摘要
目的调查南宁市学龄前及学龄儿童睡眠打鼾和相关症状的发生情况。方法采取随机整群分层抽样方法应用由家长完成的问卷调查表，对12个幼儿园、8所小学和6所初级中学的6999例3～14岁儿童进行调查，确定夜间睡眠打鼾及相关症状的发生情况。实际发放调查问卷9000份，应答8150份，回收率为90．6％；有效问卷6999份。结果本组儿童打鼾率32．7％，男性儿童打鼾发生率高于女性儿童（44．2％vs28．6％，P〈0．01）。儿童打鼾现患率以3～5岁儿童相对较高为35．9％；打鼾儿童有较高的夜间遗尿发生率18．0％，与夜间无打鼾儿童遗尿的发生比较差异有统计学意义（P〈0．05）；6～7岁学龄前有打鼾儿童的夜间遗尿发生率达22．5％。小学儿童夜间遗尿的发生率在睡眠打鼾儿童中占2．4％～14．7％，10岁以后儿童夜间遗尿的发生自然减少。logistic回归分析与遗尿相关的睡眠打鼾儿童相关因素中扁桃体肥大、有打鼾为危险因素（OR值=1．540，1．513，P〈0．05），打鼾程度与遗尿无明显相关性。而女性和年龄增长与夜间睡眠遗尿发生呈负相关（OR值=0．665，0．768，P〈0．05）。结论学龄前及学龄儿童睡眠相关性遗尿发生有较高的报告率。对有夜间睡眠打鼾持续不愈的遗尿事件儿童应该注意除外睡眠呼吸障碍。
Objective To investigate the occurrence of sleep snoring and correlated symptom in children in Nanning city. Methods A population-based cross-sectional study was conducted,on 6 999 children,aged from 3 to 14 years from 12 kindergartens, 8 primary schools and 6 junior high schools, and the information was collected using a parent-completed questionnaire to ascertain snoring and correlated symptom. The response rate was 90.6%, 8 150 of 9 000 questionnaire were fully completed and effective 6 999 questionnaires were available. Results A total of the snoring prevalence in preschool and school children were reported in 32.7%. The incidence of sleep snoring in boy groups was higher than that of girl group（44.2 % vs 22.6%, P 〈0.01）. The incidence of snoring in children aged from 3 to 5 years old was relatively high（35.9%）. The snoring children had relatively high prevalence of sleep enuresis 18.0%, which was significantly higher compared with non-snoring children （ P 〈0.05）. The rate of parent-reported sleep enuresis in preschool children aged 6 to 7 years old was 22.5 %. The prevalence of sleep enuresis in primary school children accounted for 2.4%- 14.7% of all children with sleep snoring. Circumstance of sleep enuresis in snoring children was spontaneously decreased after 10 years of age. Logistic regression analysis revealed that tonsillar hypertrophy and snoring were risk factors for sleep enuresis （OR = 1. 540, 1. 513, P 〈 0.05） and no significant correlation was found between the prevalence of sleep enuresis and degree of snoring. While the female gender and circumstance with increasing age had significantly negative correlation with the incidence of sleep enuresis （OR = 0. 665,0. 768, P〈0.05）. Conclusion The prevalence of sleep-related enuresis is relatively high in preschool and school children. It is necessary that the presence of sleep-breathing disordered for the children with sustained episodes of enuresis and sleep snoring should be considered.
出处
《临床荟萃》
CAS
北大核心
2008年第18期1306-1309,共4页
Clinical Focus
基金
广西壮族自治区科学研究与技术开发计划项目资助(科技攻关0473013)
广西壮族自治区人民医院青年基金资助
关键词
遗尿
打鼾
数据收集
enuresis
snoring
data collection
