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癫痫患儿睡眠习惯的评估

Evaluation of sleep habits in children with epilepsy.

作者信息

Batista Bianca H Brum, Nunes Magda Lahorgue

机构信息

Neuroscience Program, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.

出版信息

Epilepsy Behav. 2007 Aug;11(1):60-4. doi: 10.1016/j.yebeh.2007.03.016. Epub 2007 May 11.

Abstract

Sleep disturbances are a common complaint among patients with epilepsy. Studies assessing the relationship between sleep and epilepsy during childhood are scarce. The purpose of this study was to evaluate sleep habits in children with epilepsy. This cross-sectional study of children with and without epilepsy employed two questionnaires to evaluate sleep habits. Characteristics of both sleep habits and epilepsy (type of seizure, epileptic syndrome, number of seizures, use of anticonvulsant drugs) were collected from parental interviews and medical records. Our results indicate that children with epilepsy have a greater incidence of sleep problems compared with children without epilepsy. In those with epilepsy, we observed that nocturnal seizures, polytherapy, developmental delay, refractory epilepsy, generalized seizures, and epileptic syndromes with an unfavorable outcome are associated with poor sleep habits.

摘要

睡眠障碍是癫痫患者常见的主诉。评估儿童期睡眠与癫痫之间关系的研究很少。本研究的目的是评估癫痫儿童的睡眠习惯。这项针对有癫痫和无癫痫儿童的横断面研究采用了两份问卷来评估睡眠习惯。从家长访谈和病历中收集了睡眠习惯和癫痫的特征(发作类型、癫痫综合征、发作次数、抗惊厥药物的使用情况)。我们的结果表明,与无癫痫儿童相比,癫痫儿童睡眠问题的发生率更高。在癫痫儿童中,我们观察到夜间发作、联合治疗、发育迟缓、难治性癫痫、全身性发作以及预后不良的癫痫综合征与不良睡眠习惯有关。

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