目的 了解学龄期哮喘儿童的病情控制情况及睡眠状况,研究哮喘控制与睡眠紊乱的相关性,以期为哮喘儿童睡眠障碍的防治提供依据。方法 对2018年10月-2019年10月在潍坊市人民医院小儿内科就诊的200例6~11岁支气管哮喘儿童及其家长进行问卷调查,包括哮喘儿童一般情况问卷、儿童哮喘控制测试问卷(C-ACT)、儿童睡眠紊乱量表(SDSC)。根据C-ACT得分将哮喘患儿分为完全控制组(≥23分,75例)、部分控制组(20~22分,46例)、未控制组(≤19分,79例),对3组哮喘儿童睡眠紊乱情况进行比较,并将SDSC总分及各维度得分与C-ACT得分进行相关性分析。结果 哮喘儿童的完全控制率为37.5%,部分控制率为23.0%,未控制率为39.5%。完全控制组、部分控制组和未控制组哮喘儿童SDSC总得分分别为34.21±3.60、38.74±2.86、40.09±5.37,差异有统计学意义(F=38.857,P<0.001)。睡眠紊乱的检出率分别为未控制组 49.4%、部分控制组40.0%、完全控制组20.0%,差异有统计学意义(χ2=15.224,P<0.001);哮喘儿童C-ACT得分与SDSC得分呈负相关(r=-0.623,P<0.01)。结论 本地区哮喘儿童的哮喘控制水平欠佳;哮喘儿童睡眠紊乱的检出率较高;完全控制组哮喘儿童睡眠质量明显优于部分控制组和未控制组的患儿,儿科医护人员在对哮喘儿童进行整体治疗时应更加关注哮喘控制状况,通过良好的哮喘控制改善其睡眠状况,从而促进患儿的生长发育。
Abstract
Objective To understand the level of asthma controland the correlation between asthma control level and sleep disturbance in asthmatic children,so as to provide evidence for the prevention of sleep disturbance in asthmatic children. Methods Totally 200 children with asthma aged 6—11 years and their parents were surveyed with general information survey,Childhood Asthma Control Questionnaire(C-ACT),Sleep Disturbance Scale for Children (SDSC) in Weifang People′s Hospital from October 2018 to October 2019. According to C-ACT score,children were divided into three group:complete control group (≥23,n=75),partly control group (20-22, n=46) and uncontrolled group (≤19,n=79). Sleep disturbance of the three groups were compared,and the correlation between SDSC score and score of C-ACT was analyzed. Results The complete control rate in children with asthma was 37.5%,the partly control rate was 23.0%,and the uncontrolled rate was 39.5%. The total score of SDSC scale in complete control group,partly control group and uncontrolled group were 34.21±3.60,38.74±2.86,and 40.09±5.37,respectively. Moreover,the detection rates of sleep disturbance in complete control group,partly control group and uncontrolled group were 49.4%,40.0%,and 20.0%,respectively,there was significant difference on the detection rates of sleep disturbance(χ2＝15.224,P<0.001). And the total score of C-ACT was negatively correlated with SDSC score(r=-0.623,P<0.01). Conclusions The level of asthma control with asthmatic children is poor in this area,and the detection rate of sleep disturbance in children with asthma is higher. The sleep quality of children with asthma completely controlled is significantly better than that of children with asthma partly controlled and uncontrolled. Pediatric medical staff should pay more attention to the asthma control during the treatment of asthma,and improve sleep quality through good asthma control,thereby promoting the growth and development of children.
关键词
哮喘 /
儿童 /
哮喘控制 /
睡眠紊乱
Key words
asthma /
children /
asthma control /
sleep disturbance
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基金
山东省重点研发计划项目(2019GSF108198);山东省医药卫生发展计划项目(2017WS113);人文社科项目(IFYT18036)
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