腺样体肥大和夜间遗尿与睡眠障碍有关

IF 0.2 Q4 OTORHINOLARYNGOLOGY ENT Updates Pub Date : 2020-08-25 DOI:10.32448/entupdates.729178
Ayla Uzun Çiçek, Adem Bora, E. Altuntaş
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引用次数: 1

摘要

目的:腺样体肥大和夜间遗尿这两种在儿童中相当普遍的合并症都与睡眠问题有关。然而,有限的研究专门集中在睡眠领域及其参数上。因此,在本研究中,我们旨在研究腺样体肥大和夜间遗尿对睡眠的影响,无论是在这两种疾病共存还是不共存的情况下。方法:我们调查了178名儿童(平均年龄:7.24±1.02岁,范围=6-9岁),其中50名(28.1%)仅有腺样体肥大,39名(21.9%)仅有夜间遗尿,35名(19.7%)同时存在腺样体肥厚和夜间遗尿的儿童,54名(30.3%)为健康对照儿童。精神疾病通过半结构化诊断访谈进行诊断,腺样体肥大的诊断通过柔性纤维鼻咽喉镜进行确认。通过儿童睡眠习惯问卷和改良的Epworth睡眠量表评估睡眠习惯和障碍。结果:我们的研究结果表明,就腺样体肥大和遗尿而言,合并症是最严重的形式。关于睡眠困难,“睡眠呼吸紊乱”、“夜间醒来”、“睡眠发作延迟”和“睡眠持续时间”参数与腺样体肥大及其严重程度密切相关,而睡眠的“睡前抵抗力”、“嗜睡”和“睡觉焦虑”与夜间遗尿密切相关。结论:耳鼻喉科医生、儿童精神科医生和儿科医生应该意识到遗尿和腺样体肥大之间的关系,这两种疾病都与睡眠模式受损有关,受这两种障碍合并症影响的儿童会经历更多的睡眠障碍。
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Adenoid hypertrophy and nocturnal enuresis are associated with sleep disturbances
Objective: Adenoid hypertrophy and nocturnal enuresis, comorbidities that are quite prevalent among children, are both associated with sleep problems. However, limited research has specifically focused on sleep domains and their parameters. In the present study we thus aimed to investigate the impact of adenoid hypertrophy and nocturnal enuresis on sleep, both when the two disorders coexist and when they do not coexist. Methods: We investigated 178 children (mean age: 7.24±1.02 years, range=6-9 years), 50 (28.1%) of whom had only adenoid hypertrophy, 39 (21.9%) of whom had only nocturnal enuresis, 35 (19.7%) of whom had coexistence of adenoid hypertrophy and nocturnal enuresis, and 54 (30.3%) of whom were healthy-control children. Psychiatric disorders were diagnosed by a semi-structured diagnosis interview and the diagnosis of adenoid hypertrophy was confirmed by flexible fiberoptic nasopharyngoscopy. Sleep habits and disturbances were assessed via the Children’s Sleep Habits Questionnaire and Modified Epworth Sleepiness Scale. Results: Our results showed that the comorbid condition was the most severe form in terms of both adenoid hypertrophy and enuresis. Regarding sleep difficulties, the "Sleep-Disordered Breathing", "Night Wakings", "Sleep Onset Delay" and "Sleep Duration" parameters were closely associated with adenoid hypertrophy and its severity, while "Bedtime Resistance", "Parasomnias" and "Sleep Anxiety" domains of sleep were strongly related to nocturnal enuresis. Conclusion: Otorhinolaryngologists, child psychiatrists and pediatricians should be aware of the relationship between enuresis and adenoid hypertrophy, that both diseases are associated with impaired sleep patterns, and that children affected by the comorbidity of the two disorders experience more sleep disturbances.
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ENT Updates
ENT Updates OTORHINOLARYNGOLOGY-
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