新生儿睡眠觉醒状况与认知发育的相关性研究  

Relationship Between Sleep and Wakefulness and Cognitive Development in Neonates

作　　者：郑碧娟 黄静 郑阳力 ZHENG Bijuan;HUANG Jing;ZHENG Yangli(Putian University Affiliated Hospital/Putian Children′s Hospital,Putian 351100,China)

机构地区：[1]莆田学院附属医院/莆田市儿童医院,莆田351100

出　　处：《世界睡眠医学杂志》2023年第6期1279-1281,1285,共4页World Journal of Sleep Medicine

摘　　要：目的:本研究旨在探究新生儿睡眠觉醒状况与其认知发展之间的相关性。方法:选取2022年1月至2023年2月在莆田学院附属医院/莆田市儿童医院出生的新生儿100例作为研究对象,采集睡眠质量、睡眠觉醒状态、眼球快速运动睡眠(REM)状态和非眼球快速运动睡眠(NREM)状态等数据,并使用亲子互动行为量表和贝尔维尔发育量表对认知发育进行评估。结果:清醒时间较长的新生儿和REM/NREM占比较高的新生儿具有更好的认知发展水平,而睡眠时间较长、睡眠次数较少、嗜睡时间较长的新生儿具有较差的认知发展水平。此外,睡眠时间、睡眠次数、清醒时间和嗜睡时间与贝尔维尔发育量表得分也存在相关性,但相关性程度较弱。结论:新生儿的睡眠觉醒状态与亲子互动、认知发展和贝尔维尔发育量表得分之间存在相关性。睡眠对于新生儿的认知发育有重要影响,尤其是睡眠觉醒状态,需要进一步研究不同睡眠状态对认知发育的具体影响机制。未来父母应关注新生儿的睡眠质量和觉醒状态,而睡眠评估和监测也应成为新生儿健康管理中的一部分。Objective:The purpose of this study was to explore the correlation between sleep and wake status and cognitive development of neonates.Methods:A total of 100 neonates born in the Affiliated Hospital of Putian University/Putian Children′s Hospital from January 2022 to February 2023 were selected as the research subjects.The data of sleep quality,sleep wakefulness,rapid eye movement sleep(REM),and non rapid eye movement sleep(NREM)were collected,and the parent-child interaction behavior scale and Belleville Development Scale were used to assess cognitive development.Results:Neonates with longer awake time and higher REM/NREM ratio had better cognitive development,while neonates with longer sleep time,fewer sleep times and longer somnolence had worse cognitive development.In addition,sleep duration,sleep frequency,wake duration and lethargy duration were also correlated with Belleville developmental scale scores,but the degree of correlation was weak.Conclusion:There is a correlation between sleep and wakefulness status of newborns and parent-child interaction,cognitive development and Belleville Developmental scale scores.Sleep plays an important role in the cognitive development of neonates,especially the sleep-wake state.It is necessary to further study the specific mechanism of different sleep states on cognitive development.Future parents should pay attention to the sleep quality and awakening status of newborn,and sleep assessment and monitoring should also be a part of newborn health management.

关 键 词：睡眠 觉醒 新生儿 认知 

分 类 号：R715.8[医药卫生—妇产科学] R338.63[医药卫生—临床医学]