南宁市3～14岁儿童睡眠打鼾及相关情况调查  

Investigation on Sleep Snoring and Relative Morbidities in Children Aged 3 to 14 Years Old in Nanning City

作　　者：谢庆玲[1] 甄宏[1] 谭颖[1] 唐晓燕[1] 胡琼燕[1] 温志红[1] 朱曦怡[1] 邓寅业[1] 刘建红[2] 韦彩周[2] 李东云[3] 

机构地区：[1]广西壮族自治区人民医院儿科,南宁530021 [2]广西壮族自治区人民医院呼吸内科,南宁530021 [3]广西壮族自治区人民医院耳鼻喉科,南宁530021

出　　处：《实用儿科临床杂志》2008年第16期1239-1241,共3页Journal of Applied Clinical Pediatrics

基　　金：广西壮族自治区科学研究与技术开发计划项目资助(0473013);广西壮族自治区人民医院青年基金资助

摘　　要：目的调查南宁市学龄前及早期学龄儿童打鼾和相关症状的发生情况。方法采取随机整群分层抽样方法,应用由家长完成的问卷调查表对南宁市12所幼儿园、8所小学和6所初级中学的3～14岁儿童进行调查,确定打鼾和习惯性打鼾及相关症状的发生情况。实际发放调查问卷总数为9000份,应答8150份,回收率为90.6%,剔除>14岁的儿童问卷,有效问卷6999份。结果本组儿童打鼾现患率32.7%。其中男童打鼾发生率(44.22%)显著高于女童(28.58%)(P<0.01)。儿童打鼾现患率以3～5岁儿童相对较高,打鼾儿童相关症状发生率分别为注意力不集中65.66%,夜间多汗51.61%,口干咽痛45.07%,食欲减退37.09%,张口呼吸36.21%,夜醒及夜惊34.21%,慢性咳嗽31.81%,体质量不增27.44%,呼吸恶臭23.56%,白天困倦23.04%,生长迟缓22.95%,遗尿17.98%。睡眠打鼾儿童相关疾病中以扁桃体肥大(31.02%)最常见,其次反复呼吸道感染29.89%,过敏性鼻炎16.19%,体质量超标13.61%。2292例睡眠打鼾儿童有家族史占26.79%,家庭中有吸烟者(父或母)47.77%,喜好毛绒玩具者32.02%,睡眠中喜好抱枕者23.56%。仅0.19%家长认为儿童打鼾可能是一种病症。结论学龄前及早期学龄儿童睡眠打鼾是较常见现象,睡眠打鼾儿童存在较多影响生长发育的情况,对有睡眠打鼾的儿童家长应引起重视。Objective To investigate the occurrence of sleep snoring and relative morbidities in preschool and early school children aged 3 to 14 years old in Nanning city.Methods A population-based cross-sectional study of children aged form 3 to 14 years old was conducted,12 kindergartens,8 prime schools and 6 junior high schools were randomly selected and information was collected using a parent-completed questionnaire to ascertain snoring or habitual snoring and correlated symptom.The response rate was 90.6%,8 150 of 9 000 questionnaire were fully completed and 6 999 questionnaires were available.Results The prevalence of snoring in preschool and school children were reported in 32.7%,the incidence rate of sleep snoring in boys was 44.22%,which was higher than that in girls（28.58%）（P〈0.01）.The incidence rate of snoring in children aged 3 to 5 years old was relatively high,the prevalence of morbidities relating to sleep snoring in children included inattention 65.66%,too much sweat at night 51.61%,thirsty and sore throat 45.07%,anorexia 37.09%,mouth breathing 36.21%,awakes at night and sleep terrors 34.21%,chronic cough 31.81%,no increased weight 27.44%,breathing smelly 23.56%,tired easily in the day time 23.04%,growth retardation 22.95%,and enuresis 17.98%.While the hind diseases for the children with sleep snoring were tonsillar hypertrophy 31.02%,which was the most common,the others was repeat respiratory infection 29.89%,allergic rhinitis 16.19%,overweight 13.61%.There was family history in 2 292 children with sleep snoring was 26.79%,47.77% parents including mother or father were smoker,and 32.02% children love stuffing toys and 23.56% like to attached a toy pillow.Result of the question that parents considered that sleep snoring in children should be a sign or symptom of disease was only 0.19% parents gave yes answer.Conclusions The prevalence of sleep snoring in preschool and early school children was remarkably high,and there appeared to be much more relative morbidities in snoring children,which should

关 键 词：打鼾 流行病学 儿童 

分 类 号：R725.6[医药卫生—儿科]