专题笔谈
ENGLISH ABSTRACT
中国儿童青少年睡眠相关队列研究进展
马俊
王汝佳
鲍彦平
陆林
作者及单位信息
·
DOI: 10.3760/cma.j.issn.1006-7884.2017.01.007
Progress of cohort studies on sleep problems among Chinese children and adolescents
Ma Jun
Wang Rujia
Bao Yanping
Authors Info & Affiliations
Ma Jun
Wang Rujia
Bao Yanping
·
DOI: 10.3760/cma.j.issn.1006-7884.2017.01.007
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摘要

近年来,睡眠问题日益突出,已成为重要的公共卫生问题 [ 1 ] ,特别是儿童青少年处于生长发育的关键时期,睡眠问题可引发儿童青少年的多种躯体疾病和心理疾病。流行病学调查显示,目前我国儿童青少年普遍存在不同程度的睡眠问题 [ 2 , 3 , 4 , 5 ] ,且这一问题越来越严重 [ 2 , 6 , 7 ] 。在全国8个城市进行的多中心横断面调查显示,我国学龄儿童睡眠不足(<9 h)的比例为38.0%,日间嗜睡发生率为64.4%,经常日间嗜睡者占26.9% [ 2 ] 。城市儿童睡眠问题的患病率高于农村儿童,城市儿童睡眠时间不足9 h者所占比例更高 [ 8 ] 。慢性失眠在儿童中也较为常见,我国农村青少年的失眠发生率和持续性失眠率分别为16.0%和41.0% [ 9 ] ,我国香港地区儿童的失眠发生率和持续性失眠率分别为6.2%和14.9% [ 10 ] 。我国5~12岁儿童睡眠相关呼吸障碍患病率为12.0% [ 11 ]

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马俊,王汝佳,鲍彦平,等. 中国儿童青少年睡眠相关队列研究进展[J]. 中华精神科杂志,2017,50(1):18-21.

DOI:10.3760/cma.j.issn.1006-7884.2017.01.007

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近年来,睡眠问题日益突出,已成为重要的公共卫生问题 [ 1 ],特别是儿童青少年处于生长发育的关键时期,睡眠问题可引发儿童青少年的多种躯体疾病和心理疾病。流行病学调查显示,目前我国儿童青少年普遍存在不同程度的睡眠问题 [ 2 , 3 , 4 , 5 ],且这一问题越来越严重 [ 2 , 6 , 7 ]。在全国8个城市进行的多中心横断面调查显示,我国学龄儿童睡眠不足(<9 h)的比例为38.0%,日间嗜睡发生率为64.4%,经常日间嗜睡者占26.9% [ 2 ]。城市儿童睡眠问题的患病率高于农村儿童,城市儿童睡眠时间不足9 h者所占比例更高 [ 8 ]。慢性失眠在儿童中也较为常见,我国农村青少年的失眠发生率和持续性失眠率分别为16.0%和41.0% [ 9 ],我国香港地区儿童的失眠发生率和持续性失眠率分别为6.2%和14.9% [ 10 ]。我国5~12岁儿童睡眠相关呼吸障碍患病率为12.0% [ 11 ]
队列研究是研究儿童青少年睡眠问题对心身发育及健康影响的理想手段。在队列研究设计中,暴露发生在前,疾病发生在后,因果现象发生的时间顺序合理,因此检验病因假说的能力较横断面调查及病例对照研究等研究设计更强。队列研究是检验病因假说的主要途径,并且有助于了解人群疾病的自然史,可以分析一种暴露因素与多种疾病或结局的关系。我们主要从儿童青少年的睡眠障碍与其认知、情感和躯体健康的关系介绍我国儿童睡眠相关队列的研究成果。
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备注信息
A
鲍彦平,Email: nc.defudabe.umjbpyoab
B
陆林,Email: nc.defudabe.umjbulnil
C
国家重点基础研究发展计划 (2015CB856400)
十三五国家重点研究发展计划 (2016YFC0800907;20150639)
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