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[一岁以内儿童睡眠的神经生理学研究]

[A neurophysiologic study of sleep in children during the first year of life].

作者信息

Fantalova V L, Sheĭnkman O G, Molodtsova E M

出版信息

Zh Vyssh Nerv Deiat Im I P Pavlova. 1976 Jan-Feb;26(1):140-52.

PMID:1274430
Abstract

Polygraphic investigation of day sleep has been carried out in thirty suckling infants (aged from 25 days to 12 months). EEG, OCG, SGR, respiration ECG, muscular activity, and in some infants, also rheographic parameters (REG and RG of the shin) have shown that already at an early nursing age, states of drowsiness, falling asleep, light and medium depth and deep slow sleep set in, as well as the so-called rapid sleep which occurs only after slow sleep. The denotation of the slow sleep stages is based on the classification by Loomis et al., though their electroenecepholographic expression in the infant is in many ways peculiar and undergoes certain dynamics during the first year of life. Peculiarities of the central area EEG have been exhibited in all the age groups, and it has been assumed that the central parts of the cortex of a suckling infant are a kind of "window" into the subcortical parts. While EEG, displaying new forms of activity at certain stages of sleep undergo distinct age changes, vegetative sleep manifestations display only some age depending quantitative differences. Thus, at the nursing age the mechanisms of electroencephalographic and vegetative sleep manifestations are of different degree of maturity: they possess a considerable autonomy, although they function in concord.

摘要

对30名哺乳婴儿(年龄从25天至12个月)进行了日间睡眠的多导睡眠图研究。脑电图(EEG)、眼动电图(OCG)、颏肌电图(SGR)、呼吸、心电图、肌肉活动,以及部分婴儿的血流图参数(小腿的电阻抗血流图和电阻图)均显示,在早期哺乳阶段,婴儿就已出现嗜睡、入睡、浅睡眠、中深度睡眠和深度慢波睡眠状态,以及仅在慢波睡眠之后出现的所谓快速眼动睡眠。慢波睡眠阶段的划分依据Loomis等人的分类方法,不过其在婴儿中的脑电图表现形式在很多方面独具特点,且在出生后的第一年中会经历一定的动态变化。在所有年龄组中均显示出中央区脑电图的特点,并且据推测,哺乳婴儿皮质的中央部分是通向皮质下部分的一种“窗口”。虽然脑电图在睡眠的某些阶段会呈现出新的活动形式,且会经历明显的年龄变化,但自主神经睡眠表现仅显示出一些与年龄相关的数量差异。因此,在哺乳阶段,脑电图和自主神经睡眠表现的机制成熟程度不同:它们具有相当大的自主性,尽管它们协同发挥作用。

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