屏幕暴露在学龄前孤独症谱系障碍儿童中的作用  

The role of screen exposure in preschool children with autism spectrum disorders

作　　者：曾冬梅 邵银进[2] Zeng Dong-mei;Shao Yin-jin(Department of Neurorehabilitation for Children,Ganzhou Maternal and Child Health Hospital,Ganzhou 341000,Jiangxi,China;Department of Rehabilitation Medicine,Ganzhou People's Hospital,Ganzhou 341000,Jiangxi,China)

机构地区：[1]赣州市妇幼保健院儿童神经康复科,江西赣州341000 [2]赣州市人民医院康复医学科,江西赣州341000

出　　处：《四川生理科学杂志》2024年第12期2735-2737,2819,共4页

摘　　要：目的:探究屏幕暴露在学龄前孤独症谱系障碍(Autism Spectrum Disorder,ASD)儿童睡眠中的作用。方法:选取2024年1月至2024年6月我院收治的100例学龄前ASD患儿作为研究对象,根据2016年美国儿科学会关于屏幕暴露的建议为标准,将学龄前ASD儿童分为高暴露组和低暴露组,各50例。比较两组患者教学水平、自我导向学习能力、教学效果。结果:高暴露组学龄前ASD每次屏幕暴露时间控制、餐时屏幕暴露时间、睡前屏幕暴露时间、日平均屏幕暴露时间、使用电子产品的频率低于暴露组。高暴露组睡眠时间不足率、就寝习惯不良率、睡眠焦虑率、睡眠持续不良率、入睡潜伏期延长率、睡眠呼吸障碍率、白天嗜睡率、异态睡眠率、夜醒发生率高于低暴露组,而高暴露组日平均睡眠时间低于低暴露组(P<0.05)。单因素分析可知,高暴露组年龄、ASD疾病情况及原发性睡眠障碍高于低暴露组(P<0.05)。多因素Logistic回归分析可知,年龄、ASD疾病情况及原发性睡眠障碍是学龄前ASD儿童睡眠时间及睡眠质量的危险因素(P<0.05)。高暴露组干预后睡眠时间不足率、就寝习惯不良率、睡眠焦虑率、睡眠持续不良率、入睡潜伏期延长率、睡眠呼吸障碍率、白天嗜睡率、异态睡眠率、夜醒发生率低于干预前,而日平均睡眠时间短于干预后(P<0.05)。结论:屏幕暴露对学龄前ASD儿童的睡眠具有较大的影响,因此需要进行干预。Objective:To explore the role of screen exposure in sleep in preschool children with Autism Spectrum Disorder(ASD).Methods:100 preschool children with ASD admitted to our hospital from January 2024 to June 2024 were selected as the study objects.According to the 2016 recommendation of the American Academy of Pediatrics on screen exposure,the preschool children with ASD were divided into high exposure group and low exposure group,with 50 cases in each group.The teaching level,self-directed learning ability and teaching effect of the two groups were compared.Results:The screen exposure time control,meal screen exposure time,bedtime screen exposure time,daily average screen exposure time and frequency of using electronic products in the high exposure group were lower than those in the exposed group.The rate of insufficient sleep time,bad bedtime habits,sleep anxiety rate,continuous sleep disturbance rate,prolonged sleep latency rate,sleep disapnea rate,daytime sleepiness rate,anomalic sleep rate and night wake rate of the high exposure group were higher than those of the low exposure group,while the daily average sleep time of the high exposure group was lower than that of the low exposure group(P<0.05).Univariate analysis showed that age,ASD disease and primary sleep disorder in the high exposure group were higher than those in the low exposure group(P<0.05).Multivariate Logistic regression analysis showed that age,ASD disease status and primary sleep disorder were risk factors for sleep duration and sleep quality of preschool children with ASD(P<0.05).In the high exposure group,the rate of insufficient sleep time,poor bedtime habits,sleep anxiety,continuous sleep disturbance,prolonged sleep latency,sleep disapnea,daytime sleepiness,anomalic sleep and night wake were lower than before intervention,while the average daily sleep time was shorter than after intervention(P<0.05).Conclusion:Screen exposure has a greater impact on sleep in preschool children with ASD,so intervention is needed.

关 键 词：屏幕暴露 学龄前 孤独症谱系障碍 睡眠 原发性睡眠障碍 

分 类 号：R749.94[医药卫生—神经病学与精神病学]