ISSN 1671-3710
CN 11-4766/R
主办:中国科学院心理研究所
出版:科学出版社

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炎症性肠病与儿童孤独症谱系障碍的关系(孤独症的神经心理专栏稿件)

范桂容,翁旭初,耿红岩   

  1. 华南师范大学
  • 收稿日期:2023-06-03 修回日期:2023-10-28 出版日期:2023-11-21 发布日期:2023-11-21
  • 通讯作者: 耿红岩
  • 基金资助:
    国家社会科学基金重大项目

Relationship between inflammatory bowel disease and autism spectrum disorder in children

FAN Guirong, WENG Xuchu, GENG Hongyan   

  1. 1. South China Normal University
    2. South China Normal University
  • Received:2023-06-03 Revised:2023-10-28 Online:2023-11-21 Published:2023-11-21

摘要: 孤独症谱系障碍(Autism spectrum disorders, ASD)是一类神经发育障碍疾病,除了社交障碍、重复刻板行为等核心症状外,几乎一半的ASD患者出现了胃肠道症状,表现出炎症性肠病(inflammatory bowel disease, IBD)。IBD是一种与免疫失调、肠道微生物组改变、微量营养吸收不良和贫血相关的慢性疾病,这些特征可能是ASD相关的围产期因素。患有ASD的儿童经常被诊断出患有包括IBD在内的共生疾病。通过治疗IBD来缓解或干预儿童ASD的治疗方式已经初见成效,未来可以开展更多临床实验来证实IBD治疗的有效性和安全性。对IBD与ASD、父母IBD和儿童ASD之间关系的探究可以为儿童ASD的病因研究、早期筛查及临床治疗提供进一步的证据支持。

关键词: 孤独症谱系障碍, 炎症性肠病, 克罗恩病, 溃疡性结肠炎

Abstract: Autism spectrum disorders (ASD) is a neurodevelopmental disorder in which almost half of ASD patients develop gastrointestinal symptoms and exhibit inflammatory bowel disease (IBD) in addition to core symptoms such as social impairment and repetitive stereotyped behaviors. IBD is a chronic disease associated with immune dysregulation, gut microbiome alterations, micronutrient malabsorption, and anaemia which may be perinatal factors associated with ASD. Children with ASD are often diagnosed with comorbid conditions including IBD. Treatment of IBD to alleviate or intervene ASD in children has achieved initial success, and more clinical trails should be conducted in the future to confirm the efficacy and safety of IBD treatment. The investigation of the relationship between IBD and ASD, parental IBD and childhood ASD can provide further evidence support for the etiology research, early screening and clinical treatment of ASD in children.

Key words: Autism spectrum disorders, inflammatory bowel disease, Crohn’s disease, ulcerative colitis