CAJ | 학술논문

目的：调查广州市小学生的睡眠模式及睡眠疾病相关症状发生情况。方法2009年10-12月，采用随机数字表法分别从广州市中心城区的41所省一级小学抽取1所，87所市一级小学抽取2所，74所区一级小学抽取2所共5所小学的3463名在校学生作为研究对象，其中省一级小学1239名，市一级小学1148名，区一级小学1076名。采用香港中文大学定式化睡眠问卷（修订版）调查小学生最近1年情况，包括基本资料、作息时间、儿童期常见睡眠疾病相关症状。结果共发放调查问卷3463份，回收3346份，回收率为96.6%；有效问卷3252份，有效率为97.2%。被调查的小学生中，男1700名，女1552名；年龄6~13岁。各年级性别、学习日起床时间、周末在床时间、长假在床时间、午睡时间比较，差异均无统计学意义（ P>0.05）；年龄、学习日上床时间、学习日在床时间、周末上床时间、周末起床时间、长假上床时间、长假起床时间、周末与学习日在床长度差值比比较，差异均有统计学意义（P<0.05）。各年级打鼾、窒息、肢体异动、呓语、夜惊、梦游、早醒发生率比较，差异均无统计学意义（ P >0.05）；各年级入睡困难、张口呼吸、特殊俯睡体位、晨起口干、日间疲倦发生率比较，差异均有统计学意义（ P<0.05）。结论广州市小学生的睡眠模式随着年龄的增加倾向于晚睡晚起型，而不是睡眠需要逐渐减少。广州市小学生的睡眠疾病相关症状发生率不高。
목적：조사엄주시소학생적수면모식급수면질병상관증상발생정황。방법2009년10-12월，채용수궤수자표법분별종엄주시중심성구적41소성일급소학추취1소，87소시일급소학추취2소，74소구일급소학추취2소공5소소학적3463명재교학생작위연구대상，기중성일급소학1239명，시일급소학1148명，구일급소학1076명。채용향항중문대학정식화수면문권（수정판）조사소학생최근1년정황，포괄기본자료、작식시간、인동기상견수면질병상관증상。결과공발방조사문권3463빈，회수3346빈，회수솔위96.6%；유효문권3252빈，유효솔위97.2%。피조사적소학생중，남1700명，녀1552명；년령6~13세。각년급성별、학습일기상시간、주말재상시간、장가재상시간、오수시간비교，차이균무통계학의의（ P>0.05）；년령、학습일상상시간、학습일재상시간、주말상상시간、주말기상시간、장가상상시간、장가기상시간、주말여학습일재상장도차치비비교，차이균유통계학의의（P<0.05）。각년급타한、질식、지체이동、예어、야량、몽유、조성발생솔비교，차이균무통계학의의（ P >0.05）；각년급입수곤난、장구호흡、특수부수체위、신기구간、일간피권발생솔비교，차이균유통계학의의（ P<0.05）。결론엄주시소학생적수면모식수착년령적증가경향우만수만기형，이불시수면수요축점감소。엄주시소학생적수면질병상관증상발생솔불고。
Objective To explore the sleep mode and symptoms related to sleep diseases in pupils of Guangzhou city. Methods A total of 3 463 pupils(grade 1 to grade 6)in 5 primary schools of Guangzhou(1 239 from one provincial level school,1 148 from 2 city level schools,1 076 from 2 district level schools) were recruited as study sample from October to De-cember,2009. Their sociodemographic information,time schedule and sleep-disorder-related syndromes of one year were in-vestigated using Formal Method Sleep Questionnaire designed by Chinese University of Hong Kong( revised edition). Results 3 463 questionnaires were handed out and 3 346 were returned with a rate of 96. 6% including 3 252 effective questionnaires with a rate of 97. 2%. Among the pupils investigated,1 700 were males and 1 552 were females aged 6-13. The differences of gen-der,get-up time of weekday,bedtime of weekend,bedtime of long holiday and snap time of noon between grades were not sig-nificant(P>0. 05). The differences of age,go-to-bed time and in-bed time length of weekday,go-to-bed time and get-up time of weekend,go-to-bed time and get-up time of long holiday,differential value between in-bed time of weekend and weekday were significant(P<0. 05). The prevalence of snoring,sleep apnea,limber spasm,night talking,sleep inqui-etude,somnambulanc and early awakening between grades was not significantly different(P>0. 05). The prevalence of sleep on-set disorder,mouth breathing,sleeping-on-the-front posture,dry mouth in the morning and tiredness in-day was sig-nificant(P<0. 05). Conclusion The sleep mode of pupils of Guangzhou city belongs to eveningness(incline to sleep and rise late) with age growth rather than less sleep time required. Further,the sleep-disorder-related syndromes are low in these pu-pils.