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婴儿猝死综合征(SIDS):法国朗格多克-鲁西永地区SIDS发生率下降后死亡病例的特征

Sudden infant death syndrome (SIDS): characteristics of deaths since the fall in SIDS in the French region of Languedoc-Roussillon.

作者信息

Rouleau C, Bongrand A F, Pidoux O, Roustan E, Martrille L, Picaud J-C, Costes-Martineau V, Cambonie G

机构信息

Department of Pathology, Lapeyronie Hospital, 34295 Montpellier, France.

出版信息

Arch Dis Child. 2009 Nov;94(11):894-6. doi: 10.1136/adc.2009.161901. Epub 2009 Aug 6.

Abstract

The characteristics of sudden infant death syndrome (SIDS) in the French region of Languedoc-Roussillon from 2003-2008 were examined in a retrospective study of two groups classified as unexplained sudden unexpected death in infancy (SUDI) (SIDS, n = 27) or explained SUDI (n = 22). The interval between the time the baby was last observed alive (time of last feed) and the discovery of death was evaluated. In SIDS, 67% (18/27) of deaths were discovered during the day (09:00-21:00 h) mostly within 4 h after feeding (66%). In explained SUDI, 68.2% of deaths were discovered at night and time intervals between the last feed and discovery of death were longer (mean 7.1 h, p<0.01). Most SIDS deaths were discovered during the day and explained SUDI discovered at night. Variations in time between the last feed and discovery of death in the two groups may result from differences in parental attentiveness during the day and at night.

摘要

在一项回顾性研究中,对2003年至2008年法国朗格多克-鲁西永地区的两组婴儿进行了检查,这两组婴儿被归类为不明原因的婴儿猝死(SUDI)(其中婴儿猝死综合征[SIDS]组,n = 27)或已解释原因的SUDI(n = 22)。评估了婴儿最后一次被观察到存活的时间(最后一次喂食时间)与死亡发现时间之间的间隔。在SIDS组中,67%(18/27)的死亡是在白天(09:00 - 21:00)发现的,大多数发生在喂食后4小时内(66%)。在已解释原因的SUDI组中,68.2%的死亡是在夜间发现的,最后一次喂食到死亡发现之间的时间间隔更长(平均7.1小时,p<0.01)。大多数SIDS死亡是在白天发现的,而已解释原因的SUDI死亡是在夜间发现的。两组中最后一次喂食到死亡发现之间时间的差异可能是由于白天和夜间父母关注度的不同所致。

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