_岁儿童行为问题与睡眠障碍相关性研究_李介民.pdf

·194 · ChineseJournalofPracticalPediatricsMar.2009Vol.24No.3 论 著 文章编号：1005 - 2224 （2009 ）03 - 0194 - 03 6～12岁儿童行为问题与睡眠障碍相关性研究 李介民，易著文，罗雪梅，蔡益民，苏林雁 摘要：目的 探讨儿童注意缺陷、多动冲动等行为问题与睡眠障碍（SD）的关系。方法 2006年6月至2007年4 月在长沙市5个行政辖区随机抽取1736名6～12岁儿童，对受试儿童的家长进行睡眠状况和注意缺陷多动障碍 症状问卷调查。结果 1736名儿童中SD发生率为31.9%。SD组注意缺陷发生率为21.7%、多动冲动13.7%、白天 嗜睡35.9%，均较非SD组13.0%、7.9%、24.7%高（P＜0.01）。行为问题与打鼾的频度有关，经常打鼾组的注意缺陷 发生率为31.3%，高于从不打鼾组及偶尔打鼾组（分别为13.9%、16.2%，P＜0.01）；多动冲动的发生率为18.2%，亦 高于从不打鼾组及偶尔打鼾组（分别为8.8%、9.9%，P＜0.05）。在SD的评分中，注意缺陷发生率高分组达 19.2%～26.2%，明显高于其他低分组的10.9%～12.3%（P＜0.01）；多动冲动最高分组为16.2%，亦比低分组的 5.7%～8.3%为高（P＜0.01）。SD、注意缺陷及多动冲动的发生率均存在性别差异，以男性为高（P＜0.01）。结论 儿童注意缺陷多动障碍等行为问题与SD相关，对出现注意缺陷多动障碍症状的儿童，有必要关注其睡眠状况。 关键词：睡眠障碍；注意缺陷；多动冲动 中图分类号：R72 文献标志码：A Studyontherelationshipbetweenbehaviorproblemsandsleepdisorderin childrenaged 6～12years. LI Jie-min，YIZhu-wen，LUOXue-mei，CAIYi-min，SULin-yan.TheSecondXiangya HospitalofCentralSouthUniversi⁃ ty，Changsha 410011 ，China Abstract：Objective To explore the relation of attention deficit and hyperactivity disorder with sleep disorder in chil⁃ dren. Methods In Changsha 1736 children at the age of 6 ～12 years were randomly selected among the 5 districts. Their parents completed the questionnaires about children ’s sleep condition and attention deficit and hyperactivity disor⁃ der. Results In the 1736 children ，the incidence rate of sleep disorder was 31.9%. The group of sleep disorder had at⁃ tention deficit for 21.7% ，hyperactivity disorder for 13.7% ，day drowsiness for 35.9% ，and all the numbers were more than 13.0% ，7.9% ，24.7% of non-sleep disorder group （P＜0.001 ）. Behavior problem was related to snore frequency； the attention deficit incidence rate for usual snoring group was 31.3% ，more than 8.8% of non-snore group and 9.9% of occasional snore group （P＜0.05 ）. In the score for sleep dis