Sleep problems in a Down syndrome population

Sleep problems in a Down syndrome population
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DOI:
10.1136/adc.2008.146845
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发表时间:
2009-04-01
影响因子:
5.2
通讯作者:
Hill, C. M.
Hill, C. M.
中科院分区:
医学2区
文献类型:
--
作者:
Carter, M.;McCaughey, E.;Hill, C. M.

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目的:目的:探讨唐氏综合征儿童睡眠问题的患病率,研究设计和背景:在英国10万儿童中进行的一项社区患病率研究,参与者:58名年龄在0.65-17.9岁的唐氏综合征儿童(平均8.6岁)。干预措施:儿童睡眠习惯问卷。结果:与已发表的典型发育人群的数据相比,据报道,唐氏综合征儿童的睡前阻力、睡眠焦虑、夜醒、异态睡眠、睡眠呼吸障碍和白天嗜睡明显更大。在4岁及以上的儿童中,66%的人很少在自己的床上入睡,55%的人在睡眠中总是不安,40%的人通常在夜间至少醒来一次。重要的是,78%的人似乎每天至少有2天感到疲倦,这表明睡眠不足。结论:父母报告普遍的睡眠问题,在学龄儿童唐氏综合征。儿科医生应定期询问这些儿童的睡眠行为。
Objective: To determine the prevalence of sleep problems in children with Down syndrome.Design and setting: A community prevalence study in a child population of 100 000 in England.Participants: 58 children with Down syndrome aged to 0.65-17.9 years (mean 8.6 years).Interventions: Child sleep Habits Questionnaire.Results: Compared to published data for typically developing populations, children with Down syndrome were reported to have significantly greater bedtime resistance, sleep anxiety, night waking, parasomnias, sleep disordered breathing and day-time sleepiness. Amongst children 4 years and older, 66% rarely fell asleep in their own beds, 55% were always restless during sleep and 40% usually woke at least once during the night. Importantly, 78% seemed tired during the day at least 2 days per week, suggesting inadequate sleep.Conclusions: Parents report universal sleep problems in school aged children with Down syndrome. Paediatricians should routinely enquire about sleep behaviour in these children.