学龄期哮喘患儿睡眠质量调查及其与注意缺陷多动障碍的关系

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Investigation of Sleep Quality in School-age Children with Asthma and Its Relationshipwith AttentionDeficitHyperactivityDisorder

TANG Yanqi

（DepartmentofPediatrics，HulinPeople's Hospital，Hulin158499，China）

AbstractObjective：Toexploretheriskfactors forsleepqualityinscho-agedchildren withasthmaand to examine itsassociationwithAtentionDeficit HyperactivityDisorder（ADHD）.Methods：Atotalof10Oschol-agedchildrenwithasthma were grouped according totheir sleepqualityscores basedontheChildren's Sleep Habits Questionnaire（CSHQ）.Factors influencing CSHQ scores and the efects of ADHDocurrence on CSHQand sleep status were analyzed.Results：Among the10Ochildren，the incidence of poor sleep quality was 35% ，and the incidence of ADHD was 12% . Severe asthma，partially controlled asthma，frequencyofacuteexacerbations，uncontroledasthma，anduseof electronicdevices beforebedtimewere identifiedasindependent risk factors for poor sleep quality，and the differences were statistically significant（ P<0.05）. .Sleep duration was identified as a protective factor，and the difference was statistically significant（ P<0.05 ）. Children with ADHD had significantly higher total CSHQ scores，longersleeplatency，moreawakenings，andlonger wakedurationafter sleeponset，whiletheirtotalsleptieand slep efficiencywere significantlylower compared with those without ADHD，andthediferences were statisticallysigificant（ P< 0.05）.Conclusion：Sleepqualitishol-agedchidren withasthma，asasssedbyCSHQ，isassociated withporasthacontrol and behavioral factors. Comorbid ADHD further worsens sleep quality.

KeywordsAsthma；Schol-aged children；Sleepquality；AtentionDeficit HyperactivityDisorder；Children's SleeHabits Questionnaire；Risk factors ；Sleep latency

中图分类号：R725.6;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.08.010

哮喘是儿童期常见的慢性呼吸道疾病，哮喘的反复发作及夜间症状常直接干扰患儿正常睡眠节律，导致睡眠结构紊乱。（剩余4605字）