_disorders in children and adolescents aacap 睡眠障碍的儿童和青少年 课件

《_disorders in children and adolescents aacap 睡眠障碍的儿童和青少年 课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、SleepDisordersinChildrenandAdolescentsDeeptiShenoiMDObjectivesTogainanunderstandingofnormalbasicsleepphysiologyandpathologyinchildrenandadolescentsTolearndevelopmentallyappropriatebehavioraltechniquesforimprovingsleepToobtainanunderstandingofoptionsinpharmacotherapyforpediatricinsomn

2、iaIwouldalsolikeyoutothinkofiatrogeniccausesforsleepdifficulties.Orhowwecanmakethingsworse.StagesofSleepGeneralSleepStagesTypicalsleepneedforchildrenandadolescentsbydevelopmentalstageAgegroupYearsTotalsleepneedInfants3to12months14to15hoursToddlers1to3years12to14hoursPreschoolers3to5y

3、ears11to13hoursSchool-aged6to12years10to11hoursAdolescents12to18years8.5to9.5hoursMeltzerLJ.SleepandSleepDisordersinChildrenandAdolescents.PsychiatrClinNorthAm2006;29(4):1059-76SleepTimeDuringDevelopmentThiedke,CC.SleepDisordersandSleepProblemsinChildren.AmFamPhysician2001;63:277-84N

4、ewborns(0-3months)Sleep10-18hoursperdayManyshortsleepperiods,withnodifferentiationbetweendayandnight.MeltzerLJ.SleepandSleepDisordersinChildrenandAdolescents.PsychiatrClinNorthAm2006;29(4):1059-76Tipsfornewbornsandinfants(upto6mo)Nighttimeawakeningsforchangingandfeedingshouldbequick

5、andquietPlacebabyinthecribbeforefallingasleep(whendrowsy)AvoidfeedingthebabytosleepSimplebedtimeroutine—soothingactivitiesinthesameordereverynightGOAL:BabiestofallasleepbythemselvesandlearntosoothethemselvesandgobacktosleepiftheywakeupinthemiddleofthenightMindellJA,MeltzerLJ.Behaviou

6、ralSleepDisordersinChildrenandAdolescents.AnnalsAcadofMedicine.2008;37:722-28.Toddlers(12mo-3yrs)andPreschoolers(3-5yrs)MaintainadailysleepschedulewithregularnaptimesandbedtimeEstablishaconsistentbedtimeroutine.Bedroomshouldbequiet,comfortable,anddarkHavethechildfallasleepindependen

7、tly.Setlimitsthatareconsistentandenforced.Encourageuseofasecurityobject,suchasablanketorstuffedanimal.MindellJA,MeltzerLJ.BehaviouralSleepDisordersinChildrenandAdolescents.AnnalsAcadofMedicine.2008;37:722-28.School-AgedChildren(6-12yrs)Samebedtimeandwake-uponweekdaysandweekendsA20-to

8、30-minutebed