Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada; Research Institute, McGill University Health Centre, Montréal, Québec, Canada.
Research Institute, McGill University Health Centre, Montréal, Québec, Canada.
Sleep Med. 2018 Oct;50:1-6. doi: 10.1016/j.sleep.2018.05.008. Epub 2018 May 24.
To determine, in preschool- and school-aged children with cerebral palsy (CP): (i) the prevalence of sleep disorders, including disorders of initiation and maintenance of sleep, and (ii) the association between child characteristics and sleep disorders.
Children with CP aged 3-12 years were recruited from neurology clinics and a provincial CP registry. Caregivers completed the Sleep Disturbance Scale for Children (SDSC) and a questionnaire on sleep-related characteristics. Children's medical information was collected from the registry and hospital records.
150 children with CP (mean age ± standard deviation: 6.9 ± 2.9 years) completed the study (66 preschool-and 84 school-aged children). An abnormal total score on the SDSC was found in 20.7% of children (10.6% and 28.6% of preschool-and school-aged children, respectively). Overall, 44.0% of children had one or more sleep disorder (24.2% and 59.5% in preschool-and school-aged children, respectively), as determined by subscales of the SDSC. The most common sleep problem, disorders of initiation and maintenance of sleep, was found in 26.0% of children (18.2% of preschool- and 32.1% of school-aged children, respectively). Pain was the strongest predictor of having an abnormal total score and disorders of initiation and maintenance of sleep, with odds ratios (95% confidence intervals) of 6.5 (2.2-18.9) and 3.4 (1.3-9.3), respectively, adjusted for age group and degree of motor impairment.
Sleep disorders are prevalent in children with CP, with higher frequencies in school-aged as compared to preschool-aged children. Health care professionals caring for this population should routinely inquire about sleep problems and pain.
在患有脑瘫（CP）的学龄前和学龄儿童中：（i）确定睡眠障碍的患病率，包括睡眠启动和维持障碍，以及（ii）儿童特征与睡眠障碍之间的关系。
从神经病学诊所和省级 CP 注册处招募了 3-12 岁的 CP 儿童。照顾者完成了儿童睡眠障碍量表（SDSC）和睡眠相关特征问卷。从注册处和医院记录中收集了儿童的医疗信息。
150 名 CP 儿童（平均年龄±标准差：6.9±2.9 岁）完成了研究（66 名学龄前儿童和 84 名学龄儿童）。SDSC 的总分异常的儿童占 20.7%（学龄前儿童和学龄儿童分别为 10.6%和 28.6%）。总体而言，44.0%的儿童有一个或多个睡眠障碍（学龄前儿童和学龄儿童分别为 24.2%和 59.5%），这是由 SDSC 的子量表确定的。最常见的睡眠问题，即睡眠启动和维持障碍，在 26.0%的儿童中发现（学龄前儿童为 18.2%，学龄儿童为 32.1%）。疼痛是总得分和睡眠启动和维持障碍异常的最强预测因素，调整年龄组和运动障碍程度后，比值比（95%置信区间）分别为 6.5（2.2-18.9）和 3.4（1.3-9.3）。
患有脑瘫的儿童中睡眠障碍很常见，学龄儿童的发生率高于学龄前儿童。照顾该人群的医疗保健专业人员应常规询问睡眠问题和疼痛。
