103例儿童发作性睡病的临床特点及随访  

Respective Analysis of 103 Children with Narcolepsy

作　　者：尹悦[1] 刘肖予 苗硕[1] 杨健[1] 

机构地区：[1]首都儿科研究所附属儿童医院,北京100021

出　　处：《世界睡眠医学杂志》2015年第5期277-281,共5页World Journal of Sleep Medicine

摘　　要：目的总结儿童发作性睡病的临床特点及治疗愈后。方法回顾分析2011年01月至2014年8月首都儿科研究所神经内科主要诊断为发作性睡病的103例病案资料及电话随访结果。结果 103例患儿全部现日间睡眠过多症状,27例患儿有明显猝倒表现,1例现睡眠瘫痪,2例现睡眠幻觉。可随访到的85例患儿中47例病情缓解,28例痊愈,其中66例应用盐酸哌甲酯治疗。结论我院观察的儿童发作性睡病患者四联征表现并不明显,药物治疗及非药物治疗控制疾病进展良好。Objective To conclude clinical manifestations and treatment in children with narcolepsy.Methods The clinical data of 103 narcolepsy children,which were diagnosed by the in-patient department of pediatrics of the Capital Institute of Pediatrics from January of 2011 to August of 2014 and were analyzed retrospectively.Based on the documentaries home and a-broad,we telephoned follow up these children and make a retrospective analysis.Results Excessive daytime sleepiness appeared in all cases,cataplexy in 27 cases,sleep paralysis in 1 cases,hypnogogic hallucinations in 2 cases.85 patients available and total remission rate is 88.24%.Conclusion sleep paralysis and hypnogogic hallucinations could not be obviously observed,Applica-tion of methylphenidate and health education could get good effects.

关 键 词：发作性睡病 临床特征 随访 治疗 

分 类 号：R749.7[医药卫生—神经病学与精神病学]