广东省乡镇青少年学生白日过度思睡状况及相关因素  

Prevalence and risk factors of Excessive Daytime Sleepiness in middle school Adolescents

作　　者：骆春柳[1,2] 陈伟菊[2] 卢婉娴[2] 廖继武[1] 黄俏庭[1] 刘亚平[1] 潘集阳[1] 

机构地区：[1]暨南大学附属第一医院精神心理科、睡眠中心,广州510630 [2]暨南大学附属第一医院护理部

出　　处：《中国神经精神疾病杂志》2012年第11期641-645,共5页Chinese Journal of Nervous and Mental Diseases

基　　金：广东省医学科研基金(编号:A2010340)

摘　　要：目的了解广东乡镇地区11～18岁青少年学生白日过度思睡(Excessive Daytime Sleepiness,EDS)的发生情况及探讨其影响因素。方法整群抽取广东省龙门县5所中学的5003名学生,采用一般情况调查表、爱泼沃斯嗜睡量表(Epworth Sleepiness Scale,ESS)、失眠严重指数量表(Insomnia Severity Index,ISI)、贝克抑郁量表(Beck Depression Inventory,BDI)和焦虑自评量表(Self-rating Anxiety Scale,SAS)等进行问卷调查。结果青少年学生EDS(ESS>10)发生率为11.1%(95%CI:10.2%～12.0%),男性高于女性(12.0%vs.10.1%,P<0.05),并且在年龄、是否吸烟、身体状况、学习压力、学习兴趣、是否午睡及不同睡眠时间方面EDS的发生率存在明显差异(P<0.01);EDS组的BDI、SAS和ISI总分均高于非EDS组(P<0.01)。Logistic回归分析结果显示男性(OR=1.25,95%CI:1.03～1.52)、习惯性午睡(OR=1.35,95%CI:1.11～1.64)、吸烟(OR=2.02,95%CI:1.23～3.33)、学习压力大(OR=1.28,95%CI:1.07～1.54)、学习兴趣低(OR=1.38,95%CI:1.10～1.73)、有慢性疾病(OR=1.69,95%CI:1.22～2.34)、失眠(OR=3.37,95%CI:2.60～4.37)、焦虑(OR=1.95,95%CI:1.57～2.42)、抑郁(OR=1.65,95%CI:1.30～2.09)情绪是EDS的危险因素。结论广东乡镇青少年学生EDS发生率较高,男性、习惯性午睡、抽烟、学习压力大、学习兴趣低、有慢性疾病、失眠及焦虑抑郁情绪是EDS的危险因素,提示伴有EDS的青少年情绪状况和睡眠质量较差。Objectives To understand the prevalence and risk factors of excessive daytime sleepiness （EDS） in adolescents living in rural area. Methods A cruss-sectional survey with cluster sampling was used to sampling a total of 5003 adolescents aged from ll to 18 years old from 5 middle schools from Longmen County. These adoles- cents were assessed by using a series of questionnaires, including Epworth Sleepiness Scale （ESS）, Insomnia Severi- ty Index （ISI）, Beck Depression Inventory （BDI）, and Zung Self-Rating Anxiety Scale （SAS）. Results EDS was common in adolescent with a rate of 11.1%（95%C1：10.2%-12.0%;12.0% for males and 10.1% for females, P 〈 0.05）. Adolescents with EDS had higher ISI, BDI, and SAS scores than those without EDS （P 〈 0.01）. Logistic re- gression analysis revealed that there were significant associations of EDS with male （OR = 1.25,95%CI： 1.03-1.52）, habitual napping（OR = 1.35,95%CI： 1.11-1.64）, smoking （OR = 2.02,95%CI： 1.23-3.33）, high study stress（OR = 1.28, 95%CI： 1.07-1.54）, low study interest （OR = 1.38, 95%CI： 1.10-1.73）, poor health condition （OR = 1.69, 95%CI：1.22-2.34）, insomnia（OR = 3.37, 95%CI：2.60-4.37）, anxiety（OR = 1.95, 95%CI：1.57-2.42） and depression（OR = 1.65,95%CI： 1.30-2.09）. Conclusions EDS is a common problem in middle school students living in rural area. Adolescents with EDS have poor mental health and poor sleep quality.

关 键 词：乡镇地区 青少年 白日过度思睡 横断面研究 

分 类 号：R749.99[医药卫生—神经病学与精神病学]