月龄0~35的300名婴幼儿睡眠状况研究  

Sleep Status in 300 Infants and Young Children Aged 0~35 Months

作　　者：饶艳琼 许榛[1] 孙晶晶 张欧[1] 刘四香 凌昱[1] RAO Yanqiong;XU Zhen;SUN Jingjing;ZHANG Ou;LIU Sixiang;LING Yu(Dept.of Child Health Care,Kunming Children’s Hospital,Kunming Yunnan 650034,China)

机构地区：[1]昆明市儿童医院儿童保健科,云南昆明650034

出　　处：《昆明医科大学学报》2023年第12期79-86,共8页Journal of Kunming Medical University

基　　金：云南省儿童健康与疾病临床医学研究中心开放研究基金资助项目(2022-ETYY-YJ-05)。

摘　　要：目的分析0~35月龄婴幼儿的睡眠状况,以了解婴幼儿常见的睡眠问题及可能的影响因素。方法选取2022年6月至2023年5月于昆明市儿童医院儿童保健科门诊进行健康体检的0~35月龄健康婴幼儿为研究对象,由家长完成简明婴幼儿睡眠问卷(brief infant sleep questionnaire,BISQ)。采用单因素及Logistic回归分析婴幼儿的睡眠状况及影响睡眠问题的因素。结果婴幼儿主要睡床方式为与父母同床睡(85.6%),平均睡眠时间白天为(3.51±1.75)h,夜间为(8.84±1.41)h,全天为(12.37±2.07)h。各年龄组白天和全天总睡眠时间随着年龄增加而逐渐减少(P<0.05)。27.7%的婴幼儿可能存在睡眠时长不足;睡眠问题发生率为79%,入睡困难发生率最高为75.3%,其次夜醒(72.2%)和睡眠节律紊乱(19.7%);278例(92.7%)为非自主入睡。单因素分析显示月龄及入睡方式与婴幼儿睡眠问题发生有关(P<0.05);Logistic回归分析提示小月龄及非自主入睡是睡眠问题发生的危险因素。结论婴幼儿睡眠问题发生率高,与月龄小及非自主入睡有关,建议早期培养婴幼儿自主入睡,加强婴幼儿睡眠习惯培养的宣教,减少婴幼儿睡眠问题的发生。Objective To analyze the sleep status of infants and young children aged 0~35 months,in order to understand the common sleep problems and possible influencing factors of infants and young children.Methods Healthy infants aged 0~35 months who underwent physical examination in the outpatient Department of Child Health Care,Kunming Children's Hospital from June 2022 to May 2023 were selected as the study subjects.The brief infant sleep questionnaire(BISQ)was completed by their parents.Single factor analysis and Logistic regression analysis were used to analyze the sleep status of infants and young children and the factors affecting sleep problems.Results The primary sleeping mode for infants and young children is sleeping with parents(85.6%).The average daytime sleep duration is(3.51±1.75)hours,nighttime sleep is(8.84±1.41)hours,and total daily sleep is(12.37±2.07)hours.Daytime and total sleep duration decrease gradually with increasing age in each age group(P<0.05).27.7%of infants and young children may experience insufficient sleep duration;the prevalence of sleep problems is 79%,with the highest rate of difficulty falling asleep at 75.3%,followed by night waking(72.2%)and sleep rhythm disturbances(19.7%);278 cases(92.7%)involve involuntary falling asleep.Univariate analysis shows that age and sleep initiation method are related to the occurrence of sleep problems in infants and young children(P<0.05).Logistic regression analysis suggests that young age and involuntary falling asleep are risk factors for the occurrence of sleep problems.Conclusion The incidence of sleep problems in infants and young children is high,which is related to the young age and involuntary sleep onset.It is recommended to train infants and young children to fall asleep autonomously as early as possible,and strengthen the education of sleep habits in infants and young children to reduce the incidence of sleep problems in infants and young children.

关 键 词：婴幼儿 睡眠 睡眠问题 简明婴幼儿睡眠问卷 

分 类 号：R729[医药卫生—儿科]