儿子凌晨2点在冰箱前机械进食，妈妈紧张带去就医

近日，浙江萧山医院精神科徐婷婷副主任医师接诊了一个关于儿童梦游的特殊案例。

A psychiatrist in Zhejiang has reassured parents after treating a 6-year-old boy who repeatedly got up at night to raid the fridge — a case she identified as typical sleepwalking, not anything supernatural.

徐婷婷说，她曾接诊过一个6岁男孩。妈妈带他进来时，整个人是绷着的，坐下第一句话就是：“医生，我儿子是不是中邪了？”

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事情从半个月前的凌晨两点开始说起。那天她听见客厅传来椅子翻倒的闷响，出去一看，儿子站在冰箱前翻东西，拿了就往嘴里塞。她轻轻叫他，没反应。走近看，孩子眼神空洞，动作机械，像被什么控制着。第二天问他，什么都不记得。之后连续好几晚，冰箱里的东西都会少。她也试过拉住孩子，孩子顾自往前走；试过大声喊，孩子完全听不见。

Xu Tingting, deputy chief physician of the psychiatry department at Zhejiang Xiaoshan Hospital, said the boy's mother found him standing in front of the fridge at around 2 am, rummaging for food with a blank stare and mechanical movements, and unresponsive when called. The next day, he had no memory of it. Over several nights, food in the fridge kept disappearing, and attempts to hold him back or shout at him failed.

“他是不是着魔了？”这个妈妈很紧张地问。徐婷婷说不是，这是典型的梦游。多发生在入睡后的前半夜，凌晨1点到2点之间。孩子意识不清醒，但能完成一些刻板动作——打开冰箱、翻找东西，甚至走出家门。6到10岁是梦游的高发期，男孩略多于女孩。原因是儿童神经系统发育不完善，大脑在睡眠中本该“休眠”的区域没有完全抑制，身体便动了起来。

Xu explained that sleepwalkers are not fully conscious but can perform routine actions such as opening the fridge, searching for items or even leaving the house. This happens when parts of the brain that should be resting during sleep are not fully suppressed. Sleepwalking mostly occurs in the first half of the night and is most common between ages 6 and 10, slightly more often in boys, and is mainly linked to immature nervous system development.

碰到孩子梦游，家长最常问两个问题：一是“要不要叫醒他”，二是“会不会伤脑子”。

关于第一个问题，不要强行叫醒。强行唤醒可能让孩子惊恐、混乱，甚至出现攻击行为。正确的做法是轻声引导他回床，或者默默守在旁边，等他自行结束。如果孩子每晚凌晨两点准时去冰箱，可以在一点半左右轻轻叫醒他，再让他重新入睡，目的是打断那个刻板的行为模式，但别让他知道被叫醒的原因。

Xu said parents should not forcibly wake a sleepwalking child, as this can cause fear, confusion or even aggression. Instead, gently guide the child back to bed or stay nearby until the episode ends.

If the child acts out at the same time every night, parents can gently wake them about half an hour beforehand and let them fall back asleep to interrupt the pattern, without explaining why.

至于第二个问题，大多数孩子的梦游会自然好转。随着年龄增长，神经系统逐渐成熟，孩子梦游的概率变小，青春期后一般会消失，需要治疗的屈指可数。那个6岁男孩，后来在家长调整作息、减少压力、夜间适当干预后（提前在患者梦游时间前将其唤醒，破坏梦游节律），梦游次数明显减少了。

Most cases improve naturally as children grow and the nervous system matures, generally disappearing by adolescence; very few require treatment.

但“会自愈”不等于“不用管”。梦游中的孩子没有危险意识，他们可能走向阳台、爬上窗户、打开家门。

家里有梦游的孩子，这几件事必须做到：把椅子放翻，把锋利物体收好，门窗锁好，尤其是住高层的家庭，阳台和窗户必须做好防护。同时保证孩子的休息，不要让他紧绷。压力大、过度疲劳、睡眠不足、情绪紧张，都可能诱发或加重梦游。

Sleepwalking children lack awareness of danger and may walk onto balconies, climb onto windows or open the front door. Families should keep sharp objects out of reach and lock doors and windows, with extra safeguards on balconies and windows in high-rise homes. Children should also get enough rest, and parents should avoid triggers such as stress, fatigue, sleep deprivation and emotional tension.

梦游的孩子需要的是理解与守护，不是责备或恐慌。梦游大多会自己消失，但守护不能缺席。当然，如果梦游次数频繁，甚至逐渐加重，还是建议寻求专业医务人员的帮助。

来源：橙柿互动·都市快报