3～5岁儿童打鼾与行为问题的相关性研究

Correlation of Snoring in 3-5-Year Children and Their Behavioral Problems

目的探讨儿童打鼾与行为问题的关系。方法从长沙市5个辖区的10所幼儿园中随机抽取3～5岁儿童854例,由其家长完成儿童的睡眠状况和conners父母症状问卷(PSQ)调查。结果854例3～5岁儿童中,无打鼾336例,偶尔打鼾438例,频繁打鼾80例。3组儿童的年龄、母亲文化程度、家庭收入及家庭类型间差异均无统计学意义(P>0.05),且频繁打鼾组与偶尔打鼾组儿童的性别、年龄间差异均无统计学意义(P>0.05)。频繁打鼾组儿童PSQ中的品行问题、学习问题、冲动-多动及多动指数4因子评分〔分别为(0.61±0.36)分、(0.88±0.51)分、(0.87±0.60)分和(0.79±0.47)分〕与偶尔打鼾组〔分别为(0.50±0.29)分、(0.67±0.44)分、(0.61±0.50)分和(0.60±0.38)分〕及无打鼾组〔分别为(0.49±0.33)分、(0.58±0.40)分、(0.58±0.54)分、(0.55±0.40)分〕比较,差异有统计学意义(P<0.05)。频繁打鼾组多动症的发生率为8.8%,与偶尔打鼾组的2.7%及无打鼾组的3.6%比较,差异有统计学意义(P<0.05)。结论儿童打鼾与品行问题、学习问题、冲动-多动等行为问题及多动症有关,应关注打鼾儿童的心理行为发育。

Objective To explore the relationship between snoring and behavioral problems in children. Methods Totally 854 children aged 3 -5 years were selected by cluster random sampling from 10 kindergartens of 5 districts in Changsha city. The questionnaires about children＇s sleep condition and Conners parent symptom questionnaires （PSQ） were completed by their parents. Results Among the 854 children aged 3 -5 years, 336 had no snoring, 438 had a casual snoring, 80 had frequent snoring. There was no significant difference among the 3 group in age, their mothers＇ educational level, family income, and family type （ P 〉 0.05 ） ; and there was no significant difference in sex and age between frequent snoring and mild snoring groups （P 〉0. 05）. The PSQ scores in conduct- problems, learning -problems, hyperactivity -impulsivity and hyperactive indexes were （0. 61 ±0. 36）, （0. 88 ±0. 51 ）, （0. 87 ± 0. 60） and （0. 79 ± 0. 47） respectively in frequent snoring children, as compared with （0. 50 ± 0. 29）, （0. 67 ± 0.44 ）, （ 0. 61 ± 0. 50） and （0. 60 ± 0. 38 ） respectively in mild snoring children, and （0. 49 ±0. 33）, （0. 58 ±0. 40）, （0. 58 ±0. 54） and （0. 55 ±0. 40） respectively in no - snoring group, there were significant differences （P 〈0.05）. The incidence rate of hyperkinetic syndrome was 8.8% in frequently - snoring group, being higher than 2. 7% in mild snoring group and 3.6% in no - snoring group （ P 〈 0. 05 ）. Conclusion Snoring in children is associated with behavioral problems such as conduct - problems, learning - problems and hyperactivity - impulsivity, and hyperkinetic syndrome. The mental behavior development of children with snoring should be paid attention to.