摘要
目的 调查北京市学龄期儿童打鼾的现状,探讨学龄期儿童打鼾与学习成绩的关系。方法 于2015年采用多阶段分层整群随机抽样方法,抽取了西城、朝阳、昌平、顺义、房山、怀柔和门头沟共7个区的15所中小学学校,共计7 925名6~14岁的儿童。对抽样儿童进行儿童睡眠问卷及相关睡眠行为问卷调查,采用多因素logistic回归模型分析打鼾与学习成绩退步的关系。结果 有效样本量为6 383名,794名(12.44%)儿童出现了学习成绩退步。打鼾儿童共580名(9.08%),打鼾频率为1~2、≥3次/周的儿童分别为333、247名;打鼾严重程度Ⅰ、Ⅱ和Ⅲ级的儿童分别为357、170和53名。与打鼾0次/周的儿童相比,打鼾1~2、≥3次/周的儿童学习成绩退步的OR(95%CI)值分别为1.363(1.000~1.857)、1.605(1.135~2.269);与无打鼾儿童相比,打鼾Ⅰ、Ⅱ、Ⅲ级儿童学习成绩退步的OR(95%CI)值分别为1.226(0.893~1.683)、1.595(1.062~2.397)、2.311(1.170~4.565)。结论 打鼾与学习成绩退步有关联,打鼾频率和打鼾严重程度与学习成绩退步比例呈正向关系。
Objective To investigate the snoring status of school-aged children in Beijing and explore the association of snoring and academic performance.Methods A total of 7 925 children aged from 6 to 14 were selected from 15 primary and middle schools at 7 districts (Xicheng, Chaoyang, Changping, Shunyi, Fangshan, Huairou and Mentougou) in Beijing in 2015, using multi-stage stratified cluster random sampling method. The recruited children were asked to complete the Pediatric Sleep Questionnaire (PSQ) and a questionnaire related to sleep behavior. The multiplelogistic regression was used to analyze the association of snoring and academic performance.Results A total of 794 (12.44%) children showed a decline in academic performance among 6 383 eligible respondentsfor data analysis. 580 (9.08%) children with snoring was identified, of which 333 and 247 were in frequency of 1-2 times per week and frequency of ≥3 times per week, respectively; 357, 170 and 53 were in snoring grade Ⅰ, grade Ⅱ and grade Ⅲ, respectively. Compared with the children without snoring, the OR (95%CI) for children with 1-2 times per week and ≥3 times per week was 1.363 (1.000-1.857) and 1.605 (1.135-2.269), respectively; and the OR (95%CI) for children with grade Ⅰ, grade Ⅱ and grade Ⅲ of snoring was 1.226 (0.893-1.683), 1.595 (1.062-2.397) and 2.31 (1.17-4.565), respectively.Conclusion There is a statistical relationship between snoring and the decline of academic performance. The decline of academic performance positively associated with increased frequency and grade of snoring.
作者
邰隽
许志飞
李晓丹
杜江南
王桂香
马军
胡佩瑾
阎小妍
张杰
张亚梅
刘原虎
赵靖
郑莉
陈俊
倪鑫
Tai Jun;Xu Zhifei;Li Xiaodan;Du Jiangnan;Wang Guixiang;Ma Jun;Hu Peijin;Yah Xiaoyan;Zhang Jie;Zhang Yamei;Liu Yuanhu;Zhao Jing;Zheng Li;Chen Jun;Ni Xin(Department of Otorhinolaryngology Head and Neck Surgery,Beijing Children's Hospital,Beijing 100045,China)
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2018年第7期697-702,共6页
Chinese Journal of Preventive Medicine
基金
国家重点研发计划(2017YFC0112502)
北京市科委培育项目(Z161100000116050)
首都卫生发展科研专项(2018-1-2091)
关键词
儿童
打鼾
横断面研究
学习成绩
Child
Snoring
Cross-sectional studies
Academic performance