대한한방소아과학회지 (The Journal of Pediatrics of Korean Medicine)

  • 제27권3호
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  • Pages.65-73
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  • 2013
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  • 1226-8038(pISSN)
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  • 2287-9463(eISSN)
대한한방소아과학회 (The Association of Korean Oriental Pediatrics)
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한방병원에 내원한 소아청소년기 수면 장애 환자에 대한 임상적 연구

A Clinical Analysis of Sleep Disorders in Korean Children and Adolescence Visiting the Korean Medicine Hospital

  • 이진화 (대전대학교 한의과대학 소아과학교실) ;
  • 한재경 (대전대학교 한의과대학 소아과학교실) ;
  • 김윤희 (대전대학교 한의과대학 소아과학교실)
  • Lee, Jin Hwa (Department of Pediatrics, College of Korean Medicine, Daejeon University) ;
  • Han, Jae Kyung (Department of Pediatrics, College of Korean Medicine, Daejeon University) ;
  • Kim, Yun Hee (Department of Pediatrics, College of Korean Medicine, Daejeon University)
  • 투고 : 2013.07.26
  • 심사 : 2013.08.14
  • 발행 : 2013.08.31
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초록

The subjects were composed of 308 children who visited the department of pediatrics, ${\bigcirc}{\bigcirc}$ korean medicine hospital from January 2010 to May 2013. Results 1. Among 308 patients, there were 188 boys and 120 girls; their ratio was 1.57:1. The age distribution showed that 38.3% were in the age less than 1 years, 38.0% in 1 years, 7.8% in 2 years, 5.2% in 3 years, 3.3% in 4~5 years, 4.5% in 6~10 years, 2.9% in 19~21 years. 2. It was found that 36.7% of the sleep disorder was caused without motivation, 17.2% caused by negligent accidents, 13.9% by traffic accidents, 10.4% by the unfamiliar environment, 8.1% by separation from parents, 7.5% after suffering disease, and 6.2% by irritating sound. 3. The sleep onset insomnia accounts for 17.2% of sleep disorder, sleep maintenance insomnia for 67.5%, poor sleep quality 24.4%, and daytime sleep disorder takes 19.8%. The ratio of sleep onset insomnia in adolescence comprises larger proportion (44.4%) than it of any other age groups. 4. The symptoms complicated with sleep disorder are the respiratory infection which takes 25.3%, being easily startled 18.2%, anorexia 14.6%, soft stools frequency 13.0%, greenish stools 10.7%, and skin rash 10.7%. Conclusions The causes of sleep disorders, changes of sleeping patterns, and complicated diseases show diversity in children and adolescence. Further study of sleep disorders in children and adolescence should be progressed as well.

키워드

참고문헌

  1. Madeleine GD. Normal sleep: impact of age, circadian rhythms, and sleep debt. In: Aaron E. Miler, Christina M. Marra, editors. Continuum lifelong learning in neurology sleep disorders. Philadelphia; PA 19106. 2007;13:31-73. https://doi.org/10.1212/01.CON.0000275605.46668.86
  2. Kirov R, Kinkelbur J, Banaschewski T, Rothenberger A. Sleep patterns in children with attention-deficit/hyperactivity disorder, tic disorder, and comorbidity. J Child Psychol Psychiatr. 2007;48:561-70. https://doi.org/10.1111/j.1469-7610.2007.01729.x
  3. Oh HS, Kim JH. A literature review of night crying in children. J Pediatr Korean Med. 1997;11(1)59-88.
  4. Heo J. Daeyeok Dong-uibogam. Kyungnam: Dong Ui Bo Gam publishing Co. 2006;1850-1.
  5. Chun SH, Chang CM. A Bibliographic Study about Comparison of Eastern-Western Medicine on Sleep Disturbance and Trend Analysis of Korean Nursing Research. J East-West Nursing Rese. 2009;15(1):43-53.
  6. The Compilation Committee of The National Korean Neuropsychiatric Medicine. The Korean Neuropsychiatry. Pajoo: Jipmoondang. 2007:525.
  7. Son KK, Park JH, Shon SM, Kim JS, Lee JH, Cho YW. The Prevalences of Anxiety and Depressive Disorders in Patients of Pediatric Sleep Disorders, J korea child neurology soc. 2009;17(2):201-8.
  8. Chung YS. Allergic Rhinitis and Sleep-disordered breathing. J Asthma and Allergy. 2010;30(4):271-4.
  9. Park KJ. Pathogenesis of Enuresis: Brain, Sleep Dysfunction and Psychological Effects. J Korean Soc Pediatr Nephrol. 2012;16:9-14. https://doi.org/10.3339/jkspn.2012.16.1.9
  10. Lee SG. A study of the children with mental disorders in oriental medicine. J Pediatr Korean Med. 2003;14(2):35-42.
  11. Kim BS, Jung GM. A literature review of causes and pathology of night crying in children. J Pediatr Korean Med. 1987;2(1):71-4.
  12. Lee JY, Lee JW, Kim DG. Analysis of the treatment according to the causes of night crying in children. J Pediatr Korean Med. 1989;3(1):41-5.
  13. Maeng HS. Night crying. J Pediatr Korean Med. 1990;4(1):31-2.
  14. Kim YH, Yoo DY. The Clinical Study of a Children's Night Crying Disease. J Pediatr Korean Med. 1999;13(1):239-252.
  15. Han JH, Kim DG, Lee JY. Survey Reserch on Factor Inducing Nocturnal Crying. J Pediatr Korean Med. 2013;27(1):26-35. https://doi.org/10.7778/jpkm.2013.27.1.026
  16. Sadeh A, Gruber R, Raviv A. Sleep neurobehavioral functioning and behavior problems in school-age children. Child Dev. 2002;73:405-17. https://doi.org/10.1111/1467-8624.00414
  17. Sheldon SH. Introduction to pediatric sleep medicine. In: Sheldon SH, Ferber R, Kryger MH, editors. Principles and practice of pediatric sleep medicine. 1st ed. Philadelphia: Elsevier Saunders Co. 2005:1-12.
  18. Chae KY. Physiology of sleep. Korean J Pediatr. 2007;50:711-7. https://doi.org/10.3345/kjp.2007.50.8.711
  19. Mulvaney SA, Goodwin JL, Morgan WJ, Rosen GR, Quan SF, Kaemingk KL. Behavior problems associated with sleep disordered breathing in school-aged childrenthe tucson children's assessment of sleep apnea study. J Pediatr. Psychol 2006;31:322-30. https://doi.org/10.1093/jpepsy/jsj035
  20. Cha BH. Sleep disorders in childhood. Korean J Pediatr. 2007;50:718-25. https://doi.org/10.3345/kjp.2007.50.8.718
  21. Stein MA, Mendelsohn J, Obermeyer WH, Amromin J, Benca R. Sleep and behavior problems in school-aged children. Pediatrics 2001;107:E60. https://doi.org/10.1542/peds.107.4.e60
  22. Peter JH. The international classification of sleep disorders. 2nd ed. Westchester, Illinos: American academy of sleep medicine. 2005:95-7.
  23. Lavie P, Gertner R, Zomer J, Podoshin L. Breathing disorders in sleep associated with microarousals in patients with allergic rhinitis. Acta Otolaryngol. 1981;92:529-33. https://doi.org/10.3109/00016488109133292
  24. Young T, Finn L, Kim H. Nasal obstruction as a risk factor for sleep disordered breathing. J Allergy Clin Immunol. 1997;99:757-62. https://doi.org/10.1016/S0091-6749(97)80008-5
  25. Kim KB, Kim DG, Kim YH, Kim JH, Lee JY, Chang GT, Chai JW, Han YJ et al. Hanbangsoacheongsonyeonuihak. Seoul: Ui Sung Dang Publishing Co. 2010:339, 411.
  26. Ahn HS, Hongchangui Pediatry 10th edition. Seoul;MiraeN. 2012:12, 31.
  27. Yoon JM, Lee HR, Lee KH. Characteristics of Sleep Disorder in Childhood and Adolescence. J korea child neurology society. 2007;15(2):185-191.
  28. Kim YH, Lee JS, Kim HD, Cho YJ, Kang JH, Kang HC. Clinical evaluation of Sleep Disorder in Childhood and Adolescence. J Korea Child Neurology Society. 2010;18(2):187-96.
  29. Seo HE, Kwon SH, Lee HW, Kim JS. Clinical Analysis of Sleep Disorder in Korean Childhood. J Korea Child Neurol Soc. 2010;18(1):74-82.
  30. Becker DA, Carney PR. Pediatric and adolescent presentations. In: Carney PR, Berry RB, Geyer JD, editors. Clinical sleep disorders. 1st ed. Philadelphia: Lippincott Williams & Wilkins. 2005:136-46.
  31. Wessel MA, Cobb JC, Jackson EB, Harris GS Jr, Detwiler AC. Paroxysmal fussing in infancy, sometimes called colic. J Pediatr. 1954;14:421-35.
  32. Lee SY. Korean Treatment of Pollakiuria. Seoul;Openbooks. 1994;87.
  33. Kim NY, Jeong JH, Lim HK, Seo HJ, Hong SC. Sleep Patterns in Male Children with Attention-Deficit Hyperactivity Disorder by Actigraphy. Korean J Psychopharmacol. 2012;23:107-14.

피인용 문헌

  1. 돌봄 제공자가 인식하는 입원아동의 수면양상 및 수면방해 요인에 대한 융합연구 vol.11, pp.6, 2013, https://doi.org/10.15207/jkcs.2020.11.6.311