Thiedke C C
Medical University of South Carolina College of Medicine, Charleston, USA.
Am Fam Physician. 2001 Jan 15;63(2):277-84.
Sleep problems are common in childhood. A distinction is made between problems in which polysomnography is abnormal (i.e., the parasomnias, sleep apnea and narcolepsy) and problems that are behavioral in origin and have normal polysomnography. The parasomnias--sleep terrors, somnambulism and enuresis--appear to be related to central nervous system immaturity and are often outgrown. Obstructive sleep apnea syndrome (OSAS) is frequently missed in children and can often be cured through surgery. Behavioral sleep problems may be overcome after parents make interventions. Physicians can be of great assistance to these families by recommending techniques to parents that have been shown to be effective.
睡眠问题在儿童时期很常见。可区分多导睡眠图异常的问题(即异态睡眠、睡眠呼吸暂停和发作性睡病)和起源于行为且多导睡眠图正常的问题。异态睡眠——夜惊、梦游和遗尿——似乎与中枢神经系统不成熟有关,通常长大后会自愈。儿童阻塞性睡眠呼吸暂停综合征(OSAS)常常被漏诊,且通常可通过手术治愈。父母进行干预后,行为性睡眠问题可能会得到解决。医生可以通过向家长推荐已被证明有效的技巧,为这些家庭提供很大帮助。