在儿童年龄段的并发性失眠和睡眠呼吸暂停:一项多睡眠学研究
Lisa Brunel1, Marion Comajuan1,2, Sabine Plancoulaine1
1INSERM U1028/CNRS UMR 5292, Lyon Neuroscience Research Center (CRNL), University Lyon 1, 69500 Bron, France.
Children (Basel, Switzerland)
|September 27, 2025
概括
伴随性失眠和睡眠呼吸暂停 (COMISA) 在13.5%的儿童中存在. 儿童的焦虑是更高的失眠,无论睡眠呼吸暂停,建议对所有儿童的焦虑评估睡眠呼吸暂停.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 睡眠障碍 研究研究 睡眠障碍
背景情况:
- 儿童的并发性失眠和睡眠呼吸暂停 (COMISA) 记录不足.
- 了解COMISA的患病率和特征对于儿科睡眠健康至关重要.
研究的目的:
- 为了确定COMISA在儿童中发生的频率,转诊为多睡眠图 (PSG).
- 探索COMISA在儿科患者中的临床和多睡眠学特征.
主要方法:
- 对接受PSG的儿科患者 (6个月-16岁) 的回顾性分析.
- 失眠是由儿童睡眠障碍量表 (SDSC) 的子分数定义的; 阻塞性睡眠呼吸暂停 (OSA) 通过呼吸暂停-呼吸暂停指数 (AHI) ≥2/h.
- 收集了关于嗜睡,抑郁,焦虑和多动性的数据.
主要成果:
- COMISA在13.5%的患者中发现;孤立的OSA在37.5%;孤立的失眠在11.5%.
- COMISA在4岁以下的儿童中更为普遍.
- 患有COMISA或孤立失眠的儿童报告与患有孤立OSA的儿童相比,焦虑水平更高.
结论:
- 与成年人不同,儿童中没有支持OSA和失眠之间的相互关联.
- 在COMISA的儿童中,OSA的严重程度较低.
- 在所有患有OSA的儿童中,应对焦虑进行评估,因为在失眠儿童中焦虑程度较高.
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