患有自闭症和没有自闭症儿童的胃肠道和睡眠障碍
Lisa Bashore1,2,3,4, Andrea M Smith1,2,3,4, Ann H Johnson1,2,3,4
1Lisa Bashore, PhD, APRN, CPNP-PC, CPON, Advance Practice Registered Nurse, Hematology/Oncology Department, Cook Children's Health Care System, Fort Worth, Texas; and Adjunct Faculty, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, Texas.
概括
患有自闭症的儿童经常出现胃肠道 (GI) 问题,这些问题与睡眠问题密切相关. 便秘,腹和恶心/吐显著预测了这一群体的睡眠障碍.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 神经发育障碍 神经发育障碍
- 胃肠病学 胃肠病学
背景情况:
- 胃肠道 (GI) 疾病在儿童中很常见,并且可以显著影响睡眠质量.
- 自闭症谱系障碍 (ASD) 通常与同时出现的疾病有关,包括胃肠道问题和睡眠障碍.
- 患有自闭症儿童的肠道疾病和睡眠问题之间的关系需要进一步研究.
研究的目的:
- 为了描述GI诊断及其在患有自闭症和没有自闭症的儿童的频率,称为多睡眠学.
- 检查ASD儿童的胃肠道疾病和睡眠障碍之间的关联.
- 确定最能预测ASD和没有ASD的儿童睡眠障碍的胃肠道疾病.
主要方法:
- 从全国儿童医院睡眠数据库 (2017-2019年) 获取的非识别型多睡眠术遭遇数据的二次数据分析.
- 用描述性统计数据来描述3053名独特的儿科参与者的样本.
- 使用奇平方测试和多重回归分析来评估关联和预测关系.
主要成果:
- 在患有自闭症的儿童中,胃肠道疾病很普遍.
- 在患有自闭症和经历睡眠障碍之间发现了显著的关联.
- 便秘,腹和恶心/吐被确定为自闭症儿童睡眠问题的重要预测因素,比没有自闭症的儿童更重要.
结论:
- 研究结果强调了自闭症儿童中同时出现的胃肠道症状和睡眠问题的患病率增加.
- 临床需要对患有胃肠道症状的儿童进行睡眠评估,特别是患有自闭症的儿童.
- 需要对自闭症儿童的肠-大脑轴相互作用进行进一步的研究.
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