目的 探讨自闭症患儿睡眠相关问题.方法 采用儿童睡眠习惯问卷(the Children's Sleep Habits Question-aire,CSHQ)调查2.5～5岁自闭症患儿32例和幼儿园就读的健康儿童37例.结果 2.5～3岁自闭症患儿睡眠总量为(10.91±1.03)h,显著低于同年龄段正常儿童睡眠总量(11.83±0.27)h(P<0.05);3～5岁自闭症患儿睡眠总量为(9.71±0.27)h,显著低于同年龄段正常儿童睡眠总量(10.39±1.55)h(P<0.05).儿童睡眠习惯问卷中,2.5～3岁自闭症患儿总分为(48.00±1.79),正常儿童总分为(47.05±6.15),二者差异无统计学意义(P>0.05);3～5岁自闭症患儿总分为(47.86 ±3.34),正常儿奄总分为(45.31±6.56),二者差异无统计学意义(P>0.05).8项睡眠因子评分比较,2.5～3岁自闭症组与正常组在睡眠持续情况、夜醒、白天嗜睡3项中有统计学差异(P<0.05);3～5岁自闭症组与正常组在睡眠潜伏期、睡眠持续情况、夜醒、白天嗜睡4项中有统计学差异(P<0.05).结论 与同龄正常儿童相比,2.5～3岁及3～5岁自闭症患儿的睡眠总量均减少,并在睡眠持续情况、夜醒、白天嗜睡等多项睡眠问题上较正常儿童突出.
Objective To investigate the sleep-related problems of autistic children. Methods Thirty two autistic patients who received medical treatment in the Department of Pediatrics of Xinqiao Hospital and 37 matched healthy children who attend in kindergarten of Xin-qiao hospital were investigated by the Children' s Sleep Habits Questionaire (CSHQ), all of whose age ranged from 2.5 to 5 years old. Results The amount of sleep of autistic children was less than that of normal children (P < 0.05). In the CSHQ, there was no signifi-cant difference of the total score between autistic children and normal children (P > 0.05). There were signifi-cant differences of the subscale scores, such as sleep duration, night waking and daytime sleepiness between autistic children and normal children aged from 2.5 to 3 (P < 0.05). Significant differences were found in the subscale scores of sleep latency, sleep duration, night waking and daytime sleepiness of autistic children aged from 3 to 5 compared with normal children at the same age (P < 0.05). Conclusion Compared with normal children at the same age, autistic children aged from 2.5 to 5 have less amount of sleep and more serious prob-lems in sleep duration, night waking and daytime sleepiness.