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特发性全面性癫痫儿童的睡眠特征:一项基于多导睡眠图的研究。

Sleep Characteristics Among Children with Idiopathic Generalized Epilepsy: A Polysomnography-Based Study.

机构信息

Department of Neurology, Pt B D Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, 124001, India.

出版信息

Indian J Pediatr. 2021 Sep;88(9):925-927. doi: 10.1007/s12098-021-03863-w. Epub 2021 Jul 21.

Abstract

This study was designed to describe the sleep profile in a cohort of children 5-15 y with idiopathic generalized epilepsy (IGE) using polysomnography (PSG) and Children's Sleep Habits Questionnaire (CSHQ) and Pittsburg Sleep Quality Index (PSQI). The controls included age- and gender-matched healthy controls. A total of 30 cases of IGE and matched 30 controls were enrolled in study. The global CSHQ score [58.8 (10.8) vs. 32.3 (4.1); p < 0.01] and PSQI score [2.4 (1.6) vs. 0.9(0.3); p < 0.01] was significantly higher among children with IGE as compared to controls. REM sleep duration was significantly lower and other parameters including AHI [2.8 (1.9, 4.6) vs. 2.6 (1.3, 2.9); p = 0.04], frequency of arousals [51.5 (36.7, 71.5) vs. 27 (24, 43); p < 0.01], percentage of oxygen desaturation > 4% [23.5 (8, 36.5) vs. 4 (2, 8); p < 0.01], were significantly higher among children with IGE when compared to controls. Children with IGE have sleep disturbances and alteration in sleep architecture. They should be assessed   and screened for sleep characteristics.

摘要

本研究旨在通过多导睡眠图(PSG)和儿童睡眠习惯问卷(CSHQ)和匹兹堡睡眠质量指数(PSQI)描述特发性全面性癫痫(IGE)患儿的睡眠特征。对照组包括年龄和性别匹配的健康对照。共纳入 30 例 IGE 患儿和 30 例匹配对照。与对照组相比,IGE 患儿的全球 CSHQ 评分[58.8(10.8)比 32.3(4.1);p<0.01]和 PSQI 评分[2.4(1.6)比 0.9(0.3);p<0.01]明显更高。与对照组相比,IGE 患儿的 REM 睡眠时间明显缩短,其他参数包括 AHI[2.8(1.9,4.6)比 2.6(1.3,2.9);p=0.04]、觉醒频率[51.5(36.7,71.5)比 27(24,43);p<0.01]、氧减饱和度>4%的百分比[23.5(8,36.5)比 4(2,8);p<0.01]均明显更高。IGE 患儿存在睡眠障碍和睡眠结构改变。应评估和筛查他们的睡眠特征。

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