儿童的阻塞性睡眠呼吸暂停和睡眠障碍注意力缺陷过度活动障碍
Mai Nguyen-Thi-Phuong1, Mai Nguyen-Thi-Thanh1, Robert Joel Goldberg2
1Pediatric Department, Hanoi Medical University, Hanoi, Vietnam.
Pulmonary therapy
|July 7, 2025
概括
睡眠障碍在患有注意力缺陷/多动障碍 (ADHD) 的儿童中非常普遍,影响70%的儿童. 早期查障碍性睡眠呼吸暂停 (OSA) 和失眠等疾病对于更好的ADHD结果至关重要.
科学领域:
- 儿科神经学 儿科神经学
- 睡眠医学 睡眠医学
- 儿童精神病学 儿童精神病学
背景情况:
- 睡眠障碍在患有多动症的儿童中很常见,而且诊断不足.
- 睡眠障碍会加重ADHD的症状,并损害认知,情绪和行为功能.
研究的目的:
- 确定ADHD儿童中阻塞性睡眠呼吸暂停 (OSA) 和其他睡眠障碍的患病率.
- 在这个人群中确定与睡眠障碍相关的临床和行为因素.
主要方法:
- 对629名被诊断患有多动症的儿童 (6-12岁) 的横截面研究.
- 使用儿童睡眠习惯问卷 (CSHQ),儿科睡眠问卷 (PSQ) 和呼吸道多重检测进行评估.
- 使用国际睡眠障碍分类第三版 (ICSD-3) 进行分类的睡眠障碍.
主要成果:
- 70%的ADHD儿童被诊断出患有睡眠障碍.
- 最常见的是:失眠 (40.2%),睡眠障碍 (27.8%),阻塞性睡眠呼吸暂停 (OSA) (23.4%).
- 相关因素包括注意力不集中的ADHD亚型,并发症,桃体/腺体缩和缺铁性贫血.
结论:
- 睡眠障碍在患有多动症的儿童中非常普遍和多样.
- 早期识别和治疗OSA和失眠对于改善睡眠和ADHD的结果至关重要.
- 建议将常规睡眠查整合到ADHD临床评估中.
相关概念视频
Attention-Deficit/Hyperactivity Disorder
307
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
307
Sleep Apnea
225
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...
225
Oppositional Defiant Disorder
157
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
157
Other Pulmonary Disorders
913
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
913
Narcolepsy
202
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.
202
Conduct Disorder
113
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
113


