早期睡眠干预策略对婴儿体格生长与睡眠觉醒模式的影响  

Effect of early sleep intervention strategy on infantile physical growth and sleep awakening mode

作　　者：李正 王丽[1] 何春燕[1] 王念蓉[1] 

机构地区：[1]重庆市妇幼保健院儿童保健科,401147

出　　处：《重庆医学》2018年第7期902-905,共4页Chongqing medicine

基　　金：中国疾病预防控制中心妇幼保健中心研究项目(2014FYH001)

摘　　要：目的探讨干预方法对婴儿体格生长与睡眠觉醒模式的影响及对婴儿睡眠问题的作用。方法选取2014年5-8月自愿在该院健康管理的600例1月龄健康婴儿,分为干预组和对照组,监护人填写睡眠问卷,均接受每月普通儿保常规指导随访至6月龄。干预组由睡眠专科医生发放婴儿睡眠健康教育宣传页进行睡眠认知教育和睡眠问题咨询,对睡眠问题婴儿按睡眠健康处方进行综合干预。结果比较两组婴儿体格生长指标、睡眠觉醒模式指标和睡眠问题发生率:(1)干预组婴儿身高较对照组有明显差异(P<0.05)。(2)干预组夜醒次数、夜醒时间、白天睡眠次数、白天睡眠总时间明显低于对照组(P<0.05),干预组夜间总睡眠时间较对照组增加(P<0.05),入睡潜伏期、入睡时间、白天小睡时间与对照组差异无统计学意义(P>0.05)。(3)干预组6月龄时睡眠问题在夜醒过度方面明显低于对照组(P<0.05),在入睡超时、觉醒/就寝节律紊乱方面无明显差异。结论认知行为干预和健康教育的早期干预策略能够对0~6个月婴儿体格生长及睡眠觉醒模式产生有利影响,能减少婴儿睡眠问题的发生。Objective To investigate the influence of intervention method on infantile physical growth and sleep awakening mode and its effect on infantile sleep problem.Methods Six hundreds healthy infants aged 1 month old voluntarily receiving health mangement in this hospital fnom May to August 2014 were selected and divided into the intervention group and control group.The sleep questionnaire was filled.All infants monthly received the common child health care conventional guidance follow up until 6 months old.The intervention group conducted the sleep cognition education and sleep problem consultation by the sleep specialist physicians issuing the infantile sleep health care education propaganda leaflets,then the the infants with sleep problems conducted the comprehensive intervention according to the sleep hel ath prescription.Results In the comparison of the infantile physical growth indicators,sleep awakening mode indicators and sleep problem occurrence rate between the two groups：（1）the infantile body height in the intervention group had obvious difference compared with the control group（P0.05）.（2）The night waking frequency,night waking time,daytime sleep frequency and daytime sleep total time in the intervention group were significantly lower than those in the control group（P0.05）,the night total sleep time in the intervention group was increased compared with the control group（P0.05）,and the sleep latency,time to falling asleep and daytime naps time had no statistical difference between the intervention group and control group（P0.05）.（3）In the sleep problems at 6 months old,the intervention group was significantly lower than the control group in the aspect of excessive night waking（P0.05）,but the aspects of falling asleep overtime,awakening/going to bed rhythm disorder had no obvious difference between the two groups.Conclusion The early intervention strategy of cognitive behavioural intervention and health education can generate the favorable effect on the physical growth and sle

关 键 词：婴儿 睡眠 生长和发育 觉醒 干预 

分 类 号：R174.1[医药卫生—妇幼卫生保健]