睡眠问题是儿童保健中常见的行为问题,在癫痫儿童中更为常见。睡眠问题或睡眠障碍表现为入睡困难、夜醒、阻塞性睡眠呼吸暂停、梦游及梦魇等,常导致儿童及家庭的日间功能受损;而癫痫儿童由于睡眠中异常脑电活动扰乱了正常睡眠结构,更容易萌生睡眠问题。睡眠与癫痫之间互相影响,有复杂的相互作用,睡眠能激活癫痫样放电,癫痫发作会干扰睡眠结构;另外,睡眠问题也对癫痫儿童的认知、行为与生活质量等多方面造成影响。本文主要讨论癫痫儿童的睡眠及睡眠相关问题,对癫痫儿童中睡眠问题的流行病学、睡眠问题与癫痫之间的关系、睡眠对癫痫儿童认知功能的影响以及睡眠干预进行综述。
Abstract
Sleep problems are common behavioral problems in child health care,especially in children with epilepsy. Sleep problems or sleep disorders,such as difficulty in falling asleep,waking up at night,obstructive sleep apnea,sleepwalking and nightmares,often lead to impaired daytime function in children and families. However,children with epilepsy are more likely to have sleep problems because abnormal brain electrical activity during sleep disturbs the normal sleep structure.Sleep and epilepsy interact with each other and have complex interactions. Sleep can activate epileptiform discharge,and seizures will interfere with sleep structure. In addition,sleep problems also affect the cognition,behavior and quality of life in children with epilepsy. This article mainly discusses sleep and sleep related problems in children with epilepsy,and summarizes the epidemiology of sleep problems in children with epilepsy,the relationship between sleep problems and epilepsy,the influence of sleep on cognitive function of children with epilepsy,and sleep intervention.
关键词
睡眠 /
癫痫 /
儿童
Key words
sleep /
epilepsy /
children
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