August 2018 and June 2019. Results: The mean age was 30.6 ± 3.3 months, the majority were male (80.9%), and most were diagnosed with severe autism (74.5%). The early signs ofASD generally involved communication related symptoms, interaction (46.8%) and language (27.7%). Most of the children (97.9%) had language delay with the most common symptoms including making meaningless sounds (93.6%), not comprehending figurative/metaphor language (100%), and not understanding jokes (97.9%). Conclusion: Abnormalities in communication, interaction, and language are warning signs for early detection and intervention. The prominent language symptoms in the 24-to-36-month age group consist of language delay, immediate echolalia, making meaningless sounds, and no comprehension of figurative/metaphor language.

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