Jain Sejal V, Simakajornboon Narong, Glauser Tracy A
Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
J Child Neurol. 2013 May;28(5):589-95. doi: 10.1177/0883073812449692. Epub 2012 Jul 12.
Sleep disorders significantly affect the lives of children with epilepsy. Limited data exist about provider practices concerning detection and correct diagnosis of sleep problems in epilepsy. The authors conducted this study to identify and correlate sleep screening methods, referral practices, referral reasons and final sleep diagnoses. They identified that 94% of the providers who had referred patients to the sleep center of a major children's hospital used routine screening and 70% of them used 2 to 3 screening questions. This method, however, underidentified the patients at risk for sleep disorders. Moreover, in 40% of the children, sleep disorder was incorrectly anticipated, based on the initial symptoms. Of these children, 10% had no sleep disorder and 30% had unexpected sleep disorder. The authors conclude that better screening methods should be used for sleep disorders. Once identified, these patients should have formal sleep evaluation and management. Further studies are needed to develop screening questionnaires.
睡眠障碍严重影响癫痫患儿的生活。关于医疗服务提供者对癫痫患儿睡眠问题的检测和正确诊断的做法，现有数据有限。作者开展这项研究以确定睡眠筛查方法、转诊做法、转诊原因及最终的睡眠诊断并找出它们之间的关联。他们发现，将患者转诊至一家大型儿童医院睡眠中心的医疗服务提供者中，94%采用常规筛查，其中70%使用2至3个筛查问题。然而，这种方法未能充分识别有睡眠障碍风险的患者。此外，根据初始症状，40%的儿童被错误地预判存在睡眠障碍。在这些儿童中，10%没有睡眠障碍，30%存在未预料到的睡眠障碍。作者得出结论，对于睡眠障碍应采用更好的筛查方法。一旦确诊，这些患者应接受正式的睡眠评估和管理。需要开展进一步研究来制定筛查问卷。
