6月龄婴儿夜晚睡眠-觉醒模式现状及影响因素分析

doi:10.11852/zgetbjzz2018-26-01-03

中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (1): 7-10.DOI: 10.11852/zgetbjzz2018-26-01-03

所属专题：儿童睡眠

6月龄婴儿夜晚睡眠-觉醒模式现状及影响因素分析

闻芳¹, 黄小娜², 冯围围², 张良芬³

1 国家儿童医学中心首都医科大学附属北京儿童医院神经内科,北京 100045
2 中国疾病预防控制中心妇幼保健中心,北京 100101
3 北京市海淀区妇幼保健院预防保健科,北京 100089

收稿日期:2017-06-11 发布日期:2018-01-10 出版日期:2018-01-10
作者简介:闻芳 (1980), 女, 河北人, 主治医师, 主要研究方向为儿童神经发育和心理行为障碍。
基金资助:
中国疾病预防控制中心妇幼保健中心立项基金(2010-FU-001)

Analysis of the status and influencing factors of the nocturnal sleep-wake pattern of six-month-old infants

WEN Fang¹, HUANG Xiao-na², FENG Wei-wei², ZHANG Liang-fen³

1 Department of Neurology,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045,China
2 National Center for Maternal and Child Health,Chinese Center for Disease Control and Prevention,Beijing 100101,China
3 Department of Prevention and Health Care,Maternal and Child Health Care Hospital of Haidian District,Beijing 100089,China

Received:2017-06-11 Online:2018-01-10 Published:2018-01-10

摘要/Abstract

摘要： 目的评估海淀街道6月龄婴儿的夜晚睡眠-觉醒模式及其影响因素,为进一步评估指导婴儿早期睡眠提供参考依据。方法通过Actiwatch腕表式活动记录仪评估6月龄婴儿的夜晚睡眠-觉醒模式,同时对影响夜晚睡眠的相关因素进行分析。结果 6月龄婴儿夜晚睡眠时间为(477.43±60.24)min,夜晚最长连续睡眠时间为 (312.60±106.00)min,夜晚入睡潜伏期为(19.06±14.53)min,夜晚平均觉醒次数为(2.24±1.21)次;单因素分析结果提示睡前1 h唱催眠曲(t=-2.158,P=0.039)是影响夜晚睡眠时间的因素;性别(t=-2.57,P=0.016)、喂养方式(t=-2.391,P=0.028)、睡前1 h抚触(t=-2.133,P=0.027)是影响夜晚最长连续睡眠时间的因素;是否同一时间放到床上(t=2.882,P=0.011)、睡前1 h洗澡或洗臀部(t=-2.314,P=0.026)、抚触(t=-2.888,P=0.011)是影响夜晚入睡潜伏期的影响因素;单独一人在小床上入睡(t=-2.091,P=0.045)是夜醒次数的影响因素;多因素结果提示夜晚睡眠时间与入睡前抚触呈线性相关(t=-2.158,P=0.039),夜晚最长连续睡眠时间与婴儿性别呈线性相关(t=-2.083,P=0.047),夜醒次数与单独一人在小床上睡眠呈线性相关(t=-2.091,P=0.045)。结论家长的睡眠养育行为是影响婴儿的夜晚睡眠-觉醒模式的重要因素,加强对婴幼儿正确睡眠养育行为习惯的宣教力度,纠正不良的睡眠养育行为,促进婴儿夜晚睡眠能力的发展。

关键词: 6月龄婴儿, 夜晚睡眠-觉醒模式, 影响因素

Abstract: Objective To understand the status and the influencing factors of the nocturnal sleep-wake pattern in six-month-old infants,in order to provide information for the clinical assessment of infantile sleep. Methods Actiwatch was used to track the sleep-wake pattern development trajectory of six-month-old infants.Meanwhile,the influencing factors of nocturnal sleep-wake pattern of infants were analyzed. Results The nighttime sleep was (477.43±60.24)minutes,the longest continuous sleeping interval at the sixth month was (312.60±106.00)minutes,the latency of infants' nighttime sleep onset at sixth month was (19.06±14.53)minutes,and the numbers of nighttime awakening at sixth month were (2.24±1.21)times.Single-factor analysis showed that singing lullabies one hour before bedtime (t=-2.158,P=0.039) was associated with the nighttime sleep significantly.And sex (t=-2.57,P=0.016),feeding patterns (t=-2.391,P=0.028) and touching one hour before bedtime (t=-2.133,P=0.027) were associated with the longest continuous sleeping interval significantly;Sleeping in bed at the same time (t=2.882,P=0.011),taking a bath one hour before bedtime (t=-2.314,P=0.026) and touching (t=-2.888,P=0.011) were significantly associated with the latency of infants' nighttime sleep onset and sleeping alone in the crib (t=-2.091,P=0.045) was associated with the numbers of nighttime awakening significantly.Multiple linear regression showed that touching one hour before bedtime was related to the nighttime sleep (t=-2.158,P=0.039),sex related with the longest continuous sleeping interval (t=-2.083,P=0.047) and sleeping alone in the crib related with the numbers of nighttime awakening (t=-2.091,P=0.045). Conclutions Sleep nurturing behaviors are the important influencing factors of the nocturnal sleep-wake pattern in infants.It should be strengthened to correct sleep inappropriate nurturing behaviors habits in order to make the nocturnal sleep capability improved.

Key words: infant aged six months, nocturnal sleep-wake pattern, influencing factors

中图分类号:

R179

闻芳, 黄小娜, 冯围围, 张良芬. 6月龄婴儿夜晚睡眠-觉醒模式现状及影响因素分析[J]. 中国儿童保健杂志, 2018, 26(1): 7-10.

WEN Fang, HUANG Xiao-na, FENG Wei-wei, ZHANG Liang-fen. Analysis of the status and influencing factors of the nocturnal sleep-wake pattern of six-month-old infants[J]. journal1, 2018, 26(1): 7-10.

参考文献

[1] Galland BC,Taylor BJ,Elder DE,et al.Normal sleep patterns in infants and children:a systematic review of observational studies[J].Sleep Med Rev,2012,16(3):213-222. [2] Ednick M,Cohen A,McPhail G.A review of the effects of sleep during the first year of life on cognitive,psychomotor,and temperament development[J].Sleep,2009,32(11):1449-1458.
[3] WERNER H,Molinari L,Guyer C,et al.Agreement rates between actigraphy,diary and children's sleep patterns[J].Arch PediatrAdolesc Med,2008,162(4):354-356.
[4] Buchanan GF.Timing,sleep,and respiration in health and disease[J].Prog Mol Biol Transl Sci,2013,119(2):191-219.
[5] Mindell JA,Ameltzer LJ.Behavioural sleep disorders in children and adolescents[J].Ann Acad Med Singapoore,2008,37(8):722-728.
[6] 董叔梅,林青敏,朱丽霞,等.婴儿睡眠发展模式及其相关因素的队列研究[J].中国心理卫生杂志,2016,30(10):721-727.
[7] Sadeh A,Mindell JA,Luedtke K,et al.Sleep and sleep ecology in the first 3 years:a web-based study[J].J Sleep Res,2009,18(1):60-73.
[8] Shellhaas RA,Burns JW,Barks JD,et al.Quantitative sleep stage analyses as a window to neonatal neurologic function[J].Neurology,2014,82(5):390-395.
[9] Henderson JM,France KG,Blampied NM.The consolidation of infants' nocturnal sleep across the first year of life[J].Sleep Med Rev,2011,15(4):211-220.
[10] 黄小娜,冯围围,赵艳桃,等.基于Actiwatch的婴儿期夜晚睡眠-觉醒模式纵向观察[J].中华儿科杂志,2015,53,(6):445-447.
[11] Bruni O,Baumgartner E,Sette S,et al.Longitudinal study of sleep behavior in normal infants during the first year of life[J].J Clin sleep Med,2014,10(10):1119-1127.
[12] Henderson JM,France KG,Blampied NM.The consolidation of infants' nocturnal sleep across the first year of life[J].Sleep Med Rev,2011,15(4):211-220.
[13] Tikotzky L,Sadeh A.Maternal sleep-related cognitions and infant sleep:a longitudinal study from pregnancy through the 1st year[J].Child Dev,2009,80(3):860-874.
[14] Ramamurthy MB,Sekartini R,Ruangdaraganon N,et al.Effect of current breastfeeding on sleep patterns in infants from Asia-pacific region[J].J Paediatr Child Health,2012,48(8):669-674.
[15] Volkovich E,Ben-Zion H,Karny D,et al.Sleep patterns of co-sleeping and solitary sleeping infants and mothers:a longitudinal study[J].Sleep Med,2015,16(11):1305-1312.

6月龄婴儿夜晚睡眠-觉醒模式现状及影响因素分析

Analysis of the status and influencing factors of the nocturnal sleep-wake pattern of six-month-old infants

PDF

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	彭莲华, 刘冬冬, 龙楠楠, 徐萍, 陈阳, 毛平. 童年不良经历青少年执行功能现状及影响因素研究进展[J]. 中国儿童保健杂志, 2023, 31(3): 299-303.
[2]	张颖, 王俊峰, 丁艳华. 儿童语言发育迟缓的临床特征和影响因素研究[J]. 中国儿童保健杂志, 2022, 30(8): 912-915.
[3]	岳小静, 杜琳, 贾飞勇. 婴幼儿喂养困难的研究进展[J]. 中国儿童保健杂志, 2021, 29(7): 738-741.
[4]	陈永刚, 高青, 朴泰弘, 程明, 叶茜雯, 吴明. 辽宁省本溪市青少年血压偏高现况及其影响因素分析[J]. 中国儿童保健杂志, 2021, 29(7): 779-782.
[5]	周州, 邓梁琼, 刘萍, 黄婷, 曾婷. 柳州市中小学生尿铅水平及影响因素研究[J]. 中国儿童保健杂志, 2021, 29(4): 421-424.
[6]	李颖妍, 李鑫, 黄信萍, 徐海兰, 庞伟. 脑瘫儿童营养状况的影响因素研究进展[J]. 中国儿童保健杂志, 2021, 29(11): 1203-1207.
[7]	王文, 陈丹丹, 张新卉. 留守儿童生存质量与心理健康的相关性及影响因素分析[J]. 中国儿童保健杂志, 2021, 29(11): 1245-1248.
[8]	黄玥, 陈春屹, 王银平, 高雅晴, 周虹. 中国部分农村地区5岁以下儿童家庭暴力管教情况及影响因素分析[J]. 中国儿童保健杂志, 2020, 28(8): 854-858.
[9]	章莹莹, 李菁, 盛王涛, 胡瑞, 黄萍. 早产儿追赶性生长随访资料回顾分析[J]. 中国儿童保健杂志, 2020, 28(6): 684-688.
[10]	赵晶, 赵建国, 李长富, 马萃, 方新林, 李琪, 吴夕, 王凯. 北京市海淀区8～9岁小学生近视患病影响因素分析[J]. 中国儿童保健杂志, 2020, 28(4): 471-474.
[11]	刘雅雯, 程茜. 关于小于胎龄儿追赶生长的争议[J]. 中国儿童保健杂志, 2020, 28(12): 1343-1346.
[12]	孙琰婷, 梁宏涛, 王琛, 姚一博, 陆金根. 婴幼儿肠道菌群的影响因素及其在肠道免疫中的作用[J]. 中国儿童保健杂志, 2020, 28(10): 1110-1113.
[13]	陈敏, 康淑蓉, 张红梅, 王慧, 徐晓玺, 刘敏, 李云. 上海市闵行区6~12月龄营养不良婴儿喂养困难状况及影响因素研究[J]. 中国儿童保健杂志, 2020, 28(10): 1144-1147.
[14]	赵红艳, 张莹, 刘辉, 袁文臻, 方响, 黄小丹, 龙丹凤, 王玉. 宁夏回族自治区永宁县中学生营养状况及影响因素调查研究[J]. 中国儿童保健杂志, 2019, 27(7): 789-792.
[15]	王舜钦, 王慧, 岳宜寰, 郑建珊, 陈智健, 陈天乙. 厦门市某区253名6～8岁儿童双酚A暴露水平及影响因素分析[J]. 中国儿童保健杂志, 2019, 27(6): 609-612.