【摘要】 目的 基于倾向评分匹配法（propensity score matching,PSM）均衡混杂因素,分析孤独症谱系障碍（autism spectrum disorder,ASD）儿童教养方式中的危险因素特点。方法 回顾性分析2019—2021年重庆市妇幼保健院儿童保健科就诊的ASD儿童200例与同期健康体检儿童114名，运用PSM对两组儿童进行1:1匹配。匹配后运用单因素分析和多因素logistic回归模型分析ASD儿童的教养方式危险因素，并进行交互作用分析。结果 匹配后每组105例。多因素logistic回归分析结果表明，过度满足（OR=3.45,95%CI:1.52～8.15,P=0.004）、父亲带养时间小于1 h(OR=3.26,95%CI:1.21～9.13,P=0.021)是ASD儿童的独立危险因素；儿童互动对象人数大于3人（OR=0.16,95%CI:0.04～0.52,P=0.004）是ASD儿童的独立保护因素，交互作用分析结果显示养育态度(过度满足)，儿童互动对象人数（≥3人）及父亲育儿时间（<1 h）三者之间均存在交互作用。结论 应该重视家庭教养方式在ASD儿童中的作用。更多还原

【Abstract】 Objective To analyze the characteristics of risk factors in rearing styles of children with autism spectrum disorder(ASD) based on prospensity score matching(PSM) to balance confounding factors. Methods A retrospective analysis was performed among 200 ASD children treated in the Child Health Department of Chongqing Maternal and Child Health Hospital from 2019 to 2021 and 114 healthy children in the same period. PSM was used to match the two groups at 1:1. After matching, univariate analysis and multivariate logistic regression model were used to analyze the risk factors of rearing style of ASD children, and the interaction analysis was carried out. Results There were 105 cases in each group after matching. The results of multivariate logistic regression analysis showed that over satisfaction(OR=3.45, 95%CI: 1.52-8.15, P=0.004) and father raising time less than 1 hour(OR=3.26, 95%CI: 1.21-9.13, P=0.021) were independent risk factors for ASD children.The number of children interacting with more than 3 people(OR=0.16, 95%CI: 0.04-0.52, P=0.004) was the independent protective factor of ASD children. The results of interaction analysis showed that there was interaction among rearing attitude(over-satisfaction), number of children interactive objects(≥ 3) and father’s parenting time(< 1 hour). Conclusion More attention should be paid to the role of family rearing styles in ASD children.更多还原