文章摘要
陈湘红张利之杨春柳.注意缺陷多动障碍儿童睡眠障碍与铁缺乏关系 的临床研究[J].,2011,11(10):1937-1939
注意缺陷多动障碍儿童睡眠障碍与铁缺乏关系 的临床研究
Sleep Disturbances and Serum Ferritin Levels in Children withAttention-Deficit/Hyperactivity Disorder
  
DOI:
中文关键词: 儿童  注意缺陷多动障碍  睡眠障碍  血清铁蛋白
英文关键词: Children  Sleep disturbance  Attention-deficit/hyperactivity disorder  Serum ferritin
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作者单位
陈湘红张利之杨春柳 湖南省株洲市妇幼保健院 
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中文摘要:
      目的:探讨注意缺陷多动障碍(ADHD)患儿睡眠障碍与血清铁蛋白水平的关系。方法:符合美国精神疾病诊断与统计手册 第4 版(DSM-Ⅳ)中ADHD 诊断标准的62 例6-14 岁ADHD 患儿,由ADHD 患儿的父母填写睡眠障碍量表(SDSC),检测ADHD 患儿的血清铁蛋白水平。结果:与血清铁蛋白水平高于45μg/L 的ADHD 患儿相比较,血清铁蛋白水平低于45μg/L 的ADHD 患儿的SDSC“睡眠醒觉转换障碍”项评分和总分明显高于前者(P<0.05)。2 组间其他项评分比较无显著性差异(P>0.05)。SDSC “睡眠醒觉转换障碍”项评分与血清铁蛋白水平成负相关(P<0.05)。结论:血清铁蛋白水平低于45μg/LADHD 患儿SDSC“睡眠 醒觉转换障碍”(睡眠中的异常运动)的危险性显著增加。
英文摘要:
      Objective: To assess the association between serum ferritin levels and parent reports of sleep disturbances in a sample of children with attention-deficit/hyperactivity disorder (ADHD). Methods: Sixty-two consecutively referred children (6-14 years) with ADHD diagnosed according to DSM-IV criteria. Parents filled out the Sleep Disturbance Scale for Children (SDSC) and serum ferritin levels were determined. Results: Compared to children with serum ferritin levels ≥45μg/L, those with serum ferritin levels <45μg/L had significantly higher scores on the SDSC subscale ''Sleep wake transition disorders'' (P<0.05), as well as significantly higher scores on the total scores of SDSC. The mean scores on the other SDSC subscales did not significantly differ between children with serum ferritin ≥45 and <45μg/L. Serum ferritin levels were inversely correlated to SWTD scores (P<0.05). Conclusions: Serum ferritin levels<45μg/L might indicate a risk for sleep wake transition disorders, including abnormal sleep movements, in children with ADHD.
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