临床儿科杂志
臨床兒科雜誌
림상인과잡지
2014年
11期
1064-1068
,共5页
王爱萍%孙莞绮%骆晓萍%黄芳%陈晓英%姜艳蕊%王燕%徐小娟%宋沅瑾%朱绮%章依文%江帆
王愛萍%孫莞綺%駱曉萍%黃芳%陳曉英%薑豔蕊%王燕%徐小娟%宋沅瑾%硃綺%章依文%江帆
왕애평%손완기%락효평%황방%진효영%강염예%왕연%서소연%송원근%주기%장의문%강범
夜醒睡眠%婴幼儿%认知发育
夜醒睡眠%嬰幼兒%認知髮育
야성수면%영유인%인지발육
night waking%sleep%infant%toddler%cognitive development
目的：了解影响婴幼儿夜醒的环境因素，探讨婴幼儿夜醒与认知发育的相关性。方法随机抽取2011年12月－2013年2月义乌市城区和乡镇各1个点作为项目点，共抽取2~30个月婴幼儿116名。以问卷形式对儿童及其家长进行调查，了解儿童出生及家庭社会经济的相关情况；采用简易婴儿睡眠问卷(BISQ)收集儿童夜醒次数及时间等相关睡眠情况；同时采用Bayley婴幼儿发育量表进行婴幼儿认知发育评估。结果调查对象平均年龄为(12.99±8.55)月(2~30个月)，男孩占50.86%(59/116)。<1岁婴儿，偶尔夜醒仅占5.26%，夜醒1次占29.82%，夜醒多次占64.91%；≥1岁幼儿则分别为32.20%、45.76%和22.03%。<1岁婴儿和≥1岁幼儿夜醒次数的分布差异有统计学意义(P<0.01)。<1岁婴儿平均夜醒时间为(0.49±0.31)h，≥1岁幼儿为(0.31±0.48)h，差异有统计学意义(Z=4.35，P<0.001)。≥1岁幼儿随着夜醒次数增加，智力发育指数(MDI)下降，差异有统计学意义(F=3.98，P=0.024)；夜醒时间与MDI呈显著负相关(r=-0.26， P=0.035)。<1岁婴儿的夜醒次数和夜醒时间与MDI无相关性。多元线性回归分析证实夜醒次数及时间是≥1岁幼儿MDI的独立影响因素。结论对持续夜醒婴幼儿应引起高度关注。
目的：瞭解影響嬰幼兒夜醒的環境因素，探討嬰幼兒夜醒與認知髮育的相關性。方法隨機抽取2011年12月－2013年2月義烏市城區和鄉鎮各1箇點作為項目點，共抽取2~30箇月嬰幼兒116名。以問捲形式對兒童及其傢長進行調查，瞭解兒童齣生及傢庭社會經濟的相關情況；採用簡易嬰兒睡眠問捲(BISQ)收集兒童夜醒次數及時間等相關睡眠情況；同時採用Bayley嬰幼兒髮育量錶進行嬰幼兒認知髮育評估。結果調查對象平均年齡為(12.99±8.55)月(2~30箇月)，男孩佔50.86%(59/116)。<1歲嬰兒，偶爾夜醒僅佔5.26%，夜醒1次佔29.82%，夜醒多次佔64.91%；≥1歲幼兒則分彆為32.20%、45.76%和22.03%。<1歲嬰兒和≥1歲幼兒夜醒次數的分佈差異有統計學意義(P<0.01)。<1歲嬰兒平均夜醒時間為(0.49±0.31)h，≥1歲幼兒為(0.31±0.48)h，差異有統計學意義(Z=4.35，P<0.001)。≥1歲幼兒隨著夜醒次數增加，智力髮育指數(MDI)下降，差異有統計學意義(F=3.98，P=0.024)；夜醒時間與MDI呈顯著負相關(r=-0.26， P=0.035)。<1歲嬰兒的夜醒次數和夜醒時間與MDI無相關性。多元線性迴歸分析證實夜醒次數及時間是≥1歲幼兒MDI的獨立影響因素。結論對持續夜醒嬰幼兒應引起高度關註。
목적：료해영향영유인야성적배경인소，탐토영유인야성여인지발육적상관성。방법수궤추취2011년12월－2013년2월의오시성구화향진각1개점작위항목점，공추취2~30개월영유인116명。이문권형식대인동급기가장진행조사，료해인동출생급가정사회경제적상관정황；채용간역영인수면문권(BISQ)수집인동야성차수급시간등상관수면정황；동시채용Bayley영유인발육량표진행영유인인지발육평고。결과조사대상평균년령위(12.99±8.55)월(2~30개월)，남해점50.86%(59/116)。<1세영인，우이야성부점5.26%，야성1차점29.82%，야성다차점64.91%；≥1세유인칙분별위32.20%、45.76%화22.03%。<1세영인화≥1세유인야성차수적분포차이유통계학의의(P<0.01)。<1세영인평균야성시간위(0.49±0.31)h，≥1세유인위(0.31±0.48)h，차이유통계학의의(Z=4.35，P<0.001)。≥1세유인수착야성차수증가，지력발육지수(MDI)하강，차이유통계학의의(F=3.98，P=0.024)；야성시간여MDI정현저부상관(r=-0.26， P=0.035)。<1세영인적야성차수화야성시간여MDI무상관성。다원선성회귀분석증실야성차수급시간시≥1세유인MDI적독립영향인소。결론대지속야성영유인응인기고도관주。
Objective To explore the role of night waking in the cognitive development of infants and young toddlers. Method A total of 116 infants aged 2 to 30 months were randomly selected in Yiwu, Zhejiang from December 2011 to February 2013. Social-demographic factors were investigated through questionnaire;sleep information were collected via the Brief Infant Sleep Questionnaire (BISQ);Cognitive development was assessed in all infants using Baley development scale. Results The mean age was 12.99 month-old. 50.86%(59/116) were males. Ocassional night waking was reported in 5.26%, one night waking in 29.82%, multiple night waking accounted in 64.91%of children under one year old. Ocassional night waking was reported in 32.20%, one night waking in 45.76%, multiple night waking in 22.03%of children over one year old. The frequency of night waking was signiifcantly different between children under one year old and children over one year old (P<0.01). The average duration of waking was 0.49±0.31 h in children under one year old, and 0.31±0.48 h in children older than one year old, and the difference was signiifcantly different (Z=4.35, P<0.001). In children over one year old, the more frequent night waking, the lowered MDI scores (F=3.98, P=0.024). The waking duration was negatively correlated with MDI scores in children over one year old (r=-0.26, P=0.035). Neither night waking duration nor night waking frequency had signiifcant correlation with MDI scores in children under one year old. Multivariable linear regression conifrmed that night waking was an independent inlfuential factor of MDI and PDI scores in children over one year old. Conclusions Persistent night waking should warrant attention.
