一项关于注意力缺陷/多动障碍,注意力缺陷障碍和多动性的统计研究,以及它们与睡眠呼吸障碍的关系
Earl O Bergersen1, Brooke Stevens-Green2
1Former Assistant Professor for 25 years, Northwestern University Dental School, Graduate Orthodontic Department, Chicago, Illinois; Private Practice in Orthodontics (ret.), Winnetka, Illinois.
睡眠呼吸障碍 (SDB) 与儿童注意力缺陷/多动症障碍 (ADHD) 症状显著相关. 解决SDB可以改善注意力,行为和认知功能,有利于学业成功和长期健康.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 儿童心理学 儿童心理学
- 神经学 神经学
背景情况:
- 注意缺陷/多动障碍 (ADHD),注意缺陷障碍 (ADD) 和多动性在儿童中很常见.
- 睡眠呼吸障碍 (SDB) 可能会对孩子的认知功能和情绪调节产生负面影响.
- 早期诊断和治疗SDB可以改善孩子的学业成绩和整体健康.
研究的目的:
- 调查ADHD,ADD和多动症症状与各种SDB症状之间的关系.
- 增强对SDB在诊断和治疗儿科注意力和行为问题的作用的理解.
- 探索改善睡眠对儿童神经认知过程和情感福祉的影响.
主要方法:
- 对665名2至16岁儿童进行了回顾性研究.
- 父母睡眠问卷评估SDB症状严重程度使用1-5级,导致睡眠严重程度指数.
- 统计分析了ADHD/ADD/多动症和SDB症状之间的相关性; 220个病例的子样本评估了使用睡眠修改器的治疗成功.
主要成果:
- 在27个SDB症状中,多动症与78%相关;单独ADD与37%相关;单独多动症与56%相关.
- 夜间口腔呼吸和夜间醒来与ADHD,ADD和多动症密切相关.
- 引入了另一种条件DLRS,以帮助验证ADHD的准确性.
结论:
- 在ADHD,ADD,多动症和SDB症状之间存在显著的相关性.
- "夜间口腔呼吸" (90%) 和"夜间醒来" (83%) 与SDB症状有很强的关联.
- 有效的SDB管理可以改善儿童的注意力,行为和认知功能.
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