Zarowski Marcin, Mojs Ewa, Gajewska Ewa, Steinborn Barbara, Samborski Włodzimierz
Katedra i Klinika Neurologii Wieku Rozwojowego Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu ul. Przybyszewskiego 49, 60-355 Poznań.
Ann Acad Med Stetin. 2008;54(2):59-64; discussion 64.
The study is conducted to examine the sleep habits and sleep disorders in children and adolescents with cerebral palsy (CP).
Sixty-one children and adolescents with diagnosis of CP were investigated via own questionnaires in Department of Developmental Neurology Poznan University of Medical Sciences. The test results of study group were compared to the data of control group (CG) composed of healthy children.
In our study 51.9% (27) children had a time of falling asleep longer than 20 minutes, in CG, only 35.0% it was statistically significant difference. 52.5% children with CP slept with somebody in the bed, 82% of children slept in shared bedrooms with family, almost 43% children with CP fell asleep in parent's presence. The day naps were observed in 49.2% of CP children, 27.7% of healthy. All differences were significant. The most frequent reported sleep disorders in parasomnia symptoms study group were bruxism 32.8% (in CG 16.0%); legs movement 29.5% (in CG 5.1%); nocturnal enuresis 24.6% (in CG 6.3%) and sleep breathing disorder symptoms like snoring 36.1% in CP group (19.7% in CG) and breathing pauses 14.8% (2.3% in CG).
Sleep habits in children with CP were significantly different form sleep habits in CG. The prevalence of sleep disorders symptoms like: snoring, breathing pauses, bruxism, nocturnal enuresis and awaking from night sleep was higher in CP group than in CG. The additional research on larger group of patients with CP is needed to correlate the prevalence of sleep disorder symptoms with motor impairment, Gross Motor Function Classification System (GMFCS) level and epilepsy.
本研究旨在调查脑瘫（CP）儿童和青少年的睡眠习惯及睡眠障碍。
在波兹南医科大学发育神经科，通过自行设计的问卷对61名诊断为CP的儿童和青少年进行了调查。将研究组的测试结果与由健康儿童组成的对照组（CG）的数据进行比较。
在我们的研究中，51.9%（27名）儿童入睡时间超过20分钟，而在对照组中，这一比例仅为35.0%，差异具有统计学意义。52.5%的CP儿童与他人同床睡觉，82%的儿童与家人共睡一间卧室，近43%的CP儿童在父母陪伴下入睡。49.2%的CP儿童有日间小睡，健康儿童中这一比例为27.7%。所有差异均具有显著性。在异态睡眠症状研究组中，最常报告的睡眠障碍为磨牙，占32.8%（对照组为16.0%）；腿部运动，占29.5%（对照组为5.1%）；夜间遗尿，占24.6%（对照组为6.3%）；以及睡眠呼吸障碍症状，如CP组打鼾占36.1%（对照组为19.7%），呼吸暂停占14.8%（对照组为2.3%）。
CP儿童的睡眠习惯与对照组有显著差异。CP组睡眠障碍症状如打鼾、呼吸暂停、磨牙、夜间遗尿和夜间睡醒的患病率高于对照组。需要对更大规模的CP患者群体进行进一步研究，以将睡眠障碍症状的患病率与运动障碍、粗大运动功能分类系统（GMFCS）水平和癫痫进行关联。
