孤独症儿童睡眠质量调查及影响因素分析  

The status investigation and analysis of influencing factors of sleep quality in children with autism

作　　者：何丽娟[1] 姚晓波[1] He Lijuan;Yao Xiaobo(The Third Hospital of Mianyang · Sichuan Mental Health Center,Mianyang 621000,China)

机构地区：[1]四川省精神卫生中心.绵阳市第三人民医院,四川绵阳621000

出　　处：《四川精神卫生》2018年第5期455-459,共5页Sichuan Mental Health

摘　　要：目的调查孤独症儿童的睡眠质量及影响因素,为改善孤独症儿童的睡眠质量提供参考。方法以2015年6月-2018年2月绵阳市第三人民医院收治的80例孤独症儿童为患者组,选取同期在绵阳市第三人民医院体检的80名健康儿童为对照组。用儿童睡眠质量问卷评定所有被试的睡眠质量,采用影响因素调查表收集可能影响儿童睡眠质量的因素。结果患者组入睡困难、入睡前烦躁不安、入睡前需拍抱或摇晃、睡眠不安、间断睡眠、梦呓、夜惊、打鼾、夜间尿床、睡眠呼吸暂停、张口呼吸、夜间磨牙的儿童比例均高于对照组(P <0. 05或0. 01);母亲孕期患病服药史、新生儿窒息史、新生儿黄疸史及家族精神病史是孤独症儿童发生睡眠问题的危险因素(P均<0. 05)。结论孤独症儿童存在较多睡眠问题,其睡眠问题与母亲孕期患病服药史、新生儿窒息史、新生儿黄疸史及家族精神病史有关。Objective To explore the sleep quality of children with autism and analyze the influencing factors of sleep disorders in children with autism,so as to provide references for improving sleep quality of children with autism. Methods 80 children with autism（ patient group） admitted by The Third Hospital of Mianyang from June 2015 to February 2018 were included in the study. During the same period,80 healthy children（ control group） from The Third Hospital of Mianyang were also included in the study. The Influencing Factors Questionnaire was used to collected the factors which may affect children＇s sleep quality and the Children Sleep Quality Questionnaire was used to assess the sleep quality. The factors that may affect sleep quality were analyzed. Results The proportion of difficulty falling asleep,dysphoria before falling asleep,needing to pat or shake before falling asleep,uneasy sleep,discontinuous sleep,somniloquence,night terror,snoring,nocturnal enuresis,sleep apnea,mouth breathing and bruxism in the patient group was higher than that in the control group（ P〈0. 05 or 0. 01）. The risk factors of sleep disorders in children with autism included taking drugs during pregnancy of mother,history of birth asphyxia and neonatal jaundice,family history of mental illness（all P〈0. 05）. Conclusion The children with autism have many problems about sleep,and these problems are related to taking drugs during pregnancy of mother,history of birth asphyxia and neonatal jaundice,family history of mental illness.

关 键 词：孤独症 儿童 睡眠质量 影响因素 

分 类 号：R395.6[哲学宗教—心理学]