睡眠障碍幼儿认知发育、情绪性及社会性的相关性调查  

Investigation on the correlations between cognitive development and emotionality,sociality of infants with sleep disorders

作　　者：邓梁琼 张玉 李红辉 曾婷 黄子娟 

机构地区：[1]柳州市妇幼保健院儿童保健科,广西柳州545001

出　　处：《中国妇幼保健》2017年第13期2915-2918,共4页Maternal and Child Health Care of China

基　　金：广西壮族自治区卫生计生委科研课题(Z2008343)

摘　　要：目的探讨睡眠障碍幼儿的认知发育、情绪性及社会性的相关性。方法选取2015年1-12月在柳州市妇幼保健院儿童保健睡眠门诊就诊的12~36个月的139例幼儿为研究组,另选取同期儿保门诊常规体检无睡眠障碍的12~36个月的223例幼儿为对照组。采用《2岁以下儿童睡眠状况调查问卷》和《2~5岁儿童睡眠状况调查问卷》收集研究组幼儿的睡眠障碍发生情况,采用《Gesell发育诊断量表》评估两组幼儿认知发育状况,采用《12~36月龄幼儿情绪社会性评估量表》评估儿童的情绪性及社会性。比较两组幼儿的睡眠障碍发生率、《Gesell发育诊断量表》五大能区发育商(DQ)、《12~36月龄幼儿情绪社会性评估量表》异常检出率。结果研究组中,12~23个月和24~36个月幼儿睡眠障碍发生率比较,差异无统计学意义(P>0.05)。两组12~23个月幼儿大运动DQ比较差异无统计学意义(P>0.05),其余能区DQ比较差异均有统计学意义(均P<0.05)。两组不同性别幼儿各维度异常检出率比较差异均有统计学意义(P<0.05)。对照组中,不同性别幼儿各维度异常检出率比较,差异均无统计学意义(P>0.05)。研究组中,仅男童外显行为域异常检出率高于女童,差异有统计学意义(P<0.05),其余3个维度异常检出率比较差异均无统计学意义(P>0.05)。结论睡眠障碍对幼儿认知发育、情绪性及社会性均有不利影响,应得到高度关注。Objective To explore the correlations between cognitive development and emotionality,sociality of infants with sleep disorders.Methods A total of 139 infants aged 12-36 months old were selected from Sleep Outpatient of the hospital from January to December in 2015 as study group,and 223 infants aged 12-36 months old without sleep disorders were selected from Child Health Care Outpatient of the hospital during the same period as control group.Questionnaire for sleep status of infants under two years old and questionnaire for sleep status of children aged 2-5 years old were used to collect the prevalence of sleep disorders among the infants in study group;Gesell developmental diagnosis scale was used to evaluate cognitive development of the infants in the two groups;social-emotional assessment scale for infants aged 12-36 months old was used to evaluate emotionality and sociality of these infants.The incidence rates of sleep disorders,development quotients（DQ） of five dimensions of Gesell developmental diagnosis scale,abnormal detection rates of social-emotional assessment scale for infants aged 12-36 months old in the two groups were compared.Results In study group,there was no statistically significant difference in the incidence rate of sleep disorders between 12-23-month-old infants and 24-36-month-old infants（P〈0.05）.Among the12-23-month-old infants,there was no statistically significant difference in DQ of grass motor between the two groups（P〈0.05）,but there were statistically significant differences in DQs of other dimensions between the two groups（all P〈0.05）.There were statistically significant differences in the detection rates of abnormal dimensions between the two groups（P〈0.05）.In control group,there was no statistically significant difference in the detection rates of abnormal dimensions between boys and girls（P〈0.05）.In study group,the detection rate of abnormal external behavior dimension in boys was statistically significantly higher than that in girls（P〈0.05�

关 键 词：幼儿 睡眠障碍 认知发育 情绪性 社会性 

分 类 号：R729[医药卫生—儿科]