Sleep disorders in children with neurodevelopmental disorders

doi:10.11852/zgetbjzz2017-25-10-15

Abstract

Abstract: In children with neurodevelopmental disorders(NDDs),sleep disorders was prevalent and with vary duration,and treatment difficulty and recurrence rate were significantly higher than that of normal children.In addition,sleep abnormalities also contributed significantly to cognitive,emotional,social development and behavior in these children with NDDs and can even seriously affect the quality of sleep and quality of life of their family.This article introduces the etiology and risk factors of sleep disorders in children with NDDs and clinical symptoms,the corresponding evaluation method and the intervention measures,in order to improve early identification and intervention level of the clinician to sleep disorders in NDDs children, By improving the quality of sleep,the daily social function and rehabilitation effect of NDDs children were improved,and the sleep quality and life quality of their families were also become better.

Key words: neurodevelopmental disorders, sleep disorder, social function, life quality

摘要： 神经发育障碍(NDDs)儿童合并睡眠障碍发生率高,其病程长短不一,治疗难度及复发率各方面均明显高于正常儿童。睡眠异常对神经发育行为障碍儿童在认知、情绪、社会发展和行为表现等多领域的损害也更为显著,甚至会严重影响家人的睡眠质量和生活质量。本文介绍NDDs儿童共患睡眠障碍的病因和危险因素及其相应的临床症状、评估手段以及干预办法,以期提高临床医师其对NDDs儿童睡眠障碍的早期识别及干预水平。通过改善睡眠质量来提高NDDs儿童的日间社会功能水平和康复治疗效果,并改善其家人的睡眠质量和生活质量。

关键词: 神经发育行为障碍, 睡眠障碍, 社会功能, 生活质量

CLC Number:

R179

YIN Xiao-rong. Sleep disorders in children with neurodevelopmental disorders[J]. journal1, 2017, 25(10): 1030-1033.

殷晓荣. 神经发育行为障碍儿童的睡眠障碍[J]. 中国儿童保健杂志, 2017, 25(10): 1030-1033.

0
/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://manu41.magtech.com.cn/Jwk_zgetbjzz/EN/10.11852/zgetbjzz2017-25-10-15

https://manu41.magtech.com.cn/Jwk_zgetbjzz/EN/Y2017/V25/I10/1030

References

[1] Mindell J,Owens J.A clinical guide to pediatric sleep diagnosis and management of sleep problems[M].3rd ed.China Lippincott,Williams & Wilkins,2015:65-95.
[2] Stores G.Multifactorial influences,including comorbidities,contributing to sleep disturbance in children with a neurodevelopmental disorder[J].CNS Neurosci Ther,2016[Epub ahead of print].
[3] Tsai MH,Huang YS.Attention-deficit/hyperactivity disorder and sleep disorders in children[J].Med Clin North Am,2010,94(3):615-632.
[4] Monti JM,Monti D.The involvement of dopamine in the modulation of sleep and waking[J].Sleep Med Rev,2007,11(2):113-133.
[5] Wang W,Pan Y,Li Q,et al.Orexin:a potential role in the process of obstructive sleep apnea[J].Peptides,2013,42(1):48-54.
[6] 范琼丽,陈立.注意缺陷多动障碍患儿共患睡眠问题和睡眠障碍研究进展[J].中国实用儿科杂志,2016,31(5):391-395.
[7] 鲁明辉,杨广学,王广海,等.自闭症谱系障碍儿童睡眠问题及影响因素[J].中国特殊教育,2014,21(5):33-38.
[8] Goldman SE,Surdyka K,Cuevas R,et al.Defining the sleep phenotype in children with autism[J].Dev Neuropsychol,2009,34(5):560-573.
[9] Gregory AM,Sadeh A.Annual research review:sleep problems in childhood psychiatric disorders-a review of the latest science[J].J Child Psychol Psychiatry,2016,57(3):296-317.
[10] 吴惠涓,黄流清,赵忠新.儿童睡眠障碍的诊断与评估[J].中国实用儿科杂志,2010,25(9):672-676.
[11] Sadeh A.The role and validity of actigraphy in sleep medicine:an update[J].Sleep Med Rev,2011,15(4):259-267.
[12] 童茂荣,裴兰,童茂清,等.多导睡眠图学技术与理论[M].北京:人民军医出版社,2004:33-63,176-182.
[13] Owens JA,Dalzell V.Use of the 'BEARS' sleep screening tool in a pediatric residents' continuity clinic:a pilot study[J].Sleep Med,2005,6(1):63-69.
[14] 李生慧,金星明,沈晓明,等.儿童睡眠习惯问卷中文版制定及测量性能考核[J].中华儿科杂志,2007,45(3):176-180.
[15] Gringras P,Gamble C,Jones AP,et al.Melatonin for sleep problems in children with neurodevelopmental disorders:randomised double masked placebo controlled trial[J].BMJ,2012,345:e6664.
[16] Bruni O,Alonso-Alconada D,Besag F,et al.Current role of melatonin in pediatric neurology:clinical recommendations[J].Eur J Paediatr Neurol,2015,19(2):122-133.
[17] Spruyt K,Curfs LM.Non-pharmacological management of problematic sleeping in children with developmental disabilities[J].Dev Med Child Neurol,2015,57(2):120-136.