Abstract:

The clinical manifestations of neurodevelopmental disorders in children are varied， though co-occurring sleep disorders in the population is very common. The incidence， severity， course， treatment difficulty and recurrence rate are also significantly higher than those of typically developing children. In addition， sleep disorders result in more significant impairment in children with neurodevelopmental disorders in terms of cognition， emotion， behavior and social development， and even negatively affect the family sleep quality and quality of life. However， pediatric clinicians have been lacking knowledge of sleep disorders， as well as the capability of assessment and treatment. Therefore， begin with the etiology and risk factors of sleep disorders in children with neurodevelopmental disorders， the clinical symptoms and the methods of assessment and intervention are introduced to help pediatric clinicians to enhance the diagnosis and treatment of sleep disorders in the children with neurodevelopmental disorders， and improve the children’s daytime function， rehabilitation efficacy and family sleep quality and quality of life through promoting sleep.

Key words: neurodevelopmental disorders, sleep disorders, children, assessment and intervention

摘要：

神经发育障碍儿童的临床表现各异，但同时合并睡眠障碍的比例非常高，且发生率、严重度、病程、治疗难度及复发率各方面均明显高于正常发育儿童。此外，睡眠紊乱对这些神经发育障碍儿童在认知、情绪、社会发展和行为表现等多领域的损害也更为显著，甚至会严重影响家人的睡眠质量和生活质量。但是，一直以来，儿科临床人员对睡眠障碍的认识相对较少，也缺乏睡眠评估和诊治的能力。因此，从神经发育障碍儿童合并睡眠障碍的病因和危险因素分析开始，介绍其相应的临床症状、评估手段以及干预办法，以期帮助儿科临床人员在诊治神经发育障碍儿童过程中，提高其对睡眠症状的评估及干预水平，通过改善睡眠提升此类患儿的白天功能水平、康复治疗效果以及家人的睡眠质量和生活质量。

关键词: 神经发育障碍, 睡眠障碍, 儿童, 评估干预