引用本文:刘淑君,谢庆玲,秦 岭,张迪雯,秦海娇.哮喘儿童睡眠状况临床调查研究[J].中国临床新医学,2020,13(3):250-254.
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哮喘儿童睡眠状况临床调查研究
刘淑君,谢庆玲,秦 岭,张迪雯,秦海娇
533000 广西,右江民族医学院(刘淑君);530021 南宁,广西壮族自治区人民医院儿科(谢庆玲,张迪雯),认知睡眠中心(秦 岭,秦海娇)
摘要:
[摘要] 目的 调查哮喘儿童在发作期与缓解期的睡眠状况。方法 选择2018-07~2019-08在该院就诊的50例哮喘发作期患儿为研究对象,所有研究对象在接受规范化治疗后进入缓解期。分析比较哮喘发作期患儿和哮喘缓解期患儿在肺通气功能检测、哮喘控制评分、儿童睡眠紊乱量表(SDSC)评分方面的情况。结果  哮喘发作期患儿睡眠紊乱发生率高于缓解期,差异有统计学意义(92.00% vs 68.00%,P<0.05)。与哮喘发作期比较,缓解期的SDSC中6个维度评分及睡眠总分均较低,差异有统计学意义(P<0.05)。与哮喘发作期相比,缓解期的夜间睡眠总时间较多,且夜间上床后入睡所需时间更短,差异有统计学意义(P<0.05)。哮喘发作期患儿出现夜间睡眠异常情况较缓解期严重。结论 哮喘患儿可能存在较多的睡眠异常问题,且以哮喘发作期尤为明显。
关键词:  儿童哮喘  哮喘发作  哮喘缓解  肺通气功能检测  哮喘控制评分  睡眠紊乱
DOI:10.3969/j.issn.1674-3806.2020.03.09
分类号:R 725.6
基金项目:广西自然科学基金项目(编号:2013GXNSFAA019266);广西卫健委科研课题(编号:Z20170302)
A clinical investigation on sleep status of asthmatic children
LIU Shu-jun, XIE Qing-ling, QIN Ling, et al.
Youjiang Medical University for Nationalities, Guangxi 533000, China
Abstract:
[Abstract] Objective To investigate the sleep status of asthmatic children during the periods of attack and remission. Methods Fifty children with asthma attack who were treated in our hospital from July 2018 to August 2019 were selected as the study subjects, and all the subjects entered into remission after receiving standardized treatment. The lung ventilatory function test, asthma control score, and Sleep Disturbances Scale for Children(SDSC) scores were analyzed and compared between the children with asthma attack and those with asthma remission. Results The incidence of sleep disorders in the children with asthma attack was significantly higher than that in the children with asthma remission(92.00% vs 68.00%, P<0.05). Compared with the children with asthma attack, the children with asthma remission had significantly lower six dimension scores in SDSC and lower total sleep score(P<0.05). Compared with the children with asthma attack, the children with asthma remission had significantly longer total sleep time in the nighttime and shorter time to fall asleep after going to bed at night(P<0.05). The abnormal sleep at night in the children with asthma attack was more serious than that in the children with asthma remission. Conclusion Children with asthma may have more sleep disorders, especially during asthma attacks.
Key words:  Childhood asthma  Asthmatic attack  Asthma in remission stage  Pulmonary ventilation function test  Asthma control score  Sleep disorders