儿童睡眠姿势与睡眠障碍关系分析

摘要：目的　探讨儿童睡眠姿势与睡眠障碍发生的关系。方法　2006年6月至2007年4月对长沙市5个行政区内2706名3～12岁儿童家长进行《儿童睡眠状况调查问卷》调查。 结果　2706名儿童中睡眠姿势为侧卧位者为50.92%，俯卧位为26.42%，仰卧位为22.65%。平均年龄：侧卧位组（7.83±2.69）岁、俯卧位组（6.35±2.49）岁、仰卧位组（7.79±2.63）岁，3组间年龄差异有统计学意义（P < 0.05）。睡眠障碍发生率：俯卧位组为50.6%，侧卧位组为37.6%，仰卧位组为29.9%，不同睡眠姿势组间的睡眠障碍发生率差异有统计学意义（χ2 = 63.101，P < 0.05）。俯卧位组多汗、磨牙、辗转不安、肢体抽动、觉醒的发生率明显高于仰卧位组（χ2 = 61.828、8.973、8.946、8.614、7.154，均P < 0.0125）；俯卧位组多汗、打鼾、辗转不安、用口呼吸的发生率亦高于侧卧位组（χ2 = 6.553、11.176、9.693、9.552，均P < 0.0125）。结论　睡眠姿势与睡眠障碍有相关性，儿童以采取仰卧位睡眠较好。

Analysis of correlation between sleep postures and sleep disorders among children.

Analysis of correlation between sleep postures and sleep disorders among children.　　WENG Xue-hua*，LI Jie-min，JIANG Yan，LIU Ji-hong，LUO Xue-mei，CAI Yi-min. *Department of Pediatrics，the Second Xiangya Hospital， Central South University， Changsha 410011，ChinaAbstract：Objective　To investigate the relationship of sleep posture with sleep disorder among children. Methods　Totally 2706 parents of 3 to 12-year old children in five administrative districts of Changsha were randomly selected for questionnaire research from Jun. 2006 to Apr. 2007. Results　As to various sleep positions， 50.92% of children belonged to the lateral position group， 26.42% to the prone position group， and 22.65% to the supine position group respectively. The mean age of children in the lateral position group was （7.83 ± 2.69） yrs，（6.35 ± 2.49）yrs in the prone position group， and （7.79 ± 2.63） yrs in the supine group， with significant difference among the 3 groups （F = 82.871， P < 0.05）. The incidence of sleep disorders was 50.6%，37.6% and 29.9% in the prone position group，lateral position group and the supine group respectively，and the difference among these 3 groups was statistically significant （χ2 = 63.101，P < 0.05）. Incidence of related symptoms of sleep disorders， including hyperhidrosis， bruxism， squirm， body twitching and awakening，in the prone position was higher than that in supine position （χ2 = 61.828、8.973、8.946、8.614、7.154，P < 0.0125）， while the rates of hyperhidrosis， sleep snoring， squirm and breathing by mouth in prone position were still higher than those in the lateral position group （χ2 = 6.553、11.176、9.693、9.552，P < 0.0125）. Conclusion　There is a correlation between sleep postures and sleep disorders among children， which should be concerned about by the health care workers and parents. Children should be accustomed to supine position rather than the prone position.