合肥市856名学龄前儿童睡眠问题分析

目的 分析合肥市学龄前儿童睡眠问题，为改善儿童睡眠健康提供依据。方法 合肥市妇幼保健计划生育服务中心于2018年4～6月采用儿童睡眠习惯问卷对合肥市瑶海区、新站区856名3～6岁儿童家长进行调查，观察比较学龄前儿童就寝时间及夜间睡眠时间，分析学龄前儿童睡眠问题及其危险因素。结果 合肥市学龄前儿童平均每日就寝时间为21：39，夜间睡眠时间为（9.72±0.62）h。23.01%儿童就寝时间晚于22：00，61.45%儿童夜间睡眠时间<10 h。总体睡眠问题发生率为790名（92.29%），以睡眠焦虑774名（90.42%）、就寝习惯不良757名（88.43%）、睡眠持续时间不规律580名（67.76%）、白天嗜睡576名（67.29%）最常见，儿童与家人同床睡眠率高达667名（77.92%）。同床睡眠是儿童睡眠质量不良的独立危险因素（OR=11.288，P<0.001）。结论 合肥市学龄前儿童睡眠习惯不良较为普遍，应引起家长和社会重视。

Analysis of sleep problems on 856 preschool children in Hefei

Objective To investigate the sleep habits of Hefei preschoolers in order to provide evidence for improving the quality of sleep. Methods A survey was conducted in parents of 856 preschool children aged 3~6 years recruited from Yaohai and Xinzhan Districts in the city of Hefei with the Children''s Sleep Habits Questionnaire from April to June 2018. The average daily bedtime and nighttime sleep duration were compared and differences in sleep problems were assessed. Data were analyzed to detect the risk factors of children''s sleep quality. Results The average daily bedtime was 21:39, nighttime sleep duration was (9.72±0.62) hour, 23.01% children went to bed later than 10:00 pm, and that of the prevalence of daily insufficient nighttime sleep (<10 h) was 61.45%.The overall sleep disturbances in Hefei preschool children was relatively severe. The prevalence of overall sleep disturbances was 790(92.29%), with the frequent occurrence of sleep anxiety 774(90.42%), sleep resistance 757(88.43%), irregular sleep duration 580(67.76%) and daytime sleepiness 576(67.29%). The incidence rate of bed-sharing was 667(77.92%).In addition, bed-sharing was an independent risk factor (OR=11.288,P<0.001). Conclusion The phenomenon of bad sleep habits is severe and prevalent in Hefei preschool children, which calls for due attention from the society and parents as well.