The Sleep Center, Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
J Clin Sleep Med. 2011 Feb 15;7(1):81-7.
The gold-standard test used to diagnose childhood obstructive sleep apnea is polysomnography. However, this test requires an overnight stay at a sleep laboratory and the attachment of multiple sensors to the patient. The long-term impact of this testing on the child and family are not known. We hypothesized that polysomnography does not precipitate acute or chronic psychological effects in children.
A consecutive cohort of children who had undergone sleep studies 2 to 4 months prior to the interview were administered a standardized questionnaire via telephone.
Of the 118 families that were eligible to participate, 67% could be contacted and agreed to participate; 87% of respondents reported the experience to have been satisfactory (mean Likert score of 8.6 ± 2.0 [SD] on a scale of 1-10). Similar levels of satisfaction were reported by parents of children with developmental delay or those who were younger than 3 years. The night's sleep was considered typical in 68% of cases. Sleep was less likely to be typical in children younger than 3 years (47%, p = 0.043). Eight percent of children experienced pain during the study. By caregiver report, of those children who remembered the sleep study, memories were positive in 84%. No child had evidence of serious long-term psychological issues.
The vast majority of children and families found the polysomnography experience to be satisfactory, with no psychological sequelae. However, many children, especially those younger than 3 years, demonstrated sleep patterns different from their usual sleep. The clinical relevance of this finding merits further study. Further research evaluating the generalizability of this study is also needed.
用于诊断儿童阻塞性睡眠呼吸暂停的金标准测试是多导睡眠图。然而，这项测试需要在睡眠实验室过夜，并将多个传感器连接到患者身上。目前尚不清楚这种测试对儿童及其家庭的长期影响。我们假设多导睡眠图不会给儿童带来急性或慢性心理影响。
对在接受访谈前 2 至 4 个月接受过睡眠研究的连续队列儿童进行了电话标准化问卷调查。
在 118 个符合参与条件的家庭中，67%的家庭可以联系到并同意参与；87%的受访者报告说体验满意度高（1-10 分的平均 Likert 评分 8.6±2.0[SD]）。发育迟缓或年龄小于 3 岁的儿童的父母报告的满意度水平相似。68%的情况下认为睡眠正常，3 岁以下儿童的睡眠不太可能正常（47%，p=0.043）。8%的儿童在研究过程中感到疼痛。根据照顾者的报告，那些记得睡眠研究的孩子中，84%的记忆是积极的。没有孩子有严重的长期心理问题的证据。
绝大多数儿童及其家庭发现多导睡眠图体验令人满意，没有心理后遗症。然而，许多儿童，尤其是 3 岁以下的儿童，表现出与平时睡眠不同的睡眠模式。这一发现的临床意义值得进一步研究。还需要进一步研究评估这项研究的普遍性。
