Sleep disorders in children.

摘要: INTRODUCTION Sleep disorders may affect between 20% and 30% of young children, include problems getting to sleep (dyssomnias), or undesirable phenomena during (parasomnias), such as terrors sleepwalking. Children with physical learning disabilities are at increased risk disorders. METHODS AND OUTCOMES We conducted a systematic review aimed answer the following clinical questions: What effects treatments for dyssomnias in children? parasomnias searched: Medline, Embase, The Cochrane Library, other important databases up September 2009 (Clinical Evidence reviews updated periodically, please check our website most up-to-date version this review). included harms alerts from relevant organisations US Food Drug Administration (FDA) UK Medicines Healthcare products Regulatory Agency (MHRA). RESULTS found 28 reviews, RCTs, observational studies that met inclusion criteria. performed GRADE evaluation quality evidence interventions. CONCLUSIONS In we present information relating effectiveness safety interventions: antihistamines; behavioural therapy plus antihistamines, benzodiazepines, chloral derivatives; benzodiazepines alone; exercise; extinction graduated extinction; 5-hydroxytryptophan; light therapy; melatonin; safety/protective interventions parasomnias; scheduled waking (for parasomnias); hygiene; restriction.