婴儿夜晚睡眠模式发展的前瞻性研究

发布时间：2018-03-28 05:05

本文选题：夜晚睡眠　切入点：纵向研究　出处：《中国当代儿科杂志》2016年04期

【摘要】：目的了解婴儿生后第1年夜晚睡眠模式的发展规律。方法采用非侵入性的睡眠监测仪Actiwatch监测50名在重庆市妇幼保健院出生的健康足月新生儿的12项婴儿夜晚睡眠参数。监测时间为生后第10天、28天,以及2、3、4、5、6、9、12月龄的第1个星期二,每次连续监测60 h。采用二水平混合效应模型进行统计学分析。结果 22名男童和25名女童完成了为期1年的纵向随访。从生后第10天到12月龄,夜间入睡潜伏期3月龄时降低了48%,6月龄时降低了83%;夜晚睡眠效率从66%增加到87%;夜晚睡眠总时间从416 min增加到517 min;夜晚最长连续睡眠时间从197 min增加到327 min。夜晚睡眠效率、夜晚睡眠总时间和夜晚最长连续睡眠时间均随年龄增大呈增长趋势(P0.01),其3月龄与12月龄的比值分别是86%、84%和72%,6月龄与12月龄的比值分别是97%、91%和94%。夜晚平均、最长连续觉醒时间和觉醒总时间均随年龄呈下降趋势(P0.01),且生后前半年的下降速度均是后半年下降速度的5~6倍。男童的夜间睡眠时间、连续睡眠能力和睡眠效率均稍差于女童(P0.05)。结论婴儿夜晚睡眠模式在生后前半年,尤其生后3个月内发展迅速。婴儿期部分睡眠参数与性别有关。
[Abstract]:Objective to investigate the development of sleep pattern in the first year after birth. Methods Non-invasive sleep monitor (Actiwatch) was used to monitor the night sleep of 50 healthy full-term newborns born in Chongqing Maternal and Child Health Care Hospital. Parameters. The monitoring time is 28 days after 10 days, And on the first Tuesday of 12 months of age, a two-level mixed effect model was used to carry out statistical analysis. Results 22 boys and 25 girls completed a longitudinal follow-up for one year, from the 10th day to the 12th month after birth, The nocturnal sleep latency decreased by 833 at the age of 48 and 6 months, the sleep efficiency increased from 66% to 87 minutes, the total sleep time increased from 416 min to 517 mins, and the maximum continuous sleep time increased from 197 min to 327 min. The total sleep time at night and the longest continuous sleep time at night showed an increasing trend with age. The ratios of 3 months old to 12 months old were 86% and 72%, respectively, and the ratios of 6 months old to 12 months old were 97% and 94%, respectively. The longest continuous awakening time and the total awakening time showed a decreasing trend with age, and the first half year of life decreased at a rate of 5 ~ 6 times than that of the latter half of life, and the night sleep time of boys was 5 ~ 6 times of that of the latter half of life. Conclusion in the first half year after birth, especially in 3 months after birth, the sleep pattern of infants develops rapidly. Some sleep parameters in infancy are related to sex.
【作者单位】：重庆市妇幼保健院儿童保健科;
【基金】：中国疾病预防控制中心妇幼保健中心立项基金(2010-FU-001)
【分类号】：R740

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