【摘要】 目的了解安徽省城市1~23个月儿童睡眠状况,分析可能影响儿童睡眠问题发生的高危因素,为预防和干预儿童睡眠问题提供科学依据。方法抽取安徽省地理位置南、北、中3个城市的931名1~23个月儿童作为研究对象,采用统一问卷对儿童家长进行现场调查。结果安徽省城市1~23个月儿童睡眠昼夜节律的发展变化趋势与其他研究结果基本相似,但相比《儿童保健学》和《尼氏儿科学》中儿童睡眠需求标准其睡眠时间平均每天分别少2 h和1.4 h。儿童睡眠问题检出率为37.9%,其中频繁夜醒(6个月以上)为45.6%,入睡困难为5.3%,睡眠节律紊乱为4.1%。多元Logistic回归分析显示:夜奶次数多、父亲学历低为危险因素,自行入睡和睡眠地点固定不变为保护性因素。结论目前安徽省城市婴幼儿睡眠时间较少,睡眠问题以6个月以上婴幼儿频繁夜醒最为多见,睡眠问题的发生与家长不正确的育儿行为密切相关。更多还原

【Abstract】 Objective To understand the sleep status of urban children aged 1-23 months in Anhui,analyze the high risk factors of sleep problems,provide scientific basis for preventing and intervening sleep problems in children. Methods A total of 931 children aged1-23 months were selected from three cities in southern,northern,and central areas of Anhui as study objects,a uniform questionnaire was used to survey the parents of these children. Results The development and change tendency of sleep circadian rhythms was similar to those reported by other studies on the whole. Compared with children sleep standard in Child Health Care and Nelson Pediatrics,the daily sleep time shortened by 2 and 1. 4 hours,respectively. The detection rate of sleep problems was 37. 9%,the proportions of frequent night waking( more than 6 months),difficulty falling asleep,and sleep rhythm disorder were 45. 6%,5. 3%,and 4. 1%,respectively. Multivariate Logistic regression analysis showed that frequent feeding at night and low paternal educational level were risk factors,fall asleep on their own and fixed sleep location were protective factors. Conclusion Sleep time of urban children aged 1-23 months in Anhui is less than the corresponding data. Among multiple sleep problems,frequent night waking is the most common among the children more than 6 months,the occurrence of sleep problems is closely correlated with incorrect parenting behavior of parents.更多还原