González-Mendoza Emely, García-Galicia Arturo, González-de la Rosa María Guadalupe, Hernández-Márquez Velia, López-García Diana, Montiel-Jarquín Álvaro José
Instituto Mexicano del Seguro Social, Órgano de Operación Administrativa Desconcentrada Puebla, Hospital General de Zona No. 20 "La Margarita", Servicio de Pediatría. Puebla, Puebla, México.
Instituto Mexicano del Seguro Social, Centro Médico Nacional "Manuel Ávila Camacho", Hospital de Especialidades, Dirección de Educación e Investigación en Salud. Puebla, Puebla, México.
Rev Med Inst Mex Seguro Soc. 2025 Jan 3;63(1):e6499. doi: 10.5281/zenodo.14200128.
Sleep-related problems are rarely discussed during the healthy children consultation. Up to 50% of children experience a sleep problem and 4% have an adequate diagnosis. The American Academy of Pediatrics considers the prevalence of sleep disorders to be 20-30%. These disorders can be triggered by multiple etiologies: from organic to behavioral and environmental disorders.
To identify the frequency and clinical characteristics of sleep disorders in children in a second-level hospital in Mexico.
Observational, and prospective study. The extended Pediatric Sleep Questionnaire (PSQ) was administered to ambulatory pediatric patients aged 2 to 17 years. Those with a psychiatric diagnosis or known sleep disorder were excluded. Those who did not complete 33% of affirmative answers of the PSQ were eliminated. They were interviewed to corroborate sleep disorders. Descriptive statistics were used in tables and graphs for frequencies.
334 patients were included, and 82 corroborated the diagnosis. The most frequent disorders were periodic leg movements (36 patients, 44%), somniloquy (24, 29%), nocturnal awakenings (20, 24%), bruxism (18, 22%), nightmares (16, 19%), sleepwalking (15, 18%) and enuresis (14, 17%).
In this study we found a high presence of unidentified sleep disorders in the pediatric outpatient clinic, even higher than the one reported in similar studies.
在健康儿童咨询过程中，与睡眠相关的问题很少被讨论。高达50%的儿童存在睡眠问题，其中4%得到了充分诊断。美国儿科学会认为睡眠障碍的患病率为20%-30%。这些障碍可由多种病因引发：从器质性到行为和环境性障碍。
确定墨西哥一家二级医院儿童睡眠障碍的发生率和临床特征。
观察性前瞻性研究。对2至17岁的门诊儿科患者进行扩展版儿童睡眠问卷（PSQ）调查。排除有精神科诊断或已知睡眠障碍的患者。淘汰那些未完成PSQ中33%肯定回答的患者。对他们进行访谈以证实睡眠障碍。使用描述性统计方法制作频率表和图表。
纳入334例患者，其中82例确诊。最常见的障碍是周期性腿部运动（36例，44%）、说梦话（24例，29%）、夜间觉醒（20例，24%）、磨牙症（18例，22%）、噩梦（16例，19%）、梦游（15例，18%）和遗尿症（14例，17%）。
在本研究中，我们发现儿科门诊中存在大量未被识别的睡眠障碍，甚至高于类似研究报告的比例。
