Lope R J Raja, Kong W K, Lee V W M, Tiew W T, Wong S Y
Department of Paediatrics, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia.
Med J Malaysia. 2010 Mar;65(1):45-8.
Several modifiable risk factors for sudden infant death syndrome (SIDS) have been identified such as sleeping prone or on the side, sleeping on a soft surface, bed-sharing, no prenatal care and maternal ante-natal smoking. A cross-sectional survey of infant sleep and care practices was conducted among parents of babies aged below 8 months to determine the prevalence and predictors of non-supine sleep position and the prevalence of other high-risk infant care practices for SIDS. Of 263 infants, 24.7% were placed to sleep in the non-supine position and age of infants was a factor positively associated with this (adjusted odds ratio 1.275, 95% CI=1.085, 1.499). The most common modifiable risk factor was the presence of soft toys or bedding in the infants' bed or cot (89.4%). Results from this study indicate that although the predominant sleep position of Malaysian infants in this population is supine, the majority of infants were exposed to other care practices which have been shown to be associated with SIDS.
已确定了几种与婴儿猝死综合征（SIDS）相关的可改变风险因素，如俯卧或侧卧睡眠、在柔软表面睡眠、同床共眠、未进行产前护理以及母亲产前吸烟。对8个月以下婴儿的父母进行了一项关于婴儿睡眠和护理习惯的横断面调查，以确定非仰卧睡眠姿势的患病率及预测因素，以及其他与婴儿猝死综合征相关的高风险婴儿护理习惯的患病率。在263名婴儿中，24.7%的婴儿被放置为非仰卧姿势睡眠，婴儿年龄是与此呈正相关的一个因素（调整后的优势比为1.275，95%置信区间=1.085，1.499）。最常见的可改变风险因素是婴儿床或小床中存在柔软玩具或床上用品（89.4%）。这项研究的结果表明，尽管该人群中马来西亚婴儿的主要睡眠姿势是仰卧，但大多数婴儿仍面临其他已被证明与婴儿猝死综合征相关的护理习惯。
