The sleep structure of healthy children and of children with cerebral palsy
10.3760/cma.j.issn.0254-1424.2022.02.010
- VernacularTitle:多导睡眠监测脑瘫儿童与健康儿童睡眠结构的对比分析
- Author:
Jun WANG
1
;
Bibo LIU
;
Qianyu GUO
;
Wenjing XU
;
Junhui WANG
;
Dengna ZHU
;
Huachun XIONG
;
Junying YUAN
Author Information
1. 郑州大学第三附属医院、河南省儿科疾病临床医学研究中心，郑州 450052
- Keywords:
Cerebral palsy;
Children;
Polysomnography;
Sleep structure
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2022;44(2):143-147
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the differences in sleep structure between healthy children and children with cerebral palsy (CP) using polysomnography (PSG).Methods:Fifty-six children aged 1-15 hospitalized for cerebral palsy formed the experimental group, while 30 healthy children served as controls. Both groups were given 24-hour PSG, and their sleep structures were compared and analyzed.Results:The incidence of sleep disorders in the children with cerebral palsy (55.4%) was significantly higher than among the healthy children (20.0%). The average sleep latency was significantly higher than among the healthy children, while the duration and the percentage of the rapid eye movement (REM) stage were significantly lower than among the healthy children. Total sleep time [(458.47±95.62)min], sleep efficiency [(74.26±13.63)%], duration of REM [(68.90±42.70)min] and REM percentage [(13.87±7.12)%] were all significantly lower for the children with severe cerebral palsy than for those with mild or moderate disorder. Their time to wake up after falling asleep was significantly longer. Moreover, the duration of REM and the REM percentage of children with dyskinetic cerebral palsy were significantly lower than for those with spastic cerebral palsy.Conclusions:The incidence of sleep disorders among children with cerebral palsy is higher than among healthy children. They have more difficulty in falling asleep and have a shorter REM stage. Children with severe cerebral palsy and involuntary cerebral palsy have more sleep problems.
