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??The clinical manifestations of neurodevelopmental disorders in children are varied?? though co-occurring sleep disorders in the population is very common. The incidence?? severity?? course?? treatment difficulty and recurrence rate are also significantly higher than those of typically developing children. In addition?? sleep disorders result in more significant impairment in children with neurodevelopmental disorders in terms of cognition?? emotion?? behavior and social development?? and even negatively affect the family sleep quality and quality of life. However?? pediatric clinicians have been lacking knowledge of sleep disorders?? as well as the capability of assessment and treatment. Therefore?? begin with the etiology and risk factors of sleep disorders in children with neurodevelopmental disorders?? the clinical symptoms and the methods of assessment and intervention are introduced to help pediatric clinicians to enhance the diagnosis and treatment of sleep disorders in the children with neurodevelopmental disorders?? and improve the children’s daytime function?? rehabilitation efficacy and family sleep quality and quality of life through promoting sleep.     

睡眠障碍与儿童睡眠癫癎

睡眠障碍在儿童中较常见,呈发作性,临床表现多样。国外报道约有20%～25%的儿童存在各种类型的睡眠障碍,个别报道达33%～40%眼1演,一般不需特殊治疗,预后良好眼2演。癫疒间是小儿神经科常见疾病,临床表现复杂多样。有些癫疒间发作又仅见于睡眠期,尤其是额叶癫疒间具有夜发性倾向,部分病例有夜间躯体自动症发作眼3演。临床上夜间癫疒间发作与睡眠障碍有许多相似之处,但其发病机制又有本质不同,故对任何睡眠发作性疾病,都应该首先区分为疒间性发作与非疒间性发作。本研究旨在探讨此类患儿24h脑电图(AEEG)及其与临床的关系,做好睡眠中癫疒间性…     

睡眠障碍与儿童睡眠癫癎

睡眠障碍在儿童中较常见，呈发作性，临床表现多样。国外报道约有20％～25％的儿童存在各种类型的睡眠障碍，个别报道达33％～40％，一般不需特殊治疗，预后良好。癫痫是小儿神经科常见疾病，临床表现复杂多样。有些癫痫发作又仅见于睡眠期，尤其是额叶癫痫具有夜发性倾向，部分病例有夜间躯体自动症发作。临床上夜间癫痫发作与睡眠障碍有许多相似之处，但其发病机制又有本质不同，故对任何睡眠发作性疾病，都应该首先区分为痫性发作与非痫性发作。本研究旨在探讨此类患儿24h脑电图（AEEG）及其与临床的关系，做好睡眠中癫痫性发作的诊断与鉴别诊断，以期对睡眠癫痫患者及早治疗，避免和减少神经系统损害。     

Pharmacology of sleep disorders in children and adolescents

There is a high prevalence of sleep disorders in children and an apparent increasing need for pharmacologic management. However, because of the paucity of data available with regards to dosing, efficacy, tolerability, and safety profiles of medications as well as a lack of adequate well-designed clinical trials, medications are currently not approved for the pediatric population by the US Food and Drug Administration. There are no pharmacologic guidelines for the specific sleep disorders or the different pediatric age ranges. Additional research is needed for evidence-based pediatric sleep pharmacotherapy. This article reviews pediatric sleep disorders and the pharmacologic therapeutic options.     

儿童常见易与癫(癎)混淆的睡眠障碍

睡眠是儿童最主要的生理活动之一,良好的睡眠质量对促进儿童的生长发育具有重要意义。在中国,已有超过1/3的儿童存在着不同程度的睡眠障碍(sleep disor-ders)[1],严重影响了儿童的身体健康、学习和生活质量。因此,睡眠障碍日益受到小儿神经、精神、心理及行为发育儿科等专业的共同重视。2001年美国睡眠学会(AASM)修订的睡眠障碍分类(International Classification of Disorders,ICSD,2001)[2]将睡眠疾病分为如下4类:(1)睡眠失调(dyssomnias,导致白天嗜睡、入睡或维持睡眠困难的睡眠紊乱);(2)异态睡眠(parasomnias,与觉醒、睡眠期转换相…     

Cognitive-behavioral management of sleep disorders in young children]

Sleep disorders are prevalent in young children, the most frequent being disturbances in initiating and maintaining sleep. Behavioral and cognitive approaches are interesting techniques for their management. They can be used either for solving sleep problems at home, or in severe forms as part of a 'deconditioning' during a short hospitalization.     

Tourette综合征患儿睡眠障碍的研究

为探讨Tourette综合征(Tourette’s Syndrome,TS)严重程度对睡眠参数的影响,我们对2003年4-11月在我院神经科门诊就诊的16例TS患儿进行了分析,现报告如下。