Luc Michael E, Gupta Anu, Birnberg Jonathan M, Reddick Darian, Kohrman Michael H
Pritzker School of Medicine, University of Chicago, IL 60637, USA.
Pediatr Neurol. 2006 Jan;34(1):7-12. doi: 10.1016/j.pediatrneurol.2005.06.009.
To investigate the prevalence of sleep disorders and their symptoms in children with headaches, 64 patients in the outpatient clinics of the University of Chicago Department of Pediatric Neurology were interviewed. Investigated disorders included excessive daytime sleepiness, narcolepsy, insomnia, sleep apnea, restlessness, and parasomnias. Unlike previous studies, subjects were compared with matched control patients by age and sex. Both headache and nonheadache groups completed a 111-item questionnaire detailing sleep symptoms and behaviors. It was found that children with headaches have a significantly higher prevalence of excessive daytime sleepiness, narcolepsy, and insomnia than children without headaches (P < 0.005), which is consistent with prior literature. A similar result was obtained in examining only migraines. However, we did not find a significantly higher prevalence of symptoms of sleep apnea, restlessness, and parasomnias, which contradicts previous literature. Also, the effect of medications taken by headache patients as a confounding factor was insignificant. Overall, pediatricians may find it beneficial to ask about daytime sleepiness, narcolepsy, and insomnia when treating a headache patient.
为调查头痛儿童睡眠障碍及其症状的患病率，对芝加哥大学儿科神经科门诊的64名患者进行了访谈。调查的障碍包括日间过度嗜睡、发作性睡病、失眠、睡眠呼吸暂停、不安和异态睡眠。与以往研究不同的是，研究对象按年龄和性别与匹配的对照患者进行了比较。头痛组和非头痛组均完成了一份111项的问卷，详细描述了睡眠症状和行为。结果发现，头痛儿童的日间过度嗜睡、发作性睡病和失眠患病率显著高于无头痛儿童（P<0.005），这与先前的文献一致。仅检查偏头痛时也得到了类似结果。然而，我们未发现睡眠呼吸暂停、不安和异态睡眠症状的患病率显著更高，这与先前文献相矛盾。此外，头痛患者服用的药物作为混杂因素的影响不显著。总体而言，儿科医生在治疗头痛患者时询问日间嗜睡、发作性睡病和失眠情况可能会有所帮助。
