摘要
目的分析孤独症谱系障碍(ASD)患儿睡眠问题的影响因素。方法调查181例ASD患儿相关资料,包括一般情况、喂养史及生活状况、母亲孕产期情况、分娩及新生儿情况,采用儿童睡眠习惯问卷(CSHQ)评价患儿的睡眠质量,分析ASD患儿发生睡眠问题的影响因素。结果181例ASD患儿中,有睡眠问题145例(有睡眠问题组),无睡眠问题36例(无睡眠问题组)。两组在父母文化程度、家庭关系、家庭年收入、营养物质补充、户外活动时间、电子频幕使用时间和主要抚养者方面差异均有统计学意义(P<0.05)。电子屏幕使用时间>1 h是ASD患儿发生睡眠问题的独立危险因素(P<0.05),父母文化程度本科及以上、补充维生素D和维生素AD以及户外活动时间>2 h是保护性因素(P<0.05)。结论父母文化程度、营养物质补充、户外活动时间和电子屏幕使用时间是ASD患儿发生睡眠问题的影响因素。
Objective To investigate the influencing factors for sleep problems in the children with autism spectrum disorder(ASD).Methods The general information,feeding history and living conditions,mother's pregnancy and perinatal conditions,delivery and newborn conditions of 181 children with ASD were investigated.The sleep quality of the children was evaluated by the children's sleep habits questionnaire(CSHQ).The influencing factors for sleep problems in ASD children were analyzed.Results Of 181 children with ASD,145 cases had sleep problems and 36 cases had no sleep problems.There were significant differences in parental education level,family relationship,annual family income,nutritional supplement,outdoor activity time,electronic screen time and primary caregivers between ASD children with and without sleep problems(P<0.05).The electronic screen time more than 1 hour was an independent risk factor for sleep problems in children with ASD and parental education with bachelor degree or above,supplemental vitamin D and vitamin AD,and outdoor activity time more than 2 hours were the protective factors(P<0.05).Conclusion Parental education level,nutritional supplement,outdoor activity time and electronic screen time are the influencing factors for sleep problems in children with ASD.
作者
宋元
李玲
SONG Yuan;LI Ling(Hainan Medical University,Haikou 571000,CHINA)
出处
《江苏医药》
CAS
2023年第3期222-227,共6页
Jiangsu Medical Journal
基金
国家自然科学基金地区科学基金(82060260)
海南省临床医学中心建设项目(QWYH202175)。
关键词
孤独症谱系障碍
睡眠问题
儿童
Autism spectrum disorder
Sleep problem
Children
