北京地区6～18岁肥胖儿童青少年睡眠障碍相关症状调查

Survey on sleep abnormality related symptoms in obesity children of 6 -18 years old in Beijing.

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 find out prevalence of sleep abnormality related symptoms in obese children of 6 - 18 years old in Beijing. Methods From March to October of 2004 ,Capital Institute of Pediatrics and other eighteen iatrical units examined more than 20 thousand children to find out obesity in 6 selected regions in Beijing. After this, from March of 2005 to February of 2006 ,we selected and investigated 1100 obese children with questionnaire for obstuctive sleep apnea syndroms related symptoms. Results The prevalence of sleep abnormality related symptoms was 38. 7% in children and the juvenile of 6 -18 years old in Beijing. Among them, the time of being asleep more than half an hour 7.5 %, frequent sleep snoring 10. 6% ,mouth breathing 6. 7% ,waking because of choke 0. 5% ,sleep apnea 0. 1% ,afraid of sleep2.4% ,som- nambulate or nightmare 2.4% ,limb twitch 12. 7%, too much sweat 2. 6% ,enuresis 0. 1%, difficult to get up in the morning 9%, headache in the morning 1.4% ,tired easily in the day time 4. 8%. Conclusion At present,there is high prevalence of sleep disturbances in obese children of 6 - 18 years old in Beijing.