肠道微生物与自闭症谱系障碍

自闭症谱系障碍(autism spectrum disorder,ASD)是一种精神致残的重要疾病,严重影响儿童身心健康,给家庭和社会带来沉重的负担。患者常出现不同程度胃肠道症状和伴有肠道微生物组成的改变,以此为切入点,近年越来越多的研究聚焦于ASD和肠道微生物的关系上。本文介绍了肠道微生物组成、肠―脑轴及ASD患者肠道微生物的主要变化,并从多个方面阐述了ASD与肠道微生物的关系。     

峨眉山与黄山藏酋猴肠道菌群组成的比较

峨眉山和黄山都是我国著名的藏酋猴Macaca thibetana生态旅游地,对两地藏酋猴肠道微生物群落结构的比较研究,有助于了解不同生境、不同旅游管理方式对野生灵长类动物的影响。本研究对峨眉山藏酋猴M. t.thibetana肠道微生物16S rRNA基因进行测序,并与黄山藏酋猴M. t. huangshanensis肠道微生物的群落结构进行了比较。结果显示,两地藏酋猴肠道菌群有大量共有的可操作分类单元,而群落组成和多样性方面存在较大差异。峨眉山藏酋猴肠道菌群的优势门类为厚壁菌门Firmicutes(69. 04%±11. 81%)、拟杆菌门Bacteroidetes(21. 59%±10. 05%)和放线菌门Actinobacteria (2. 73%±2. 17%);黄山藏酋猴为厚壁菌门(46. 34%±8. 15%)、拟杆菌门(36. 75%±6. 38%)和变形菌门Proteobacteria(14. 91%±8. 06%)。在属级水平上,峨眉山藏酋猴肠道丰度最高的为颤螺菌属Oscillospira(23. 49%±16. 63%),黄山藏酋猴为普氏菌属Prevotella(36. 35%±9. 15%)。在群落多样性方面,黄山藏酋猴α多样性指数显著低于峨眉山,且两者的菌群结构也产生了显著分化。PICRUSt功能富集分析显示,峨眉山藏酋猴在脂类代谢、外源化学物的降解与代谢等通路显著富集,而黄山藏酋猴在多糖的合成与代谢等通路显著富集。研究还发现峨眉山藏酋猴肠道存在一定丰度的传染性致病菌,这可能与峨眉山的生态旅游有关。     

孤独症谱系障碍儿童听觉脑干反应特征分析

摘要 目的：探讨孤独症谱系障碍(autism spectrum disorder,ASD)儿童听觉脑干反应(auditory brainstem response,ABR)各波潜伏期和波间期特征与ASD行为表型间的关联。方法：对2019年7月-2020年12月来我科就诊的26例明确诊断的2~6岁ASD儿童的患儿进行声导抗,听性脑干反应,畸变产物耳声发射及多频稳态听觉诱发电位测试,以38例正常儿童为对照组,进行同样的测试,并对其测试结果进行统计分析。分析ASD儿童左右耳各波潜伏期,波间期特征及与ASD临床表型的关联。结果：ASD儿童左右耳Ⅰ,Ⅲ,Ⅴ波潜伏期分别为(1.42±0.09)ms,(3.67±0.09)ms,(5.65±0.13)ms;(1.45±0.11)ms,(3.69±0.08)ms,(5.62±0.15)ms。ASD组的右耳I,III波的潜伏期均值大于正常组 (P 值均＜0.05);ASD儿童两组间左耳III-V,右耳III-V,右耳I-V的波间期分别是(1.97±0.07)ms,(1.93±0.10)ms,(4.15±0.14)ms;ASD组的左耳III-V,右耳III-V,右耳I-V波间期均小于正常组(P 值均＜0.05);ASD组中小于等于3岁组与大于3岁组间ABR波间期差异不具有统计学意义。关联性分析发现,ASD儿童语言能力与右耳III波潜伏期,右耳最小阈值V波潜伏期负相关;社会行为能力与右耳I-III波间期负相关;社会生活能力与左耳最小阈值V波潜伏期负相关;而ABC评分与ASD儿童右耳III波潜伏期,左耳I-III波间期,右耳I-III波间期正相关。结论：ASD儿童存在异常的听觉脑干反应特征,且异常程度与 ASD 儿童语言,社会行为能力,社会生活能力的严重程度存在明显关联。     

The Meaning of Companion Animals for Children and Adolescents with Autism: The Parents' Perspective

ABSTRACT

The aim of this study was to understand parents' perspectives on how children and adolescents with autism spectrum disorders (ASD) benefit from a relationship with companion animals. Parents were invited to participate in focus-group discussions. One open-ended question with follow-up questions was asked and the parents' responses were subsequently categorized. Three main themes emerged: the quality of the relationship with the companion animal; increased interaction with people; and optimization of the child's function and development. The results show that companion animals can contribute to social and behavioral development support, and improved mental health and quality of life. The children's and adolescents' interests and activities with companion animals were more social than nonsocial and of different quality than the restricted and repetitive activities in which children with ASD are normally engaged. Our findings describe a complementary developmental support for this vulnerable group of children and adolescents, which give them possibilities for expanded social contacts, diminished anxiety and depression, and facilitated learning.     

应用行为分析联合感觉统合训练对孤独症谱系障碍儿童行为、发育、睡眠障碍的影响

摘要 目的：评价应用行为分析（ABA）联合感觉统合训练对孤独症谱系障碍（ASD）儿童行为、发育以及睡眠障碍的影响。方法：选入我院2021年1月~2023年1月收治的ASD儿童62例,随机分为对照组和观察组,各31例。两组均予以ABA疗法,观察组在此基础上接受感觉统合训练。评价两组的行为、发育及睡眠情况等,并进行统计比较。结果：观察组治疗总有效率87.10%,显著高于对照组的61.29%（P＜0.05）;两组治疗后ABC和ATEC量表的各项得分及总分均较治疗前减少,而观察组减少幅度更大,与对照组差异显著（P＜0.05）;与治疗前比较,两组治疗后Gesell量表各项得分明显升高（P＜0.05）,而观察组升高幅度显著大于对照组（P＜0.05）;两组治疗前CSHQ的各项评分及总分无明显差异（P＞0.05）,而治疗后,与对照组相比,观察组CSHQ各项评分及总分均较低（P＜0.05）。结论：ABA疗法联合感觉统合训练能够减轻ASD患儿的疾病症状,改善行为状态及睡眠质量,促进患儿发育,提高临床疗效。     

Determination of Arsenic Scalp Hair of Pakistani Children and Drinking Water for Environmental Risk Assessment

This cross-sectional study measured the arsenic level in scalp hair samples of children from two age groups exposed to contaminated underground water in Pakistan. The As concentrations in water and scalp hair samples were analyzed by electrothermal atomic absorption spectrometry. The studied areas were divided into three regions based on concentration of As in water and scalp hair of children who had been exposed to different levels of As through drinking water. The average As concentrations in underground water samples of sub-districts Faiz Ganj, Thari Mirwah, and Gambat were observed to be 15.2, 28.5, and 98.3 μg/L, respectively, which were marked as less, medium, and highly contaminated areas, respectively. The proportion of the children with lower body mass index significantly increased with increasing As exposure level; the dose–response relationship was consistently observed among the subgroups. The range of As concentrations in scalp hair samples of children of age 1–5 and 6–10 years was 0.21–3.88 and 0.32–3.63 μg/g, respectively. Thus, it is likely that children in our study areas are chronically exposed to As through drinking groundwater, suggesting that there is an urgent need to take immediate solution, especially in the Gambat sub-district.     

Potential Dermal Exposure and Risk Assessment for Applicators of Chlorothalonil and Chlorpyrifos in Cucumber Greenhouses in China

Occupational exposure to pesticides has not been conducted in depth so far in China. The potential dermal exposure and risk assessment were conducted for applicators through application with a knapsack power sprayer in cucumber greenhouses. The spray suspension was prepared with 75% chlorothalonil WP and 48% chlorpyrifos EC. The dermal patch method was applied to assess the potential dermal exposure (PDE) of applicators during application. The average total PDE on the whole body of applicators during application of chlorothalonil and chlorpyrifos was 83.2 mL h^?1 and 85.1 mL h^?1, respectively. The most exposed part of the body was arms, especially the right arm. For risk assessment, the margin of safety (MOS) was calculated from the PDE. The MOS values were 0.1 and 0.2 for application of chlorothalonil and chlorpyrifos, respectively, both less than 1, which indicated low possibility of health risk.