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6~12岁儿童冲动行为与睡眠障碍相关性研究
李介民, 易著文, 苏林雁, 蔡益民, 罗雪梅, 刘继红, 蒋彦
中国当代儿科杂志 ›› 2009, Vol. 11 ›› Issue (04) : 310-312.
PDF(936 KB)
PDF(936 KB)
6~12岁儿童冲动行为与睡眠障碍相关性研究
Relationship between impulsivity and sleep disorders in children aged 6 to 12 years
目的：探讨儿童冲动行为与睡眠障碍的关系。方法：在长沙市5个行政辖区随机抽取1 736名6~12岁儿童，对受试儿童的家长进行睡眠状况和Barratt冲动量表问卷调查。结果：1 736例儿童中睡眠障碍总发生率为31.9%，男性为35.4%，较女性的28.3%明显增高（P＜0.01）。睡眠障碍组注意因子、运动因子、缺少计划因子得分及冲动量表总分均明显高于非睡眠障碍组（P＜0.01）；睡眠障碍组白天嗜睡率为35.9%，较非睡眠障碍组的24.7%增高显著（P＜0.01）。注意因子、运动因子及缺少计划因子得分随着睡眠障碍评分等级的升高而呈现上升趋势，睡眠障碍评分升至5级时，各因子得分均达最高水平。经常打鼾组各因子得分均高于从不打鼾组及偶尔打鼾组（P＜0.01）。结论：儿童冲动行为与睡眠障碍相关，对临床表现较高冲动水平的儿童，有必要关注其睡眠状况。［中国当代儿科杂志，2009，11（4）：310-312］
OBJECTIVE: To study the relationship between impulsivity and sleep disorders in children. METHODS: A total of 1 736 children at ages of 6 to 12 years were randomly sampled from five districts of Changsha. Their parents completed the questionnaires about children's sleep conditions and behaviors (using Barratt Impulsiveness Scale 11th version). RESULTS: Five hundred and fifty-four children (31.9%) had sleep disorders. The incidence of sleep disorders in boys was significantly higher than that in girls (35.4% vs 28.3%; P<0.01). The scores of attentional, motor, and non-planning impulsiveness factors as well as the total score of Barratt Impulsiveness Scale in children with sleep disorders were significantly higher than those in children without (P<0.01). The incidence of daytime sleepiness (35.9%) in children with sleep disorders was significantly higher than that in children without (24.7%; P<0.01). The scores of attentional, motor and non-planning impulsiveness factors increased with the grade of sleep disorders, and reached a peak at the fifth grade. The children with frequent sleep snoring showed higher scores of above three impulsiveness factors than children without sleep snoring or having rare snoring (P<0.01). CONCLUSIONS: Sleep disorders are associated with impulsivity in children. It is thus essential to pay close attentions to children's sleep for children with relatively high impulsiveness.［Chin J Contemp Pediatr, 2009, 11 (4):310-312］
［1］Michael J, Thorp Y. ICSD-international classification of sleep disorders: diagnostic and coding manual ［M］. Minnesota : Rochester, 1997, 90-104, 145-150, 162-165,182-188.
［2］黄小娜，刘玺诚，蒋竟雄，马渝燕，安琳，王惠珊. 中国城市2~5岁儿童睡眠障碍影响因素分析［J］. 中国公共卫生，2007，23(2)：151-152.
［3］李飞，苏林雁，耿耀国. Barratt 冲动量表用于儿童的信度和效度初步研究［J］. 中国临床心理学杂志，2006，14(2)：115-117.
［4］Smedie H, Broman JK, Herra J. Parent′ s reports of disturbed sleep in 5-7 year old swedish children［J］. Acta Paediatr, 1999, 88(8):858-865.
［5］Mindell JA, Owens JA, Carskadon MA. Developmental features of sleep［J］. Child Adolesc Psychiatr Clin N Am, 1999, 8(4):695-725.
［6］张民, 李丽红, 孙亚君，郭芳. 长春市2～12岁儿童睡眠障碍流行病学调查［J］. 中国卫生工程学，2007，6(4)：242-243.
［7］王梅, 左立旻，牛文琪，王次林，徐若梅，宋玲秀,等. 成都地区儿童睡眠障碍流行病学调查［J］. 中华预防医学杂志, 2005, 39(11): 400-402.
［8］江帆, 颜崇淮, 吴胜虎，吴虹，章依文，赵晶,等. 上海市1～6岁儿童睡眠状况的流行病学研究［J］. 中华儿科杂志, 2001, 39(5):284-288.
［9］Medeiros M, Carvalho LB, Silva TA, Prado LB, Prado GF. Sleep disorders are associated with impulsivity in school children aged 8 to 10 years［J］. Arq Neuropsiquiatr, 2005, 63 (3-B):761-765.
［10］Gottlieb DJ, Vezina RM, Chase C, Lesko SM, Heeren TC, Weese-Mayer DE, et al. Symptoms of sleep-disordered breathing in 5-year-old children are associated with sleepiness and problem behaviors［J］. Pediatrics, 2003, 112(4): 870-877.
［11］Urschitz MS, Eitner S, Guenther A, Eggebrecht E, Wolff J, Urschitz-Duprat PM, et al. Habitual snoring , intermittent hypoxia, and impaired behavior in primary school children［J］. Pediatrics, 2004, 114(4):1041-1048.
［12］O′Brien LM, Holbrook CR, Mervis CB, Klaus CJ, Bruner JL, Raffield TJ, et al. Sleep and neurobehavioral characteristics of 5-to 7-year-old children with parentally reported symptoms of attention-deficit/hyperactivity disorder［J］. Pediatrics, 2003, 111(3):554-563.
［13］Gozal D, Daniel JM, Dohanich GP. Behavioral and anatomical correlates of chronic episodic hypoxia during sheep in the rat ［J］. J Neurosci, 2001, 21(7): 2442-2450.
［14］Ali NJ, Pitson DJ, Stradling JR. Sleep disordered breathing: effects of adenotonsillectomy on behaviour and psychological functioning［J］. Eur J Pediatr, 1996, 155(1):56-62.
［15］邰旭辉，张爽，张萍，徐振明，孙兴和. 儿童上呼吸道阻塞治疗后行为改善的量化评估［J］. 中国临床康复，2005，9(11)：168-169.
［16］许志飞，卓家良，李素轮.扁桃体腺样体切除术在亚洲儿童阻塞性睡眠呼吸暂停/低通气综合征治疗中的病例对照研究［J］.中国当代儿科杂志，2006，8（1）：1-5.
［17］刘大波，钟建文.小儿睡眠呼吸暂停综合征围手术期处理［J］.中国当代儿科杂志，2002，4（5）：393-394.
［18］徐保平，申昆玲，张亚梅，安嘉清.手术治疗腺样体肥大儿童阻塞性睡眠呼吸暂停综合征［J］.中国当代儿科杂志，2004，6（2）：121-124.
