Тема статьи

Авторы

Балаян А.Ю., Саидходжаева С.Н.

Учреждение

Ташкентский педиатрический медицинский институт

Аннотация

Статья посвящена важной проблеме в области педиатрии и неврологии - ком-плексной диагностике нарушений сна у детей. В ней подробно рассматриваются клинические проявления расстройств сна в детском возрасте, включая инсомнию и парасомнию, с акцен-том на синдром обструктивного апноэ сна как фактор риска для соматических и психопато-логических заболеваний. Актуализированы современные подходы к инструментальной диагно-стике, включая полисомнографию, а также обобщены наиболее важные последние научные разработки в области клинической, детской медицины сна. Подчеркивается необходимость применения своевременной международной классификации для постановки диагностики, с учетом нейрофизиологических механизмов их возникновения, а также разнообразия клиниче-ских проявлений, что, в свою очередь, способствует повышению эффективности лечения и улучшению качества жизни детей.

Ключевые слова

Парасомния, инсомния, апноэ во сне, расстройство сна.

Литературы

1. Amy Licis, M.D. Sleep-Wake Disorders in Childhood. Sleep Neurol. 2020, 26, 1034–1069. [Google Scholar]
2. Chokroverty, S. Overview of sleep & sleep disorders. Indian J. Med. Res. 2010, 131, 126–140. [Google Scholar] [PubMed]
3. Trosman, I.; Ivanenko, A. Classification and Epidemiology of Sleep Disorders in Children and Adolescents. Child Adolesc. Psychiatr. Clin. N. Am. 2021, 30, 47–64. [Google Scholar] [CrossRef] [PubMed]
4. Leung, T.N.H.; Wong, K.L.; Chan, A.K.C.; Li, A.M. Common Childhood Sleep Problems and Disorders. Curr. Pediatr. Rev. 2024, 20, 27–42. [Google Scholar] [CrossRef] [PubMed]
5. Mulas, F.; Rojas, M.; Gandía, R. Sleep in neurodevelopmental disorders, attention deficit hyperactivity disorder and autism spectrum disorders [Sueño en los trastornos del neurodesarrollo, deficit de atención e hiperactividad y en espectro autista]. Medicina 2019, 79, 33–36. [Google Scholar] [PubMed]
6. Navarro Vergara, A.; González Rabelino, G. Sleep disorders and their impact on neurodevelopmental development. [Trastornos del sueño y su impacto en el neurodesarrollo]. Medicina 2022, 84, 30–34. [Google Scholar]
7. Ordway, M.R.; Logan, S.E.; Sutton, E.H. Sleep Deficiency in Young Children. Clin. Chest Med. 2022, 43, 229–237. [Google Scholar] [CrossRef]
8. Kronholm E, Puusniekka R, Jokela J, Villberg J, Urrila AS, Paunio T, et al. Trends in self-reported sleep problems, tiredness and related school performance among Finnish adolescents from 1984 to 2011. J Sleep Res. 2015;24:3–10. doi:https://doi.org/10.1111/jsr.12258.
9. Beebe DW. Cognitive, behavioral, and functional consequences of inadequate sleep in children and adolescents. Pediatr Clin North Am. 2011;58:649–65. doi:https://doi.org/10.1016/j.pcl.2011.03.002.
10. Paruthi S, Brooks LJ, D’Ambrosio C, Hall WA, Kotagal S, Lloyd RM, et al. Recommended Amount of Sleep for Pediatric Populations: A Consensus Statement of the American Academy of Sleep Medicine. J Clin Sleep Med. 2016;12:785–6. doi:https://doi.org/10.5664/jcsm.5866.
11. Hansen BH, Alfstad K, van Roy B, Henning O, Lossius MI. Sleep problems in children and adolescents with epilepsy: Associations with psychiatric comorbidity. Epilepsy Behav. 2016;62:14–9. https://doi.org/10.1016/j.yebeh.2016.06.015.
12. Mindell JA, Sadeh A, Kwon R, Goh DYT. Cross-cultural differences in the sleep of preschool children. Sleep Med. 2013;14:1283–9. doi:https://doi.org/10.1016/j.sleep.2013.09.002.
13. Schlarb AA, Gulewitsch MD, Weltzer V, Ellert U, Enck P. Sleep Duration and Sleep Problems in a Representative Sample of German Children and Adolescents.Health.2015;07:1397–408. doi:https://doi.org/10.4236/health.2015.711154
14. Owens JA. Classification and epidemiology of childhood sleep disorders. Prim Care. 2008;35:533 – 46, vii. doi:https://doi.org/10.1016/j.pop.2008.06.003.
15. Van Litsenburg RRL, Waumans RC, van den Berg G, Gemke RJBJ. Sleep habits and sleep disturbances in Dutch children: a population-based study. Eur J Pediatr. 2010;169:1009–15. doi:https://doi.org/10.1007/s00431-010-1169-8.
16. Ophoff D, Slaats MA, Boudewyns A, Glazemakers I, van Hoorenbeeck K, Verhulst SL. Sleep disorders during childhood: A practical review. Eur J Pediatr. 2018;177:641–8. doi:https://doi.org/10.1007/s00431-018-3116-z.
17. Singh GK, Kenney MK. Rising Prevalence and Neighborhood, Social, and Behavioral Determinants of Sleep Problems in US Children and Adolescents, 2003–2012. Sleep Disord. 2013;2013:394320. doi:https://doi.org/10.1155/2013/394320.
18. Pallesen S, Hetland J, Sivertsen B, Samdal O, Torsheim T, Nordhus IH. Time trends in sleep-onset difficulties among Norwegian adolescents: 1983–2005. Scand J Public Health. 2008;36:889–95. doi:https://doi.org/10.1177/1403494808095953.
19. Iglowstein I, Jenni OG, Molinari L, Largo RH. Sleep Duration From Infancy to Adolescence: Reference Values and Generational Trends. Pediatrics. 2003;111:302–7. doi:https://doi.org/10.1542/peds.111.2.302.
20. Liu X, Liu L, Owens JA, Kaplan DL. Sleep patterns and sleep problems among schoolchildren in the United States and China. Pediatrics. 2005;115(1 suppl):241–249.
21. Owens JA, Spirito A, McGuinn M, Nobile C. Sleep habits and sleep disturbance in elementary school-aged children. J Dev Behav Pediatr. 2000;21(1):27–36.
22. Pagel JF, Forister N, Kwiatkowki C. Adolescent sleep disturbance and school performance: the confounding variable of socioeconomics. J Clin Sleep Med. 2007;3(1):19–23.
23. Meltzer LJ, Johnson C, Crosette J, Ramos M, Mindell JA. Prevalence of diagnosed sleep disorders in pediatric primary care practices. Pediatrics. 2010;125(6):e1410–e1418.
24. Carter KA, Hathaway NE, Lettieri CF. Common sleep disorders in children. Am Fam Physician. 2014 Mar 1; 89(5):368-77. PMID: 24695508.
25. Mindell JA, Kuhn B, Lewin DS, et al. Behavioral treatment of bedtime problems and night wakings in infants and young children. Sleep2006; 29: 1263-1276.
26. Schreck KA, Richdale AL. Knowledge of childhood sleep: a possible variable in under or misdiagnosis of childhood sleep problems. J Sleep Res2011; 20:589-597
27. Kripke DF, Garfinkel L, Wingard DL, Klauber MR, Marler MR. Mortality associated with sleep duration and insomnia // Arch Gen Psychiatry. 2002 Feb; 59 (2): 131–136.
28. Abad V.C., Guilleminaut C. Sleep and psychiatry // Dialogues in clinical neuroscience. — 2005. — V. 7, № 4. — P. 291–303.
29. American Sleep Disorders Association. Practice parameters for the indications for polysomnography and related procedures //Sleep. — 2007. — V. 20. — P. 406–422.
30. Waters KA, Suresh S, Nixon GM. Sleep disorders in children. Med J Aust 2013; 199: S31– 5.
31. Riemann D, Nissen C, Palagini L, Otte A, Perlis ML, Spiegelhalder K. The neurobiology, investigation, and treatment of chronic Insomnia. Lancet Neurol, 2015, 14: 547-58.
32. Miyawaki, S. Association between nocturnal bruxism and gastroesophageal reflux /S. Miyawaki [et al.] //Sleep. - 2003. - V. 26(7). - P. 888-892.
33. Phuong NTT, Ngoc VTN, Linh LM, Duc NM, Tra NT, Anh LQ. Bruxism, Related Factors and Oral Health-Related Quality of Life Among Vietnamese Medical Students. Int J Environ Res Public Health. 2020 Oct 12;17(20):7408. doi: 10.3390/ijerph17207408. PMID: 33053710; PMCID: PMC7599561.
34. Hublin, C. Parasomnias: co-occurrence and genetics. / C. Hublin [et al.] // Psychiatr Genet. - 2004. - № 11 (2). - P. 65-70.
35. Leung AKC, Leung AAM, Wong AHC, Hon KL. Sleep Terrors: An Updated Re-view. Curr Pediatr Rev. 2020;16(3):176-182. doi: 10.2174/1573396315666191014152136. PMID: 31612833; PMCID: PMC8193803.
36. Wilson M, Gupta V. Enuresis. [Updat-ed 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560565/
37. Sik U., Ersu R.H., A P. et al. Prevalence of headache and its association with sleep disorders in children // Pediatr Neurol.—2007.—V. 36.—№ 3.— P. 146–151.
38. Walker RA. Nocturnal Enuresis. Prim Care. 2019 Jun;46(2):243-248. [PubMed]
39. Tsuji S, Takewa R, Ohnuma C, Kima-ta T, Yamanouchi S, Kaneko K. Nocturnal enuresis and poor sleep quality. Pediatr Int. 2018 Nov;60(11):1020-1023. [PubMed]
40. Chen PK, Wang SJ. Non-headache symptoms in migraine patients. F1000Res. 2018 Feb 14;7:188. doi: 10.12688/f1000research.12447.1. PMID: 29511532; PMCID: PMC5814742.
41. Rains, Jeanetta & Poceta, John. (2010). Sleep and Headache. Current treatment options in neurology. 12. 1-15. 10.1007/s11940-009-0056-y. Lam P., Hiscock H., Wake M. Out-comes of Infant Sleep Problems: A Longitudinal Study of Sleep, Behavior, and Maternal Weil-Being // Pediatrics. – 2003. – V. 111. – P. 203-207.
42. Drechsler R, Brem S, Brandeis D, Grünblatt E, Berger G, Walitza S. ADHD: Cur-rent Concepts and Treatments in Children and Adolescents. Neuropediatrics. 2020 Oct;51(5):315-335. doi: 10.1055/s-0040-1701658. Epub 2020 Jun 19. PMID: 32559806; PMCID: PMC7508636.
43. Littner M.R., Kushida C., Wise M., Davila D.G., Morgenthaler T., Lee-Chiong T. Practice parameters for clinical use of the multiple sleep latency test and the maintenance of wakefulness test // Sleep. – 2005. – V. 28. – P. 113-121.
44. Darweesh AEM, El Beh KA, Hashem MM, Nagy NE. Shorter rapid eye movement sleep duration in children with attention-deficit /hyperactivity disorder: the impact on quality of life. Sleep Med. 2021 Nov;87:77-84. doi: 10.1016/j.sleep.2021.07.034. Epub 2021 Jul 30. PMID: 34534746.
45. Elisabetta Fasiello, Serena Scarpelli, Maurizio Gorgoni, Valentina Alfonsi, Luigi De Gennaro, Dreaming in Parasomnias: REM Sleep Behavior Disorder as a Model, Journal of Clinical Medicine, 10.3390/jcm11216379, 11, 21, (6379), (2022).
46. Royi Gilad, Rabiya Fahmi, Colin M. Shapiro, Sleep in chronic pain and other pediatric conditions, Encyclopedia of Sleep and Circadian Rhythms, 10.1016/B978-0-12-822963-7.00254-1, (721-730), (2023).
47. Slowik JM, Sankari A, Collen JF. Obstructive Sleep Apnea. [Updated 2024 Mar 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459252/
48. Gouthro K, Slowik JM. Pediatric Obstructive Sleep Apnea. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557610/