关键词: 儿童, 睡眠启动相关问题, 行为干预, 苯海拉明, 苯巴比妥

Abstract: To assess the efficacy of behavioral management,diphenhydramine and phenobarbital for sleep-onset associated disorder in young children and to find out the high risks of sleep-onset associated disorder in young children. MethodsParticipants were 85 children aged 6 to 27 months who were randomly distributed into three treatment groups:behavioral management,diphenhydramine and phenobarbital,and their parents were asked to complete the questionnaire of their children's sleep habit and the children's sleep log during the therapy course. ResultsAll three treatments showed the same effectiveness in the 3 months' follow-up.Of these treatments,behavioral treatment was more likely to be effective in shortening settle time in the longer term,while phenobarbital had more immediate effect on giving up wrong sleep association.The high risk factors related to children's sleep-onset association were instable caregiver,low education of caregiver,high gestation age,C-section,boy and over-crowded house. ConclusionBehavioral treatment with sleep education may be recommended as the first choice for parents of children with sleep-onset associated disorders.

Key words: Diphenhydramine, Phenobarbital , Sleep-onset associated disorder, Behavioral management