论文部分内容阅读
目的了解北京地区6~18岁肥胖儿童青少年睡眠障碍相关症状的发生情况。方法2004-03-10对首都儿科研究所联合18家医疗单位所进行的北京市6个区县的19517例6~18岁儿童体重测量结果进行分析,根据中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准,共筛查出6~18岁肥胖儿童1888例。在此基础上,2005-03—2006-02,从中随机抽取了1100例6~18岁肥胖儿童和青少年,由专人负责对家长和儿童进行睡眠状况的问卷调查,合格问卷1000份,回收率为90.9%。结果北京地区1000例6~18岁肥胖儿童青少年睡眠障碍相关症状的发生率为38.7%,其中入睡时间超过0.5h发生率为7.5%,睡眠打鼾10.6%,张口呼吸为6.7%,憋醒0.5%,睡眠呼吸暂停为0.1%,睡眠恐惧感为2.4%,梦游或做噩梦2.4%,睡眠中肢体抽动为12.7%,过度出汗2.6%,遗尿0.1%,清晨起床困难9.0%,清晨起床感觉头痛1.4%,清晨起床感觉咽部发干5.8%,白天容易困倦4.8%,近半年学习成绩下降16.5%,性情急躁21.8%。不同症状的发生率存在性别和年龄差异,但城乡差异不明显。结论目前北京市肥胖儿童青少年睡眠障碍相关症状的发生率较高,应引起北京市儿科、儿保工作人员及儿童家长的重视。
Objective To understand the incidence of sleep disorders related to adolescent obesity in children aged 6 to 18 years in Beijing. Methods A total of 19,517 children aged 6 to 18 years old in 6 districts and counties of Beijing were enrolled in this study. The results of weight measurement of children aged 6 to 18 years in Beijing were analyzed based on the results of overweight and obesity screening among Chinese school - age children and adolescents Index value classification criteria, a total of 1888 obese children aged 6 to 18 were screened. On this basis, from 2005-03-2006-02, 1,100 obese children aged 6-18 years and adolescents were randomly selected. A questionnaire survey on sleep status of parents and children was conducted by hand. The qualified questionnaire was 1000 copies and the recovery rate was 90.9%. Results The incidence of sleep disorders related to adolescents with obesity in children aged 6 ~ 18 in Beijing was 38.7%. The incidence of sleep disorders exceeding 7.5% was 7.5%, sleep snoring was 10.6%, mouth breathing was 6.7%, arousal was 0.5% , Sleep apnea was 0.1%, sleep fear was 2.4%, sleepwalking or nightmare 2.4%, sleep twitch 12.7%, excessive sweating 2.6%, enuresis 0.1%, get up early morning difficulty 9.0%, get up early in the morning feeling headache 1.4%, get up early in the morning to feel pharyngeal hair dry 5.8%, 4.8% sleepiness easily during the day, the academic performance in the past six months decreased 16.5%, impatient 21.8%. There are gender and age differences in the incidence of different symptoms, but the difference between urban and rural areas is not obvious. Conclusions At present, the incidence of obstructive sleep-related symptoms among obese children and adolescents in Beijing is relatively high, which should be paid great attention to by pediatricians, child-care workers and children’s parents in Beijing.