【摘要】 目的:对长沙市2～12岁非哮喘儿童及哮喘儿童睡眠状况进行调查,比较常见睡眠障碍在两组中的发生率区别。方法:于2006年6月至10月对长沙市五个区的小学及幼儿园采取整群随机抽样方法进行调查抽取2～12岁健康儿童3420例及湘雅二院儿童哮喘专科门诊随机抽取2～12岁符合哮喘诊断标准[6]的哮喘儿童248名进行问卷调查,由专业人员指导家长填写。结果:哮喘儿童睡眠障碍发生率58%,显著高于健康儿童组38%水平。哮喘儿童中,每周1～3次以上打鼾的32例(12.9%),喉头哽咽的5例(2%),呼吸暂停的3例(1.2%),辗转不安的36例(14.5%),用口呼吸30例(12.1%),多汗97例(39.1%),肢体抽动18例(7.3%),磨牙34例(13.7%),说梦话12例(4.8%),梦游2例(0.8%),夜间尿床11例(4.4%),觉醒憋醒8例(3.2%),夜间清醒6例(2.4%),入睡过早5例(2%),易惊醒10例(4%),尖叫哭喊6例(2.4%)。其中,每周1～3次以上打鼾、辗转不安、用口呼吸、多汗、肢体抽动、觉醒憋醒、易惊醒七项存在显著性差异(P<0.05)。结论:哮喘儿童睡眠障碍发生率显著高于健康儿童,应加强对哮喘儿童睡眠障碍的干预。更多还原

【Abstract】 Objective:to investigate the sleep condition of healthy children and asthmatic children aged between 2～12years in the city of Changsha,and compare the incidence rate of usual sleep disorders among the two groups.Method:from June to October in 2006, 3420 healthy children aged between 2～12years were chosen by random sampling from among all the children in the elementary schools and kindergartens in the five sections of the city of Changsha.248 asthmatic children aged between 2～12years were chosen randomly from the pediatric clinic of Xiang Ya 2nd hospital.Everyone of these children had done a questionnaire,and the blank was filled by his (her)parent under the direction of professionals.Results:the incidence rate of sleep disorders among the asthmatic group were 58%, much higher than the incidence rate of the healthy group,which was 38%.In the asthmatic group,32 children snored 1 to 3 times per week(the incidence rate is12.9%),5 had laryngeal choke(2%),3 had apnoea(1.2%),36 squirmed continuously(14.5%),30 breathed with mouth(12.1%),97 over-sweated(39.1%),18 had limbs spasm(7.3%),34 ground their teeth(13.7%),12 had somniloquy(4.8%),2 had somnam bulation(0.8%),11 had bed-wetting(4.4%),8 had suppressed awakes(3.2%),6 had no sleep in the night(2.4%),5 fell asleep too early(2%),10 were easily waked up(4%),6 screamed(2.4%).Among these symptoms,the symptom of snore 1 to 3 times per week,the symptom of squirm continuously,the symptom of breathe with mouth,the symptom of over-sweat,the symptom of limbs spasm,the symptom of suppressed awakes and the symptom of being easily waked up had the difference with significance(P<0.05).Conclusions:the incidence rate of sleep disorders among asthmatic children was higher than that among healthy children.The interference to the sleep disorders of asthmatic children should be intensified.更多还原