儿童的睡眠 Bruxism:一个叙事审查
Alexander K C Leung1, Alex H C Wong2, Joseph M Lam3
1Department of Pediatrics, The University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
Current pediatric reviews
|September 19, 2023
概括
儿童的睡眠 Bruxism 经常会自行消失,可能不需要特殊治疗. 专注于良好的睡眠卫生,并解决管理这种常见疾病的潜在触发因素.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 牙科 睡眠医学 睡眠医学
背景情况:
- 睡眠中牙磨损,即睡眠期间不自发的牙磨损,在儿童中很普遍.
- 诊断可能具有挑战性,因为儿童往往没有意识到这种情况.
研究的目的:
- 为医生提供关于诊断和管理儿童睡眠 Bruxism 的指导.
- 审查当前的诊断标准和治疗方法.
主要方法:
- 在PubMed临床查询中使用术语"布鲁克斯主义"或"咬牙"和"睡眠"进行文献搜索.
- 包括观察性研究,临床试验和过去10年的英语评论.
- 专注于国际睡眠障碍分类的诊断标准和关于评估 Bruxism 的国际共识.
主要成果:
- 诊断标准包括频繁的牙磨牙声音以及异常的牙磨损,肌疲劳,头痛或锁.
- 多睡眠法是黄金标准,但往往不切实际;临床诊断依赖于病史和物理发现.
- 儿童睡眠 Bruxism 通常是自我限制的,管理侧重于睡眠卫生和消除触发因素.
结论:
- 儿童睡眠 Bruxism 往往是短暂的,可能不需要特殊治疗.
- 目前对有效干预措施的证据是不确定的,药物治疗很少被推.
- 需要进一步的研究,以建立基于证据的治疗建议,以治疗儿科睡眠 Bruxism.
相关概念视频
Sleepwalking and Sleep Talking
193
Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
193
Nightmares and Night Terrors
114
Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares...
Nightmares...
114
REM Sleep Behavior Disorder
246
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
RBD is significantly associated with...
246
Substance Use Disorders Affecting Sleep
196
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
196
Narcolepsy
137
Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
137
Sleep Apnea
184
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
184


