Research progress on attention deficit hyperactivity disorder in children with habitual snoring_West China Medical Journal

Authors：

ZHU Dajian ,  ZHOU Guangyao

Department of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu, Scihuan 610041, P. R. China;

Corresponding?author：

ZHOU Guangyao, Email: zhouguangyao66@163.com

Keywords：

habitual snoring; obstructive sleep apnea; children; attention deficit hyperactivity disorder

DOI：

10.7507/1002-0179.202311176

Video：

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Habitual snoring can occur in both children and adults. If it is physiological snoring, it usually does not require special intervention. If it is pathological snoring, such as snoring caused by central diseases and obstructive diseases, it needs to be treated as soon as possible. Habitual snoring has more harm to children, such as causing sleep structure disorders, slow growth and development. During the snoring process, children’s sleep fragmentation and hypoxia state lead to changes in the transmission of neurochemicals in the brain’s precortex, causing adverse effects on brain function and inducing attention deficit hyperactivity disorder. This article reviews relevant research in recent years to further elucidate the relationship between children’s habitual snoring and attention deficit hyperactivity disorder, and provide a basis for future clinical research and intervention.

Citation： ZHU Dajian, ZHOU Guangyao. Research progress on attention deficit hyperactivity disorder in children with habitual snoring. West China Medical Journal, 2024, 39(6): 985-988. doi: 10.7507/1002-0179.202311176 Copy

1.	Markkanen S, Rautiainen M, Himanen SL, et al. Snoring toddlers with and without obstructive sleep apnoea differed with regard to snoring time, adenoid size and mouth breathing. Acta Paediatr, 2021, 110(3): 977-984.
2.	成晨, 柳蔭, 紀堯峰. 腺樣體肥大性鼾癥患兒扁桃體及腺樣體切除手術與保守治療的療效比較. 局解手術學雜志, 2021, 30(7): 626-630.
3.	Sun K, Guo Y, Zhang Y, et al. Breastfeeding and risk of habitual snoring in children: a meta-analysis. Matern Child Nutr, 2019, 15(3): e12799.
4.	Dye TJ, Simakajornboon N. Narcolepsy in children: sleep disorders in children, a rapidly evolving field seeking consensus. Pediatr Pulmonol, 2022, 57(8): 1952-1962.
5.	丁峰軍, 陳佳梅. 學齡前兒童睡眠打鼾現狀調查和對生活功能的影響. 中國婦幼保健, 2021, 36(13): 3064-3066.
6.	劉海琴, 尚磊, 陳敬國, 等. 西安市小學生睡眠打鼾現狀及對生活質量的影響. 中國兒童保健雜志, 2019, 27(9): 1030-1033.
7.	李宏彬, 邰雋, 馮國雙, 等. 北京市兒童睡眠質量現況及其相關因素分析. 中華耳鼻咽喉頭頸外科雜志, 2019, 54(6): 416-420.
8.	黃連紅, 張翠梅, 王桂蘭, 等. 中山市 2~6 歲兒童睡眠狀況的調查分析. 中國兒童保健雜志, 2022, 30(6): 685-688.
9.	Katila M, Saarenp??-Heikkil? O, Saha MT, et al. Parental reports showed that snoring in infants at three and eight months associated with snoring parents and smoking mothers. Acta Paediatr, 2019, 108(9): 1686-1694.
10.	張欣, 李曉丹, 馮國雙, 等. 北京市 3~14 歲兒童打鼾情況及其家庭相關因素分析. 中華耳鼻咽喉頭頸外科雜志, 2019, 54(12): 902-906.
11.	Arjona Valladares A, Gómez CM, Rodríguez-Martínez EI, et al. Attention-deficit/hyperactivity disorder in children and adolescents: an event-related potential study of working memory. Eur J Neurosci, 2020, 52(10): 4356-4369.
12.	Nobel E, Hoekstra PJ, Agnes Brunnekreef J, et al. Home-based parent training for school-aged children with attention-deficit/hyperactivity disorder and behavior problems with remaining impairing disruptive behaviors after routine treatment: a randomized controlled trial. Eur Child Adolesc Psychiatry, 2020, 29(3): 395-408.
13.	劉璐璐, 高慧云, 丁寧, 等. 注意缺陷多動障礙兒童和青少年社交能力缺陷與核心癥狀、情緒和行為問題的關系. 中華行為醫學與腦科學雜志, 2022, 31(9): 826-832.
14.	吳云肖, 萬真, 孔凡穎, 等. 睡眠呼吸障礙兒童注意缺陷、多動-沖動的特征分析. 中國全科醫學, 2022, 25(2): 180-184.
15.	李秋嬋, 林睿, 彭瓊. 清遠市清城區 3~6 歲兒童睡眠習慣及其與生長發育的相關性. 海南醫學, 2021, 32(24): 3213-3216.
16.	汪鑫, 劉智俐, 黃尹裴, 等. TGF-β1 對間歇性缺氧誘導海馬神經元自噬的影響. 第三軍醫大學學報, 2021, 43(14): 1312-1318.
17.	Skoulos M, Sedky K, Bennett D. Obstructive sleep apnea severity, symptoms of attention deficit hyperactivity disorder and other comorbid psychiatric disorders in children and adolescents: a retrospective data analysis. Sleep, 2020, 43(Suppl 1): A342-A343.
18.	齊素青, 王宏偉, 劉朝兵, 等. 腺樣體肥大對兒童睡眠質量及生長發育的影響. 臨床與病理雜志, 2022, 42(7): 1669-1674.
19.	Fitzroy AB, Cremone A, Spencer RM. Characterizing the Effects of Sleep Extension on Overnight EEG Dynamics in Children with Attention-Deficit/Hyperactivity Disorder. Sleep, 2018, 41(Suppl 1): A101.
20.	張立偉, 楊業兵, 趙寧, 等. 睡眠剝奪對注意定向網絡功能連接的影響. 空軍醫學雜志, 2019, 35(2): 93-96.
21.	倪霞, 張星, 王勤學. 阻塞性睡眠呼吸暫停綜合征合并注意力缺陷多動障礙兒童 S100β的研究. 中國藥物與臨床, 2017, 17(9): 1349-1351.
22.	王倩, 李鵬飛, 魏春雷. ADHD 患兒血清 S100β、BDNF、sAPP 水平及意義. 湖南師范大學學報(醫學版), 2021, 18(5): 234-237.
23.	吳佳欐, 顧美珍, 陳淑梅, 等. 阻塞性睡眠呼吸暫停低通氣綜合征合并注意缺陷多動障礙患兒臨床特征分析. 中國眼耳鼻喉科雜志, 2017, 17(4): 252-255.
24.	劉然, 史敏, 黃永, 等. 鼻內鏡下扁桃體腺樣體等離子切除術對重度鼾癥所致發育不良的治療效果. 中國內鏡雜志, 2019, 25(4): 32-36.
25.	Bariani RCB, Bigliazzi R, Cappellette Junior M, et al. Effectiveness of functional orthodontic appliances in obstructive sleep apnea treatment in children: literature review. Braz J Otorhinolaryngol, 2022, 88(2): 263-278.
26.	謝珂, 符曉, 龔興宏. 孟魯司特聯合丙酸氟替卡松鼻噴劑治療兒童鼾癥的臨床研究. 中國現代醫學雜志, 2021, 31(18): 79-82.
27.	寧云紅, 王仁忠, 孟偉. 基于“陽化氣, 陰成形”理論探討兒童鼾癥的證治. 中醫藥導報, 2023, 29(1): 177-179,184.
28.	朱佩瀅, 儲莉婷, 馬晨歡, 等. 社交技能教育與促進項目對學齡期注意缺陷多動障礙兒童的干預效果. 中國兒童保健雜志, 2023, 31(9): 951-956.
29.	徐小麗, 陳奕冰, 丁娜桑. 學齡前注意缺陷多動障礙兒童早期行為干預聯合家庭干預的效果觀察. 中國婦幼保健, 2023, 38(16): 3002-3005.
30.	Dreakhshanpour F, Deylamsalehi A, Moghaddas S, et al. Efficacy of aripiprazole and risperidone in treatment of children with attention-deficit/hyperactivity disorder: a double-blind clinical trial study. Bull Pharm Sci Assiut, 2022, 45(1): 281-288.
31.	欽云峰, 凌寅杰, 郎妍. 維生素 D 聯合鹽酸托莫西汀治療兒童注意力缺陷多動障礙的臨床療效和安全性評價. 中國藥師, 2024, 27(2): 287-294.

1. Markkanen S, Rautiainen M, Himanen SL, et al. Snoring toddlers with and without obstructive sleep apnoea differed with regard to snoring time, adenoid size and mouth breathing. Acta Paediatr, 2021, 110(3): 977-984.
2. 成晨, 柳蔭, 紀堯峰. 腺樣體肥大性鼾癥患兒扁桃體及腺樣體切除手術與保守治療的療效比較. 局解手術學雜志, 2021, 30(7): 626-630.
3. Sun K, Guo Y, Zhang Y, et al. Breastfeeding and risk of habitual snoring in children: a meta-analysis. Matern Child Nutr, 2019, 15(3): e12799.
4. Dye TJ, Simakajornboon N. Narcolepsy in children: sleep disorders in children, a rapidly evolving field seeking consensus. Pediatr Pulmonol, 2022, 57(8): 1952-1962.
5. 丁峰軍, 陳佳梅. 學齡前兒童睡眠打鼾現狀調查和對生活功能的影響. 中國婦幼保健, 2021, 36(13): 3064-3066.
6. 劉海琴, 尚磊, 陳敬國, 等. 西安市小學生睡眠打鼾現狀及對生活質量的影響. 中國兒童保健雜志, 2019, 27(9): 1030-1033.
7. 李宏彬, 邰雋, 馮國雙, 等. 北京市兒童睡眠質量現況及其相關因素分析. 中華耳鼻咽喉頭頸外科雜志, 2019, 54(6): 416-420.
8. 黃連紅, 張翠梅, 王桂蘭, 等. 中山市 2~6 歲兒童睡眠狀況的調查分析. 中國兒童保健雜志, 2022, 30(6): 685-688.
9. Katila M, Saarenp??-Heikkil? O, Saha MT, et al. Parental reports showed that snoring in infants at three and eight months associated with snoring parents and smoking mothers. Acta Paediatr, 2019, 108(9): 1686-1694.
10. 張欣, 李曉丹, 馮國雙, 等. 北京市 3~14 歲兒童打鼾情況及其家庭相關因素分析. 中華耳鼻咽喉頭頸外科雜志, 2019, 54(12): 902-906.
11. Arjona Valladares A, Gómez CM, Rodríguez-Martínez EI, et al. Attention-deficit/hyperactivity disorder in children and adolescents: an event-related potential study of working memory. Eur J Neurosci, 2020, 52(10): 4356-4369.
12. Nobel E, Hoekstra PJ, Agnes Brunnekreef J, et al. Home-based parent training for school-aged children with attention-deficit/hyperactivity disorder and behavior problems with remaining impairing disruptive behaviors after routine treatment: a randomized controlled trial. Eur Child Adolesc Psychiatry, 2020, 29(3): 395-408.
13. 劉璐璐, 高慧云, 丁寧, 等. 注意缺陷多動障礙兒童和青少年社交能力缺陷與核心癥狀、情緒和行為問題的關系. 中華行為醫學與腦科學雜志, 2022, 31(9): 826-832.
14. 吳云肖, 萬真, 孔凡穎, 等. 睡眠呼吸障礙兒童注意缺陷、多動-沖動的特征分析. 中國全科醫學, 2022, 25(2): 180-184.
15. 李秋嬋, 林睿, 彭瓊. 清遠市清城區 3~6 歲兒童睡眠習慣及其與生長發育的相關性. 海南醫學, 2021, 32(24): 3213-3216.
16. 汪鑫, 劉智俐, 黃尹裴, 等. TGF-β1 對間歇性缺氧誘導海馬神經元自噬的影響. 第三軍醫大學學報, 2021, 43(14): 1312-1318.
17. Skoulos M, Sedky K, Bennett D. Obstructive sleep apnea severity, symptoms of attention deficit hyperactivity disorder and other comorbid psychiatric disorders in children and adolescents: a retrospective data analysis. Sleep, 2020, 43(Suppl 1): A342-A343.
18. 齊素青, 王宏偉, 劉朝兵, 等. 腺樣體肥大對兒童睡眠質量及生長發育的影響. 臨床與病理雜志, 2022, 42(7): 1669-1674.
19. Fitzroy AB, Cremone A, Spencer RM. Characterizing the Effects of Sleep Extension on Overnight EEG Dynamics in Children with Attention-Deficit/Hyperactivity Disorder. Sleep, 2018, 41(Suppl 1): A101.
20. 張立偉, 楊業兵, 趙寧, 等. 睡眠剝奪對注意定向網絡功能連接的影響. 空軍醫學雜志, 2019, 35(2): 93-96.
21. 倪霞, 張星, 王勤學. 阻塞性睡眠呼吸暫停綜合征合并注意力缺陷多動障礙兒童 S100β的研究. 中國藥物與臨床, 2017, 17(9): 1349-1351.
22. 王倩, 李鵬飛, 魏春雷. ADHD 患兒血清 S100β、BDNF、sAPP 水平及意義. 湖南師范大學學報(醫學版), 2021, 18(5): 234-237.
23. 吳佳欐, 顧美珍, 陳淑梅, 等. 阻塞性睡眠呼吸暫停低通氣綜合征合并注意缺陷多動障礙患兒臨床特征分析. 中國眼耳鼻喉科雜志, 2017, 17(4): 252-255.
24. 劉然, 史敏, 黃永, 等. 鼻內鏡下扁桃體腺樣體等離子切除術對重度鼾癥所致發育不良的治療效果. 中國內鏡雜志, 2019, 25(4): 32-36.
25. Bariani RCB, Bigliazzi R, Cappellette Junior M, et al. Effectiveness of functional orthodontic appliances in obstructive sleep apnea treatment in children: literature review. Braz J Otorhinolaryngol, 2022, 88(2): 263-278.
26. 謝珂, 符曉, 龔興宏. 孟魯司特聯合丙酸氟替卡松鼻噴劑治療兒童鼾癥的臨床研究. 中國現代醫學雜志, 2021, 31(18): 79-82.
27. 寧云紅, 王仁忠, 孟偉. 基于“陽化氣, 陰成形”理論探討兒童鼾癥的證治. 中醫藥導報, 2023, 29(1): 177-179,184.
28. 朱佩瀅, 儲莉婷, 馬晨歡, 等. 社交技能教育與促進項目對學齡期注意缺陷多動障礙兒童的干預效果. 中國兒童保健雜志, 2023, 31(9): 951-956.
29. 徐小麗, 陳奕冰, 丁娜桑. 學齡前注意缺陷多動障礙兒童早期行為干預聯合家庭干預的效果觀察. 中國婦幼保健, 2023, 38(16): 3002-3005.
30. Dreakhshanpour F, Deylamsalehi A, Moghaddas S, et al. Efficacy of aripiprazole and risperidone in treatment of children with attention-deficit/hyperactivity disorder: a double-blind clinical trial study. Bull Pharm Sci Assiut, 2022, 45(1): 281-288.
31. 欽云峰, 凌寅杰, 郎妍. 維生素 D 聯合鹽酸托莫西汀治療兒童注意力缺陷多動障礙的臨床療效和安全性評價. 中國藥師, 2024, 27(2): 287-294.

West China Medical Journal

Research progress on attention deficit hyperactivity disorder in children with habitual snoring

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