临床儿科杂志 ›› 2014, Vol. 32 ›› Issue (11): 1064-.doi: 10.3969 j.issn.1000-3606.2014.11.016

• 综合报道 • 上一篇    下一篇

夜醒与婴幼儿认知发育的相关性研究

王爱萍1,孙莞绮2,骆晓萍4,黄芳5,陈晓英5,姜艳蕊2, 王燕2,徐小娟2,宋沅瑾2,朱绮2,章依文2,3,江帆2,3   

  1. 1. 浙江省义乌市妇幼保健院( 浙江义乌 322000);2. 上海交通大学医学院附属上海儿童医学中心( 上海200127);3. 上海市环境与儿童健康重点实验室( 上海 200092);4. 浙江省义乌市义乌中心医院( 浙江义乌 322000);5. 浙江省义乌稠城中心卫生院( 浙江义乌 322000)
  • 收稿日期:2014-11-15 出版日期:2014-11-15 发布日期:2014-11-15
  • 基金资助:
    卫生部行业科研专项(No.201002006); 国家自然科学基金资助项目(No.81172685);上海市科委项目及启明星追踪项目(No.12411950405,13QH1401800);上海市教委曙光计划项目(No.11SG19)

The association between night waking and infant cognitive development

WANG Aiping1, SUN Wanqi2, LUO Xiaoping4, HUANG Fang5, CHEN Xiaoying5, JIANG Yanrui2, WANG Yan2, XU Xiaojuan2, SONG Yuanjin2, ZHU Qi2, ZHANG Yiwen2,3, JIANG Fan2,3   

  1. 1.Yiwu Maternal and Child Health Hospital, Yiwu 322000, Zhejiang, China; 2.Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200127, China; 3.MOE-Shanghai Key Laboratory of Children's Environmental Health,Shanghai 200092,China; 4.Yiwu City Centre Hospital, Yiwu 322000, Zhejiang, China; 5.Yiwu Choucheng Centre Hospital, Yiwu 322000, Zhejiang, China
  • Received:2014-11-15 Online:2014-11-15 Published:2014-11-15

摘要: 目的 了解影响婴幼儿夜醒的环境因素,探讨婴幼儿夜醒与认知发育的相关性。方法 随机抽取2011年12月-2013年2月义乌市城区和乡镇各1个点作为项目点,共抽取2~30个月婴幼儿116名。以问卷形式对儿童及其家长进行调查,了解儿童出生及家庭社会经济的相关情况;采用简易婴儿睡眠问卷(BISQ)收集儿童夜醒次数及时间等相关睡眠情况;同时采用Bayley婴幼儿发育量表进行婴幼儿认知发育评估。结果 调查对象平均年龄为(12.99±8.55)月(2~30个月),男孩占50.86%(59/116)。<1岁婴儿,偶尔夜醒仅占5.26%,夜醒1次占29.82%,夜醒多次占64.91%;≥1岁幼儿则分别为32.20%、45.76%和22.03%。<1岁婴儿和≥1岁幼儿夜醒次数的分布差异有统计学意义(P<0.01)。<1岁婴儿平均夜醒时间为(0.49±0.31)h,≥1岁幼儿为(0.31±0.48)h,差异有统计学意义(Z=4.35,P<0.001)。≥1岁幼儿随着夜醒次数增加,智力发育指数(MDI)下降,差异有统计学意义(F=3.98,P=0.024);夜醒时间与MDI呈显著负相关(r=-0.26,P=0.035)。<1岁婴儿的夜醒次数和夜醒时间与MDI无相关性。多元线性回归分析证实夜醒次数及时间是≥1岁幼儿MDI的独立影响因素。结论 对持续夜醒婴幼儿应引起高度关注。

Abstract: Objective To explore the role of night waking in the cognitive development of infants and young toddlers. Method A total of 116 infants aged 2 to 30 months were randomly selected in Yiwu, Zhejiang from December 2011 to February 2013. Social-demographic factors were investigated through questionnaire; sleep information were collected via the Brief Infant Sleep Questionnaire (BISQ); Cognitive development was assessed in all infants using Baley development scale. Results The mean age was 12.99 month-old. 50.86% (59/116) were males. Ocassional night waking was reported in 5.26%, one night waking in 29.82%, multiple night waking accounted in 64.91% of children under one year old. Ocassional night waking was reported in 32.20%, one night waking in 45.76%, multiple night waking in 22.03% of children over one year old. The frequency of night waking was significantly different between children under one year old and children over one year old (P<0.01). The average duration of waking was 0.49±0.31 h in children under one year old, and 0.31±0.48 h in children older than one year old, and the difference was significantly different (Z=4.35, P<0.001). In children over one year old, the more frequent night waking, the lowered MDI scores (F=3.98, P=0.024). The waking duration was negatively correlated with MDI scores in children over one year old (r=-0.26, P=0.035). Neither night waking duration nor night waking frequency had significant correlation with MDI scores in children under one year old. Multivariable linear regression confirmed that night waking was an independent influential factor of MDI and PDI scores in children over one year old. Conclusions Persistent night waking should warrant attention.