Objective To analyze the subjective sleep status and influencing factors in children with self-limited epilepsy with centrotemporal spikes(SeLECTS).Methods A total of 67 children with SeLECTS admitted to the First Affiliated Hospital of Xinxiang Medical University from January 2022 to January 2023 were selected as the research subjects in the case group.A total of 151 healthy children who came to our hospital for health examinations during the same period were selected in the control group.The sleep quality of children in the two groups was evaluated using the Children's Sleep Habits Questionnaire(CSHQ),and the incidence of poor sleep quality was compared between the two groups.According to the total score of CSHQ,the children in the case group were divided into the good sleep quality group and the poor sleep quality group.The gender,age,whether it was the first episode,whether medication treatment was received,frequency of episodes,and non-rapid eye movement(NREM)discharge index of children in the two groups were compared.The influencing factors of poor sleep quality in children with SeLECTS were analyzed using multivariate logistic regression.Results The total score of CSHQ of children in the case group was significantly higher than that in the control group(P＜0.05).The scores of poor sleeping habits,sleep anxiety,and abnormal sleep in the case group were significantly higher than those in the control group(P＜0.05),while there was no statistically significant difference in the scores of irregular sleep duration,sleep breathing disorders,daytime drowsiness,nocturnal awakening,and long sleep latency between the two groups(P＞0.05).The proportions of children with poor sleep quality in the control group and the case group were 53.0％(80/151)and 80.6％(54/67),respectively.The proportion of children with poor sleep quality in the case group was significantly higher than that in the control group(x2=14.944,P＜0.05).There was a statistically significant difference in age and discharge index of children between the good sleep quality group and the poor sleep quality group(P＜0.05),while there was no statistically significant difference in gender,whether antiepileptic drugs were taken,whether it was the first episode,and seizure frequency between the good sleep quality group and the poor sleep quality group(P＞0.05).The results of multivariate logistic regression analysis showed that an increase in the NREM discharge index was a risk factor for poor sleep quality in children with SeLECTS(odds ratio=25.297,95％confidence interval:4.583-139.634,P＜0.05).Conclusion Children with SeLECTS are more prone to sleep problems than their peers,mainly manifested in sleep anxiety,poor sleeping habits,and abnormal sleep.The increase in the NREM discharge index is a risk factor for poor sleep quality in children with SeLECTS,and children with a higher NREM discharge index are more likely to suffer poor sleep quality.
self-limited epilepsy with centrotemporal spikessleep statuschildren's sleep habits questionnaire
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