Kim Dong Soon, Lee Cho Long, Ahn Young Min
Department of Medicine, Graduate School, Eulji University, Daejeon, Korea.
Department of Pediatrics, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea.
Korean J Pediatr. 2017 May;60(5):158-165. doi: 10.3345/kjp.2017.60.5.158. Epub 2017 May 31.
To investigate the frequency of childhood sleep problems at pediatric clinics in Seoul and Gyeonggi provinces.
Children (n=936) and their parents who visited 5 primary and 1 secondary pediatric outpatient clinics were invited to complete a Pediatric Sleep Questionnaire.
Among patients, 901 (96.3%) answered questionnaires in sufficient detail for evaluation. The participant's mean age was 4.35±3.02 years (range, 0-18 years). The male to female ratio was 1:0.93 (466 boys, 435 girls). Habitual snoring (>3 day/week) was reported in 16.9% of the participants. The prevalence of habitual snoring in children <2 years and those between 2-5 years was 9% and 18%, respectively. Sleep disordered breathing was found in 15.1% (106 of 700) of children >2 years. Insomnia was reported in 13.2% of children. The prevalence of sleepwalking, night terrors, and bruxism, is 1.6%, 19%, and 21.1%, respectively. Snoring was associated with increased incidence of sleepwalking, night terrors, and bruxism. Age was associated with insomnia and habitual snoring (<0.05). Insomnia was more prevalent in younger (21%) than in older children (6%). Snoring was more frequent in both preschool (34%) and school-aged children (33%). The frequency of sleep disordered breathing and insomnia did not vary significantly with gender. However, snoring was more prevalent in boys.
Sleep problems are frequent among children in Korea. Children with snoring have an increased risk of sleepwalking, night terror, and bruxism. Primary clinicians should consider children's sleep habits to improve their health.
调查首尔和京畿道地区儿科诊所儿童睡眠问题的发生率。
邀请到5家初级和1家二级儿科门诊就诊的儿童（n = 936）及其父母填写一份儿童睡眠问卷。
在患者中，901名（96.3%）对问卷进行了足够详细的回答以供评估。参与者的平均年龄为4.35±3.02岁（范围为0 - 18岁）。男女比例为1:0.93（466名男孩，435名女孩）。16.9%的参与者报告有习惯性打鼾（每周>3天）。2岁以下儿童和2 - 5岁儿童习惯性打鼾的患病率分别为9%和18%。在2岁以上儿童中，15.1%（700名中的106名）存在睡眠呼吸障碍。13.2%的儿童报告有失眠。梦游、夜惊和磨牙症的患病率分别为1.6%、19%和21.1%。打鼾与梦游、夜惊和磨牙症的发生率增加有关。年龄与失眠和习惯性打鼾有关（<0.05）。失眠在年幼儿童（21%）中比在年长儿童（6%）中更普遍。打鼾在学龄前儿童（34%）和学龄儿童（33%）中都更常见。睡眠呼吸障碍和失眠的发生率在性别上没有显著差异。然而，打鼾在男孩中更普遍。
韩国儿童中睡眠问题很常见。打鼾的儿童梦游、夜惊和磨牙症的风险增加。基层临床医生应考虑儿童的睡眠习惯以改善他们的健康状况。
