婴儿睡眠障碍与其喂养情况的关系

Relationship Between Dyssomnia and Feeding Patterns in Infants

目的探讨婴儿睡眠障碍与其喂养情况的关系。方法选择2012年3至5月于本院儿童保健门诊就诊的63例睡眠障碍婴儿为研究对象,纳入研究组(n=63),并选择同期于该门诊行健康检查的109例正常婴儿纳入对照组(n=109),对两组婴儿睡眠状况和喂养情况进行调查(本研究遵循的程序符合本院人体试验委员会所制定的伦理学标准,得到该委员会批准,分组征得受试对象监护人的知情同意,并与之签署临床研究知情同意书)。两组婴儿胎龄、年龄、性别、体重、开始喂养时间等一般情况比较,差异均无统计学意义(P<0.05)。结果两组婴儿母乳喂养方式、开始定时喂养时间和停止夜间喂养时间比较,差异均有统计学意义(P<0.05)。研究组63例睡眠障碍患儿中,入睡困难症状患儿为27例(42.8%),频繁夜醒症状患儿为24例(38.1%),同时表现入睡困难和频繁夜醒的患儿为12例(19.1%)。结论采取科学喂养方法,如出生后1个月开始定时喂养,4个月后停止夜间喂养,可尽快建立婴儿规律睡眠,从而降低婴儿睡眠障碍的发生率。

Objective To explore the relationship between dyssomnia and feeding patterns in infants. Methods From March to May 2012,63 dyssomnia infants from department of children health care were included in the study as research group（n= 63）. Meanwhile 109 healthy infants were chosen as control group （n=109）. Sleeping and feeding patterns questionnaires were finished by their parents in both groups. There was no significant difference in general condition between two groups （P〈0.05）. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Huizhou Womenrs and Childrents Healthcare Hospital. Informed consent was obtained from each parents. Results There were significant differences in feeding patterns, starting-timing-feeding time and stopping-night-feeding time between two groups. In research group, there were 27 infants（42, 8% ） showed symptom of difficulties in the initiation of sleep, 24 infants（38. 1%） showed symptom of multifarious night o1 sleep incubation period, 12 infants （19.1 %） showed both symptoms above. Conclusions Choose a scientific feeding way, start timing feeding at 1 month after birth,and stop night feeding at 4 months after birth can help infant to cultivate a good sleep habit as soon as possible,and reduce the incidence rate of infant dyssomnia.