婴幼儿睡眠启动相关问题治疗方法探讨  

Comparison of treatment for young children with sleep-onset associated disorder.

作　　者：江帆[1] 金星明[1] 蒋樾廉[1] 吴虹[1] 章依文[1] 颜崇淮[1] 吴胜虎[1] 沈晓明[1] 

机构地区：[1]上海第二医科大学附属新华医院上海儿童医学中心,200127

出　　处：《中国实用儿科杂志》2005年第9期534-536,共3页Chinese Journal of Practical Pediatrics

基　　金：国家自然科学基金(30271373);上海市科委重点项目(02DJ14040);上海第二医科大学博士点基金课题(BX50214)

摘　　要：目的探讨婴幼儿睡眠启动相关问题的治疗方案.方法将2004年5～9月在上海儿童医学中心睡眠专科门诊就诊的85例睡眠启动相关问题的患儿随机分为行为干预组、苯海拉明组和苯巴比妥治疗组,分别在治疗开始后1周、4周及3个月对患儿的睡眠状况进行分析.同时通过问卷对婴幼儿睡眠启动相关问题的高危因素进行分析.结果 3组治疗在3个月以内的疗效相仿,但是行为干预治疗在缩短入睡时间方面的长期疗效较为突出,而苯巴比妥治疗组短期对于戒除入睡依赖行为有一定的优势.影响婴幼儿睡眠启动相关问题发生的高危因素主要有抚养人状况、孕产史、家庭环境等.结论行为治疗与健康教育相结合可以作为治疗婴幼儿睡眠启动相关问题的首选方案.Objective To assess the efficacy of behavioral management, diphenhydramine and phenobarbital for sleeponset associated disorder in young children and to find out the high risks of sleep-onset associated disorder in young children. Methods Participants were 85 children aged 6 to 27 months who were randomly distributed into three treatment groups：behavioral management,dipbenbydramine and phenobarbital,and their parents were asked to complete the ques- tionnaire of their cbildren＇s sleep habit and the children＇s sleep log during the therapy course. Results All three treatments showed the same effectiveness in the 3 months＇follow-up. Of these treatments,behavioral treatment was more likely to be effective in shortening settle time in the longer term, while phenobarbital bad more immediate effect on giving up wrong sleep association. The high risk factors related to cbildren＇s sleep-onset association were instable caregiver,low education of caregiver, high gestation age, C-section, boy and over-crowded house. Conclusion Behavioral treatment with sleep education may be recommended as the first choice for parents of children with sleep-onset associated disorders.

关 键 词：儿童 睡眠启动相关问题 行为干预 苯海拉明 苯巴比妥 

分 类 号：R72[医药卫生—儿科]