睡眠障碍 在急性诱发新生儿发作5年后
Renée A Shellhaas1, Linda S Franck2, Betsy Pilon3
1Department of Neurology, Washington University School of Medicine, St Louis, MO.
The Journal of pediatrics
|November 18, 2024
概括
在新生儿发作后幸存下来的儿童中,异常睡眠很常见,影响了三分之二的幸存者. 解决睡眠问题可能会改善这些儿童及其父母的长期结果.
科学领域:
- 儿科神经学 儿科神经学
- 睡眠医学 睡眠医学
- 发育儿科 发育儿科
背景情况:
- 新生儿发作可能对儿童发育产生长期影响.
- 睡眠障碍越来越多地被认为是儿科患者潜在的不良结果.
- 了解睡眠对新生儿发作幸存者的影响对于综合护理至关重要.
研究的目的:
- 为了研究睡眠异常与在急性诱导新生儿中幸存下来的儿童的不良结果之间的联系.
- 评估这个队列中睡眠异常和睡眠呼吸障碍 (SDB) 的流行率.
- 检查睡眠问题与神经发育,行为和父母心理健康结果之间的关系.
主要方法:
- 一项前性的9个中心研究跟踪了新生儿的急性发作.
- 在5岁时,儿童接受了认知评估 (WPPSI-IV) 和功能评估 (Vineland-3).
- 父母填写了关于儿童睡眠习惯 (CSHQ),睡眠相关呼吸障碍 (PSQ-SRBD) 以及他们自己的焦虑和抑郁水平的问卷.
主要成果:
- 65%的儿童有异常的睡眠习惯 (CSHQ得分>41) 和27%的儿童对SDB进行了查,结果呈阳性.
- 在患有脑和的儿童中,SDB的患病率更高.
- 较低的认知 (WPPSI-IV) 和适应性行为 (Vineland-3) 评分与SDB症状有关.
- 睡眠质量差和SDB症状与父母焦虑和抑郁症的增加相关.
结论:
- 父母报告的睡眠异常和SDB在新生儿发作的早期学龄幸存者中很常见.
- 这种人群中睡眠障碍与神经发育和行为结果较差有关.
- 实施早期查和治疗睡眠障碍可能会显著改善儿童新生儿后发作的结果.
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