分析3~10岁儿童注意缺陷多动症状的发生状况及其与睡眠的关系

Analyzing the Occurrence of Attention Deficit Hyperactivity Symptoms in Children Aged 3 to 10 and Its Relationship with Sleep

目的:分析3~10岁儿童注意缺陷多动症状(ADHD)的发生状况及其与睡眠的关系。方法:选取2019年1月至2023年1月厦门市仙岳医院儿童青少年心理康复训练科收治的3~10岁ADHD儿童1000名作为研究对象,采用应用注意缺陷多动障碍诊断量表比较2组患儿的症状,采用匹兹堡睡眠质量指数(PSQI)比较2组患儿的睡眠质量,并分析ADHD的发生情况以及与睡眠质量之间的关系。结果:经过分析比较,其中ADHD患儿100名,非ADHD儿童900名,2组之间午睡时间比较,差异无统计学意义(P>0.05);ADHD患儿年龄小于非ADHD组儿童,夜间睡眠时间短于非ADHD组儿童,入睡时间≤10 min、无打鼾、无夜间惊醒构成比低于非ADHD组儿童。经多因素Logistic回归分析显示,性别、年龄、夜间睡眠时间、入睡时间、打鼾、夜间惊醒为ADHD的影响因素。ADHD患儿PSQI总分大于非ADHD儿童,且各项指标分值均以ADHD组患儿较高,经多因素Logistic回归分析显示,入睡时间、睡眠障碍、日间功能障碍与注意缺陷、多动冲动、ADHD存在相关性。结论:儿童注意缺陷多动症状主要发生在9岁,以男性居多,与睡眠之间相互影响。

Objective:To analyze the occurrence of attention deficit and hyperactivity disorder(ADHD)in children aged 3~10 and its relationship with sleep.Methods:A total of 1000 children aged 3~10 with ADHD admitted to the Children and Adolescents Psychological Rehabilitation Training Department of Xiamen Xianyue Hospital from January 2019 to January 2023 were selected as the research subjects.The symptoms of the two groups of children were compared using the Attention Deficit Hyperactivity Disorder Diagnosis Scale,and the sleep quality of the two groups of children was compared using the Pittsburgh Sleep Quality Index(PSQI).And analyze the occurrence of ADHD and its relationship with sleep quality.Results:After analysis and comparison,there were 100 children with ADHD and 900 children without ADHD.There was no statistically significant difference in nap time between the two groups(P>0.05).Children with ADHD are younger than those in the non ADHD group,have shorter nighttime sleep time,sleep time≤10 minutes,no snoring,and no nocturnal awakening.The proportion of children with ADHD is lower than those in the non ADHD group.Multivariate logistic regression analysis showed that gender,age,nighttime sleep time,time to fall asleep,snoring,and nocturnal arousal were the influencing factors of ADHD.The total score of PSQI in children with ADHD was higher than that in non ADHD children,and the scores of all indicators were higher in the ADHD group.Multivariate logistic regression analysis showed that there was a correlation between sleep onset time,sleep disorders,daytime dysfunction,attention deficit,hyperactivity,and ADHD.Conclusion:ADHD symptoms in children mainly occur at the age of 9,mostly in males,and interact with sleep.