营养元素补充改善儿童嗜睡1例报道及文献复习

A case report of nutritional supplement improving hypersomnia in childrenand literature review

患者,男,7岁,因“白天嗜睡3个月余”就诊。通过问诊、睡眠评估(多导睡眠监测和多次小睡睡眠潜伏时间试验)及实验室检查(血清铁6.7μmol/L,血清25羟维生素D 20.00 ng/m L,余无异常),诊断为特发性嗜睡症。在没有常见病因解释症状的情况下,对患者进行睡眠卫生指导并针对性补充维生素D和铁元素。8个月后患儿嗜睡情况明显好转,血清铁浓度及25羟基维生素D水平均显著提高。白天过度嗜睡对儿童来讲是一种潜在的危险状况,除考虑常见病因外,还应重视营养元素缺乏的作用。

A 7-year-old boy presented excessive daytime sleepiness for more than 3 months.He was diagnosed as idiopathic hypersomnia by doctor’s consultation,polysomnography,multiple sleep latency tests,and laboratory tests(serum iron 6.7μmol/L,serum 25 hydroxyvitamin D 20.00 ng/mL,with no other abnormalities).In the absence of common etiology to explain the patient’s symptoms,we first conducted sleep hygiene guidance for the patient and provided targeted supplementation of vitamin D and iron elements.After 8 months,the child’s sleepiness improved significantly,with an increase in serum iron concentration and 25 hydroxyvitamin D level.Excessive daytime sleepiness is a potential danger for children,and in addition to considering common causes,attention should also be paid to the role of nutrient deficiencies.