32例自闭症儿童的睡眠相关问题分析.docVIP

32例自闭症儿童的睡眠相关问题分析 赵雪晴，赵聪敏，吴至凤，廖 伟，张雨平，杨 红 (第三军医大学新桥医院儿科，重庆 400037) 摘 要：目的 探讨自闭症患儿睡眠相关问题。方法 采用儿童睡眠习惯问卷（The Children’s Sleep Habits Questionaire，CSHQ）调查2.5～5岁自闭症患儿32名和幼儿园就读的健康儿童37名。结果 2.5～3岁自闭症患儿睡眠总量为（10.91±1.03）h，正常儿童睡眠总量为11.83±0.27（P<0.05）；3～5岁自闭症患儿睡眠总量为9.71±0.27，正常儿童睡眠总量为10.39±1.55（P<0.05）。儿童睡眠习惯问卷中，2.5～3岁自闭症患儿总分为48.00±1.79，正常儿童总分为47.05±6.15（P>0.05）；3～5岁自闭症患儿总分为47.86±3.34，正常儿童总分为45.31±6.56（P>0.05）。八项睡眠因子评分比较，2.5～3岁自闭症组与正常组在睡眠持续情况、夜醒、白天嗜睡三项中有统计学差异（P＜0.05）；3～5岁自闭症组与正常组在睡眠潜伏期、睡眠持续情况、夜醒、白天嗜睡四项中有统计学差异（P＜0.05）。结论 与同龄正常儿童相比，2.5～3岁及3～5岁自闭症患儿的睡眠总量均减少，并在睡眠持续情况、夜醒、白天嗜睡等多项睡眠问题上较正常儿童突出。 关键词：睡眠问题；自闭症；儿童 中图法分类号： 文献标识码：A The Analysis of Sleep Relevant Question of 32 Autistic Children Zhao Xue-Qing, Zhao Cong-Min，WU Zhi-feng, Liao Wei,，Zhang Yu-ping，Yang Hong(Department of Pediatrics,Xinqiao Hospital, The third Military Medical University,Chongqing,40037) Abstract: Objective To study the sleep disorder happened in those who get autistic of children aged in 2.5~5years old, and find the difference betweem the patients and normal group. Methods 32 autistic patients who received medical treatment in the Department of Pediatrics of Xin-qiao Hospital and 37 healthy children who attend in kindergarten of Xin-qiao Hospital were investigated by The Children’s Sleep Habits Questionaire(CSHQ), all of their age arranged from 2.5 to 5 years old. Results Autistic children were found had a lot of sleep disorders compared to normal children, such as: Sleep duration, Night waking, Daytime sleepness, amount of sleep, and so on, there were significant differences between two groups (P<0.05). Conclusion There were lots of sleep disorders in 2.5~5-years old autistic children who receiving medical treatment in the Department of Pediatrics of Xin-qiao Key words: sleep disorder; autism; children 睡眠在儿童的生长发育过程中占有举足轻重的地位。睡眠异常不仅影响儿童的体格生长，还会对儿童的认知、行为、学习、社交能力等带来短期或长期影响 [1,2]。有智力障碍的儿童常出现睡眠紊乱[3]，但研究表明，与智障儿童相比，自闭症患儿亦表现出较高的睡眠问题发生率[4,5]。本次研究通过发现并探讨自闭症患儿的睡眠问题与特征，旨在为自闭症的治疗制定个体化的全面康复方