本文選題：夜晚睡眠　切入點(diǎn)：縱向研究　出處：《中國(guó)當(dāng)代兒科雜志》2016年04期

【摘要】：目的了解嬰兒生后第1年夜晚睡眠模式的發(fā)展規(guī)律。方法采用非侵入性的睡眠監(jiān)測(cè)儀Actiwatch監(jiān)測(cè)50名在重慶市婦幼保健院出生的健康足月新生兒的12項(xiàng)嬰兒夜晚睡眠參數(shù)。監(jiān)測(cè)時(shí)間為生后第10天、28天,以及2、3、4、5、6、9、12月齡的第1個(gè)星期二,每次連續(xù)監(jiān)測(cè)60 h。采用二水平混合效應(yīng)模型進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果 22名男童和25名女童完成了為期1年的縱向隨訪(fǎng)。從生后第10天到12月齡,夜間入睡潛伏期3月齡時(shí)降低了48%,6月齡時(shí)降低了83%;夜晚睡眠效率從66%增加到87%;夜晚睡眠總時(shí)間從416 min增加到517 min;夜晚最長(zhǎng)連續(xù)睡眠時(shí)間從197 min增加到327 min。夜晚睡眠效率、夜晚睡眠總時(shí)間和夜晚最長(zhǎng)連續(xù)睡眠時(shí)間均隨年齡增大呈增長(zhǎng)趨勢(shì)(P0.01),其3月齡與12月齡的比值分別是86%、84%和72%,6月齡與12月齡的比值分別是97%、91%和94%。夜晚平均、最長(zhǎng)連續(xù)覺(jué)醒時(shí)間和覺(jué)醒總時(shí)間均隨年齡呈下降趨勢(shì)(P0.01),且生后前半年的下降速度均是后半年下降速度的5~6倍。男童的夜間睡眠時(shí)間、連續(xù)睡眠能力和睡眠效率均稍差于女童(P0.05)。結(jié)論嬰兒夜晚睡眠模式在生后前半年,尤其生后3個(gè)月內(nèi)發(fā)展迅速。嬰兒期部分睡眠參數(shù)與性別有關(guān)。
[Abstract]:Objective to investigate the development of sleep pattern in the first year after birth. Methods Non-invasive sleep monitor (Actiwatch) was used to monitor the night sleep of 50 healthy full-term newborns born in Chongqing Maternal and Child Health Care Hospital. Parameters. The monitoring time is 28 days after 10 days, And on the first Tuesday of 12 months of age, a two-level mixed effect model was used to carry out statistical analysis. Results 22 boys and 25 girls completed a longitudinal follow-up for one year, from the 10th day to the 12th month after birth, The nocturnal sleep latency decreased by 833 at the age of 48 and 6 months, the sleep efficiency increased from 66% to 87 minutes, the total sleep time increased from 416 min to 517 mins, and the maximum continuous sleep time increased from 197 min to 327 min. The total sleep time at night and the longest continuous sleep time at night showed an increasing trend with age. The ratios of 3 months old to 12 months old were 86% and 72%, respectively, and the ratios of 6 months old to 12 months old were 97% and 94%, respectively. The longest continuous awakening time and the total awakening time showed a decreasing trend with age, and the first half year of life decreased at a rate of 5 ~ 6 times than that of the latter half of life, and the night sleep time of boys was 5 ~ 6 times of that of the latter half of life. Conclusion in the first half year after birth, especially in 3 months after birth, the sleep pattern of infants develops rapidly. Some sleep parameters in infancy are related to sex.
【作者單位】： 重慶市婦幼保健院兒童保健科;
【基金】：中國(guó)疾病預(yù)防控制中心婦幼保健中心立項(xiàng)基金(2010-FU-001)
【分類(lèi)號(hào)】：R740

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