宁夏地区6～14岁儿童睡眠障碍及影响因素分析  

Sleeping disorders in the children of 6～14 years old and analysis of the impacting factors in Ningxia

作　　者：陈彦香[1] 杨文[1] 孙晓荣[1] 孙霆芳[1] 郝惠芳[1] 许旺[2] 王会宁 

机构地区：[1]宁夏医学院第二附属医院(银川市第一人民医院)儿科,银川750001 [2]宁夏医学院第二附属医院(银川市第一人民医院)呼吸科,银川750001 [3]银川市金风区教育局,银川750001

出　　处：《中国实用儿科杂志》2009年第4期302-304,共3页Chinese Journal of Practical Pediatrics

基　　金：宁夏回族自治区自然基金项目(NZ07114)

摘　　要：目的了解宁夏地区儿童睡眠障碍的发生状况及其影响因素。方法2007年2-7月,对宁夏地区市、县、乡13所学校6000名6～14岁儿童采用问卷调查的方法,由专人负责进行睡眠障碍发生情况及家庭社会环境因素调查。结果收回合格问卷5632份,回收率93.87%。睡眠障碍的发生率为16.26%,其中,睡行症62例次(6.5%),睡眠打鼾243例次(25.7%),张口呼吸167例次(17.6%),憋醒137例次(14.5%),睡眠中呼吸暂停33例次(3.5%),睡眠中肢体抽动173例次(18.3%),遗尿132例次(13.9%)。不同症状发生率存在年龄差异,睡眠呼吸暂停在6～8岁年龄段发生率高,遗尿在>8～11岁、>11～14岁组发生率高。睡眠障碍发生的主要影响因素为父母打鼾、早产和鼻炎。结论宁夏地区6～14岁儿童睡眠障碍的检出率较高,多种因素可以造成儿童睡眠障碍,应引起儿科、儿保医生及儿童家长的重视。Objective To know the occurring rate and related factors of sleeping disorder in children of 6 - 14 years in Ningxia. Methods From Feb to July of 2007,6000 children aged 6 - 14 years old were investigated with questionnaire in 13 schools in townships, counties and rural areas in Ningxia, and the occurring situation of sleeping disorder, family, environmental and social factors were interviewed by specialized professionals. Results Totally 5 632 questionnaires were taken back and callback rate was 93.87%. The incidence rate of sleep disorders was 16.26%. Among them, somnambulating ones in 62 cases （6.5% ）, snoring in 243 cases （25.7%）, mouth breathing 167 cases （ 17.6% ）, suppressed waken up 137 cases（ 14.5%）, apnea 33 cases（3.5%）, limbs spasm 173 cases （18.3%）, and enuresis 132 cases （13.9%）. The incidence rate of the symptoms was different among age groups, in which the incidence rate of apnea was relatively high in 6 - 8 years old, and so was enuresis for those more than 8 - 14 years old. The main risk factors that affected sleep were premature delivery, nose inflammation and parents snoring. Conclusion Sleeping disorder is common in the children of 6- 14 years in Ningxia. Many factors have impacts on children sleeping. Pediatricians, doctors for child care and parents should pay much attention to children sleeping disorders.

关 键 词：睡眠障碍 儿童 

分 类 号：R72[医药卫生—儿科]