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[与婴儿猝死综合征相关的睡眠习惯:一项基于人群的研究]

[Sleeping habits related to sudden infant death syndrome: a population-based study].

作者信息

Geib Lorena Teresinha Consalter, Nunes Magda Lahorgue

机构信息

Universidade de Passo Fundo, Rua Tiradentes 400, Apto. 601, Passo Fundo, RS 99010-260, Brazil.

出版信息

Cad Saude Publica. 2006 Feb;22(2):415-23. doi: 10.1590/s0102-311x2006000200019. Epub 2006 Feb 20.

DOI:10.1590/s0102-311x2006000200019
PMID:16501754
Abstract

This cross-sectional study on sleeping habits with potential risk for sudden infant death syndrome included all live births in Passo Fundo, Rio Grande do Sul, Brazil, in 2003 with data collection from Certificates of Live Birth and interviews, analyzed with descriptive statistics and the chi-squared test. From the 2,634 live births, 2,285 children were selected (86.75%), with 8.4% exclusion and 5.2% losses. Protective habits included 77% of infants with appropriate clothing, 90% loosely wrapped, 69% with thin blankets, 98% sleeping in the parents' bedroom, and 56% in the crib. Potentially risky habits included lateral decubitus (92%), use of a pillow (88%), and feet far from the lower edge of the crib (96%). Among low-income families, bed-sharing with other children was significant (p = 0.00). Thus, in a county with a low prevalence of sudden infant death syndrome, infants are exposed to both protective and risk factors, suggesting that in underprivileged populations in developing countries, other risk factors for this syndrome should be considered.

摘要

这项关于婴儿猝死综合征潜在风险睡眠习惯的横断面研究纳入了2003年巴西南里奥格兰德州帕索丰杜市的所有活产儿,通过出生证明数据收集和访谈进行分析,并采用描述性统计和卡方检验。在2634例活产儿中,选取了2285名儿童(86.75%),排除率为8.4%,失访率为5.2%。保护性习惯包括77%的婴儿穿着合适衣物、90%包裹宽松、69%使用薄毯子、98%睡在父母卧室以及56%睡在婴儿床。潜在风险习惯包括侧卧(92%)、使用枕头(88%)以及脚远离婴儿床下缘(96%)。在低收入家庭中,与其他儿童同床共眠的情况较为显著(p = 0.00)。因此,在一个婴儿猝死综合征患病率较低的县,婴儿既面临保护性因素,也面临风险因素,这表明在发展中国家的贫困人群中,应考虑该综合征的其他风险因素。

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