Abstract: Objective By investigating the current situation of sleep snoring among primary school students in Xi′an,to analyze the impact of sleep snoring on children′s quality of life and provide scientific basis for primary school students′ sleep-related health education. Methods Refer to the Pittsburgh Sleep Quality Index (PSQI) scale and the disease specific quality of life for 1 813 children with obstructive sleep apnea 18 items survey (OSA-18),self-designed questionnaires were used to collect primary school students from 6 to 14 years old in Xi′an by the stratified random sampling method from February to June 2018. The sleep related situation and quality of life questionnaire were investigated,and the data were statistically analyzed. Results 1)Analysis of the sleep habits of primary school students found that 57.2% of primary school students were accompanied by snoring during sleep,40.2% of primary school students had nighttime sleep/night terrors,and 33.8% of primary school students were accompanied by molars during sleep,indicating that sleep problems were also common among primary school students. 2)Among the primary school students who were fighting,the proportion of male students was higher than that of female students (boys:54.9%,girls:45.1%;P=0.002); The proportion of the primary school students who had snoring had a higher proportion of nighttime sleep/night terrors (snoring group:48.2 %,non-snoring group:29.8%;P<0.001); More prone to night molars (snoring group:41.8%,non-snoring group:23.1%; P<0.001) and daytime sleepiness (snoring group:28.7%,non-snoring group:20.2%;P<0.001);Snoring students were also more active (snoring group:58.5%,non-snoring group:51.5%;P=0.003).3)In the OSA-18 questionnaire total score,the difference between the snoring group and the non-snoring group was statistically significant (P<0.001),and there were statistical differences in sleep disorders,physical status,emotional problems,daytime function,and influence on guardians(P<0.05). 4)Pearson correlation analysis found that the sleep time was negatively correlated with the daytime function score,the correlation coefficient r was -0.212(P<0.05). Conclusions Sleep disorders are common among primary school students,and sleep snoring is the most important manifestation. Sleep snoring is an important issue affecting children′s sleep quality and quality of life. It is common among primary school students and needs to be paid attention by parents,schools and society to protect the healthy growth of adolescents.

Key words: primary school students, sleep disorders, snoring, quality of life

摘要： 目的 调查西安市小学生的睡眠打鼾现况,分析其对儿童生活质量的影响,为小学生的睡眠相关健康教育提供科学依据。 方法 参考匹兹堡睡眠质量指数(PSQI)量表和儿童OSAHS特异性生活质量调查(OSA-18) 量表自行设计调查问卷,以学校为单位,按照分层随机抽样的方法选取2018年2—6月西安市4区4所小学1 813名6~14岁小学生,对其进行睡眠相关情况及生活质量问卷调查,并对数据进行统计分析。 结果 1)57.2 %的小学生睡眠时伴有打鼾,40.2%有夜间梦话/夜惊,33.8 %睡眠时伴有磨牙,表明睡眠问题在小学生中也普遍存在。2)男生打鼾(54.9%)所占比例高于女生(45.1%)(P=0.002);打鼾组小学生出现夜间梦话/夜惊、磨牙、白天嗜睡及好动的比例(48.2%、41.8%、28.7%、58.5%)均高于非打鼾组(29.8%、23.1%、20.2%、51.5%)(P<0.01)。3)在OSA-18调查表总评分方面,打鼾组与非打鼾组差异有统计学意义(P<0.001),且在睡眠障碍、身体状态、情绪问题、白天功能、对监护人影响方面得分差异均有统计学意义(P<0.05)。4)Pearson相关分析发现,整夜睡眠时间与白天功能得分呈负相关(r=-0.212,P <0.05)。结论 睡眠障碍问题在小学生中普遍存在,且睡眠打鼾为其最主要表现形式。睡眠打鼾是影响儿童睡眠质量、生活质量的重要问题,在小学生中普遍存在,需要引起家长、学校以及社会多方的重视,以保障青少年的健康成长。

关键词: 学龄儿童, 睡眠障碍, 打鼾, 生活质量