学龄期癫痫儿童睡眠问题及其影响因素分析

发布时间：2018-02-14 03:44

本文关键词： 癫痫睡眠学龄期　出处：《安徽医科大学学报》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨原发性或可能症状性学龄期癫痫儿童的睡眠问题及其相关影响因素。方法采用中文版儿童睡眠习惯问卷(CSHQ)对54例学龄期(7~12周岁)原发性和可能症状性癫痫儿童及54例性别、年龄严格匹配的学龄期健康儿童进行调查。结果癫痫组在CSHQ总分及8个层面中的6个(睡眠抵触、入睡潜伏期、睡眠焦虑、夜醒、异态睡眠、白天嗜睡)得分与对照组相比差异有统计学意义(P0.05)。在癫痫组中,不同年龄段CSHQ总分及睡眠抵触、入睡潜伏期、睡眠持续时间、睡眠焦虑4个层面相比差异有统计学意义(P0.05);发作控制组和未控制组在CSHQ总分及除入睡潜伏期层面的其他层面差异均有统计学意义(P0.05);不同发作频率CSHQ总分及除睡眠呼吸障碍层面的其他层面差异均有统计学意义(P0.05);不同发作类型CSHQ总分和睡眠抵触、睡眠持续时间、睡眠焦虑、白天嗜睡4个层面相比差异有统计学意义(P0.05);不同发作时间段CSHQ总分及睡眠抵触、入睡潜伏期、睡眠持续时间、睡眠焦虑、夜醒层面5个层面相比差异有统计学意义(P0.05);单药治疗组和多药治疗组CSHQ总分和入睡潜伏期、夜醒、异态睡眠、白天嗜睡4个层面差异有统计学意义(P0.05)。多元线性回归分析显示,性别、年龄、控制与否、发作频率、发作类型、发作时间段、抗癫痫药物种类是CSHQ总分或其某些层面分数的主要影响因素。结论癫痫患儿较健康儿童更易出现睡眠问题,其睡眠问题的发生可能与多种因素相关。
[Abstract]:Objective to investigate the sleep problems of children with primary or probable symptomatic epilepsy and their related factors. Methods 54 cases of primary and probable symptomatic epilepsy were studied by CSHQ (Chinese version of Children's Sleep habit questionnaire). Epileptic children and 54 cases of sex, Results in the epilepsy group, 6 of the total scores and 8 levels of CSHQ (sleep conflict, sleep latency, sleep anxiety, night wake, abnormal sleep) were investigated. The scores of daytime somnolence were significantly different from those of the control group (P 0.05). In the epileptic group, the total score of CSHQ, sleep resistance, sleep latency, sleep duration in different age groups were significantly higher than those in the control group. There were significant differences in the four levels of sleep anxiety (P 0.05), the total score of CSHQ in the seizure control group (P 0.05) and the other levels except the latency of sleep (P 0.05), the total score of CSHQ with different attack frequency (P < 0.05), and the total score of sleep (P 0.05) in the control group and the control group (P < 0.05). There were significant differences in other levels of respiratory disorders (P 0.05), the total score of CSHQ and sleep resistance in different attack types. There were significant differences in sleep duration, sleep anxiety, daytime somnolence (P 0.05), the total score of CSHQ and sleep resistance, sleep latency, sleep duration, sleep anxiety in different attack periods. There were significant differences in CSHQ total score and sleep latency, night wake, abnormal sleep, daytime somnolence in single drug treatment group and multidrug treatment group (P 0.05). Multivariate linear regression analysis showed that: 1. Sex, age, control or not, seizure frequency, seizure type, seizure period, antiepileptic drugs were the main factors affecting the total score of CSHQ or some of its scores. Conclusion Children with epilepsy are more likely to have sleep problems than healthy children. The occurrence of sleep problems may be related to many factors.
【作者单位】：安徽医科大学第一附属医院神经内科;
【基金】：安徽省高等学校省级自然科学研究项目(编号:KJ2012A175)
【分类号】：R742.1

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