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低风险早产儿和幼儿的睡眠障碍

Sleep Disorders in Low-Risk Preterm Infants and Toddlers.

作者信息

Romeo Domenico M, Arpaia Chiara, Lala Maria Rosaria, Cordaro Giorgia, Gallini Francesca, Vento Giovanni, Mercuri Eugenio, Chiaretti Antonio

机构信息

Pediatric Neurology Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, L.argo A. Gemelli, 00168 Rome, Italy.

Pediatric Neurology Unit, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

出版信息

J Pers Med. 2023 Jul 2;13(7):1091. doi: 10.3390/jpm13071091.

Abstract

Sleep disorders are particularly important in the development of children, affecting the emotional, behavioural, and cognitive spheres. The incidence of these disorders has been assessed in different types of populations, including patients with a history of premature birth, who, from the literature data, would seem to have an increased incidence of sleep disorders at school age. The aims of the present study are: (i.) to assess the presence of sleep disorders in a population of very preterm infants at 6-36 months who are at low risk of neurological impairments using the Italian version of the Sleep Disturbance Scale for Children (SDSC) adapted for this age group, and (ii.) to identify possible differences from a control group of term-born infants. A total of 217 low-risk preterm and 129 typically developing infants and toddlers were included in the study. We found no differences in the SDSC total and the factor scores between these two populations of infants. Low-risk preterm infants and toddlers showed similar incidences of sleep disorders to their term-born peers. Further clinical assessments will be needed to confirm these data at school age.

摘要

睡眠障碍在儿童发育过程中尤为重要,会影响其情感、行为和认知领域。这些障碍在不同类型人群中的发病率已得到评估,其中包括有早产史的患者,从文献数据来看,他们在学龄期似乎有更高的睡眠障碍发病率。本研究的目的是:(i.)使用适用于该年龄组的意大利语版儿童睡眠障碍量表(SDSC)评估6至36个月的极低出生体重儿(其神经功能障碍风险较低)群体中睡眠障碍的存在情况,以及(ii.)确定与足月儿对照组可能存在的差异。该研究共纳入了217名低风险早产婴幼儿和129名发育正常的婴幼儿。我们发现这两组婴幼儿在SDSC总分及各因子得分上并无差异。低风险早产婴幼儿的睡眠障碍发病率与其足月儿同龄人相似。在学龄期还需要进一步的临床评估来证实这些数据。

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本文引用的文献

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Sleep problems in infancy and early school age in very preterm infants.婴儿期和学龄前期极早产儿的睡眠问题。
Early Hum Dev. 2022 Oct;173:105656. doi: 10.1016/j.earlhumdev.2022.105656. Epub 2022 Aug 15.

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