Pillar Giora, Averbooch Eran, Katz Neri, Peled Nir, Kaufman Yuval, Shahar Eli
Sleep Laboratory, Rambam Medical Center and Technion-IIT, Haifa, Israel.
Pediatr Neurol. 2003 Aug;29(2):131-5. doi: 10.1016/s0887-8994(03)00149-8.
Sleep disturbances were reported in patients during the acute stage after minor head injury, and for some of these patients, the disturbances may become chronic. The purpose of the present study was to assess the prevalence and risk factors of the long-term sleep disturbances in adolescents after minor head injury. Unselected adolescents (98) who had experienced a minor head injury 0.5-6 years before the institution of the study and 80 matched control subjects were interviewed and completed a detailed questionnaire. The prevalence of sleep disturbances was significantly larger among adolescents who experienced minor head injury compared with the control subjects (28% versus 11%, P < 0.05). Within the study group, those who developed long-term sleep disturbances manifested a greater body mass index (20.8 +/- 4.0 vs 18.4 +/- 2.8 kg/m(2), P = 0.005) and poorer parental education (fathers 11.0 +/- 4.0 vs 13.4 +/- 3.0 years, mothers 11.8 +/- 3.3 vs 13.2 +/- 2.9 years, P < 0.05 for both), compared with those who did not develop sleep disturbances. Our data indicate that subjective sleep disturbances may be evident in a fairly high percentage of adolescents after minor head injury, up to 28%, suggesting that minor head injury may not be as benign as previously estimated. Risk factors include heavier body mass and poorer parental education.
据报道，轻度头部受伤患者在急性期会出现睡眠障碍，其中一些患者的睡眠障碍可能会转为慢性。本研究的目的是评估轻度头部受伤后青少年长期睡眠障碍的患病率及危险因素。选取在本研究开展前0.5至6年经历过轻度头部受伤的青少年（98名），并选取80名匹配的对照受试者进行访谈，并填写一份详细问卷。与对照受试者相比，经历轻度头部受伤的青少年中睡眠障碍的患病率显著更高（28% 对11%，P < 0.05）。在研究组中，出现长期睡眠障碍的青少年与未出现睡眠障碍的青少年相比，其体重指数更高（分别为20.8±4.0和18.4±2.8kg/m²，P = 0.005），且父母受教育程度更低（父亲分别为11.0±4.0和13.4±3.0年，母亲分别为11.8±3.3和13.2±2.9年，两者P均< 0.05）。我们的数据表明，轻度头部受伤后的青少年中，相当高比例（高达28%）可能会出现主观睡眠障碍，这表明轻度头部受伤可能不像之前估计的那么良性。危险因素包括体重较重和父母受教育程度较低。
