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, 柳荫, 纪尧峰. 腺样体肥大性鼾症患儿扁桃体及腺样体切除手术与保守治疗的疗效比较. 局解手术学杂志, 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.	丁峰军, 陈佳梅. 学龄前儿童睡眠打鼾现状调查和对生活功能的影响. 中国妇幼保健, 2021, 36(13): 3064-3066.
6.	刘海琴, 尚磊, 陈敬国, 等. 西安市小学生睡眠打鼾现状及对生活质量的影响. 中国儿童保健杂志, 2019, 27(9): 1030-1033.
7.	李宏彬, 邰隽, 冯国双, 等. 北京市儿童睡眠质量现况及其相关因素分析. 中华耳鼻咽喉头颈外科杂志, 2019, 54(6): 416-420.
8.	黄连红, 张翠梅, 王桂兰, 等. 中山市 2~6 岁儿童睡眠状况的调查分析. 中国儿童保健杂志, 2022, 30(6): 685-688.
9.	Katila M, Saarenpää-Heikkilä 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.	张欣, 李晓丹, 冯国双, 等. 北京市 3~14 岁儿童打鼾情况及其家庭相关因素分析. 中华耳鼻咽喉头颈外科杂志, 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.	刘璐璐, 高慧云, 丁宁, 等. 注意缺陷多动障碍儿童和青少年社交能力缺陷与核心症状、情绪和行为问题的关系. 中华行为医学与脑科学杂志, 2022, 31(9): 826-832.
14.	吴云肖, 万真, 孔凡颖, 等. 睡眠呼吸障碍儿童注意缺陷、多动-冲动的特征分析. 中国全科医学, 2022, 25(2): 180-184.
15.	李秋婵, 林睿, 彭琼. 清远市清城区 3~6 岁儿童睡眠习惯及其与生长发育的相关性. 海南医学, 2021, 32(24): 3213-3216.
16.	汪鑫, 刘智俐, 黄尹裴, 等. TGF-β1 对间歇性缺氧诱导海马神经元自噬的影响. 第三军医大学学报, 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.	齐素青, 王宏伟, 刘朝兵, 等. 腺样体肥大对儿童睡眠质量及生长发育的影响. 临床与病理杂志, 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.	张立伟, 杨业兵, 赵宁, 等. 睡眠剥夺对注意定向网络功能连接的影响. 空军医学杂志, 2019, 35(2): 93-96.
21.	倪霞, 张星, 王勤学. 阻塞性睡眠呼吸暂停综合征合并注意力缺陷多动障碍儿童 S100β的研究. 中国药物与临床, 2017, 17(9): 1349-1351.
22.	王倩, 李鹏飞, 魏春雷. ADHD 患儿血清 S100β、BDNF、sAPP 水平及意义. 湖南师范大学学报(医学版), 2021, 18(5): 234-237.
23.	吴佳欐, 顾美珍, 陈淑梅, 等. 阻塞性睡眠呼吸暂停低通气综合征合并注意缺陷多动障碍患儿临床特征分析. 中国眼耳鼻喉科杂志, 2017, 17(4): 252-255.
24.	刘然, 史敏, 黄永, 等. 鼻内镜下扁桃体腺样体等离子切除术对重度鼾症所致发育不良的治疗效果. 中国内镜杂志, 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.	谢珂, 符晓, 龚兴宏. 孟鲁司特联合丙酸氟替卡松鼻喷剂治疗儿童鼾症的临床研究. 中国现代医学杂志, 2021, 31(18): 79-82.
27.	宁云红, 王仁忠, 孟伟. 基于“阳化气, 阴成形”理论探讨儿童鼾症的证治. 中医药导报, 2023, 29(1): 177-179,184.
28.	朱佩滢, 储莉婷, 马晨欢, 等. 社交技能教育与促进项目对学龄期注意缺陷多动障碍儿童的干预效果. 中国儿童保健杂志, 2023, 31(9): 951-956.
29.	徐小丽, 陈奕冰, 丁娜桑. 学龄前注意缺陷多动障碍儿童早期行为干预联合家庭干预的效果观察. 中国妇幼保健, 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.	钦云峰, 凌寅杰, 郎妍. 维生素 D 联合盐酸托莫西汀治疗儿童注意力缺陷多动障碍的临床疗效和安全性评价. 中国药师, 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, 柳荫, 纪尧峰. 腺样体肥大性鼾症患儿扁桃体及腺样体切除手术与保守治疗的疗效比较. 局解手术学杂志, 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. 丁峰军, 陈佳梅. 学龄前儿童睡眠打鼾现状调查和对生活功能的影响. 中国妇幼保健, 2021, 36(13): 3064-3066.
6. 刘海琴, 尚磊, 陈敬国, 等. 西安市小学生睡眠打鼾现状及对生活质量的影响. 中国儿童保健杂志, 2019, 27(9): 1030-1033.
7. 李宏彬, 邰隽, 冯国双, 等. 北京市儿童睡眠质量现况及其相关因素分析. 中华耳鼻咽喉头颈外科杂志, 2019, 54(6): 416-420.
8. 黄连红, 张翠梅, 王桂兰, 等. 中山市 2~6 岁儿童睡眠状况的调查分析. 中国儿童保健杂志, 2022, 30(6): 685-688.
9. Katila M, Saarenpää-Heikkilä 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. 张欣, 李晓丹, 冯国双, 等. 北京市 3~14 岁儿童打鼾情况及其家庭相关因素分析. 中华耳鼻咽喉头颈外科杂志, 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. 刘璐璐, 高慧云, 丁宁, 等. 注意缺陷多动障碍儿童和青少年社交能力缺陷与核心症状、情绪和行为问题的关系. 中华行为医学与脑科学杂志, 2022, 31(9): 826-832.
14. 吴云肖, 万真, 孔凡颖, 等. 睡眠呼吸障碍儿童注意缺陷、多动-冲动的特征分析. 中国全科医学, 2022, 25(2): 180-184.
15. 李秋婵, 林睿, 彭琼. 清远市清城区 3~6 岁儿童睡眠习惯及其与生长发育的相关性. 海南医学, 2021, 32(24): 3213-3216.
16. 汪鑫, 刘智俐, 黄尹裴, 等. TGF-β1 对间歇性缺氧诱导海马神经元自噬的影响. 第三军医大学学报, 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. 齐素青, 王宏伟, 刘朝兵, 等. 腺样体肥大对儿童睡眠质量及生长发育的影响. 临床与病理杂志, 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. 张立伟, 杨业兵, 赵宁, 等. 睡眠剥夺对注意定向网络功能连接的影响. 空军医学杂志, 2019, 35(2): 93-96.
21. 倪霞, 张星, 王勤学. 阻塞性睡眠呼吸暂停综合征合并注意力缺陷多动障碍儿童 S100β的研究. 中国药物与临床, 2017, 17(9): 1349-1351.
22. 王倩, 李鹏飞, 魏春雷. ADHD 患儿血清 S100β、BDNF、sAPP 水平及意义. 湖南师范大学学报(医学版), 2021, 18(5): 234-237.
23. 吴佳欐, 顾美珍, 陈淑梅, 等. 阻塞性睡眠呼吸暂停低通气综合征合并注意缺陷多动障碍患儿临床特征分析. 中国眼耳鼻喉科杂志, 2017, 17(4): 252-255.
24. 刘然, 史敏, 黄永, 等. 鼻内镜下扁桃体腺样体等离子切除术对重度鼾症所致发育不良的治疗效果. 中国内镜杂志, 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. 谢珂, 符晓, 龚兴宏. 孟鲁司特联合丙酸氟替卡松鼻喷剂治疗儿童鼾症的临床研究. 中国现代医学杂志, 2021, 31(18): 79-82.
27. 宁云红, 王仁忠, 孟伟. 基于“阳化气, 阴成形”理论探讨儿童鼾症的证治. 中医药导报, 2023, 29(1): 177-179,184.
28. 朱佩滢, 储莉婷, 马晨欢, 等. 社交技能教育与促进项目对学龄期注意缺陷多动障碍儿童的干预效果. 中国儿童保健杂志, 2023, 31(9): 951-956.
29. 徐小丽, 陈奕冰, 丁娜桑. 学龄前注意缺陷多动障碍儿童早期行为干预联合家庭干预的效果观察. 中国妇幼保健, 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. 钦云峰, 凌寅杰, 郎妍. 维生素 D 联合盐酸托莫西汀治疗儿童注意力缺陷多动障碍的临床疗效和安全性评价. 中国药师, 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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