ĐẶC ĐIỂM LÂM SÀNG CỦA RỐI LOẠN PHỔ TỰ KỶ Ở TRẺ EM TỪ 24 ĐẾN 60 THÁNG TUỔI TẠI TUYÊN QUANG

Abstract

Objectives: To describe clinical features of autism spectrum disorder in children aged 24 to 60 months at Huong Sen Rehabilitation Hospital, Tuyen Quang. Subjects and methods: A descriptive study was conducted on 60 children aged 24 to 60 months with an autism spectrum disorder in Tuyen Quang, from 2022 to 2023. Autism was diagnosed according to DSM-IV criteria and level classification on the Autism Rating Scale (CARS). Results: Autism is more common in boys, male/female ratio: 3.6/1; Children with severe autism accounted for a high rate (91.7%). The most common clinical manifestations in children with autism are no/little interest, sharing affection with parents/relatives (91.7%), pulling relatives' hands to grab objects as a tool (90, 0%); speech-language retardation for age (98.3%); reduced/no eye-to-eye contact (98.3%), stereotypical, stereotyped behavior (85%); likes to hug, hold tight (21.7%), eat without chewing, swallow (21.7%), challenging to get to sleep (65.0%). Most of the clinical symptoms of the 2 age groups 24-35 months and 36-60 months are not different (p>0.05), symptoms are quite stable at the age from 24 to 60 months. Conclusion: The typical clinical manifestations of children with autism spectrum disorder appear with high frequency (> 80%). The group of young children aged 24-35 months showed typical clinical signs of autism similar to those of the 36-60 month group, allowing an early diagnosis in this age period.