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睡眠中婴儿的呼吸和运动事件:它们与胸腹部呼吸关系的相关性。

Respiratory and motor events in sleeping infants: their correlation with thoracico-abdominal respiratory relationships.

作者信息

Curzi-Dascalova L, Plassart E

出版信息

Early Hum Dev. 1978 Apr;2(1):39-50. doi: 10.1016/0378-3782(78)90051-8.

Abstract

28 polygraphic recordings were made in normal infants: 20 in full-term newborns and 8 in 2- to 10-wk-old babies. In full-term newborns sighs and apneas (greater than 5 sec) were significantly more numerous in active (REM) sleep, while startles prevailed in quiet (NREM) sleep. The incidence of all these events diminished with age. Important interindividual differences of their frequency were noted in normal babies. There were not time correlations between the apneas (decreasing from newborns to 2-10 wk of age) and out-of-phase respiration in active sleep (no changing during the same period). Sighs, apneas, startles and limb movements did not modify phase relationships between thoracic and abdominal movements. Where movements were out of phase, only body movements involving the thorax were followed by transient period with in phase respiratory movements. Coincidences between occurrence of sighs, apneas, startles, gross body movements and respiratory amplitude diminution were calculated. There was no constant parallelism between out-of-phase thoracico-abdominal respiration and tonic chin activity inhibition nor respiratory rate irregularity. A hypothesis on neurological mechanism underlining these phenomena is proposed.

摘要

对正常婴儿进行了28次多导睡眠记录:20次记录了足月新生儿,8次记录了2至10周大的婴儿。在足月新生儿中,叹息和呼吸暂停(超过5秒)在活跃(快速眼动)睡眠中明显更多,而惊吓在安静(非快速眼动)睡眠中占主导。所有这些事件的发生率随年龄降低。在正常婴儿中注意到了它们频率的重要个体差异。呼吸暂停(从新生儿到2至10周龄逐渐减少)与活跃睡眠中的不同步呼吸之间没有时间相关性(在同一时期没有变化)。叹息、呼吸暂停、惊吓和肢体运动并未改变胸腹部运动之间的相位关系。当运动不同步时,只有涉及胸部的身体运动之后会有短暂的同步呼吸运动期。计算了叹息、呼吸暂停、惊吓、全身运动和呼吸幅度减小之间的巧合情况。不同步的胸腹部呼吸与紧张性颏部活动抑制或呼吸频率不规则之间没有持续的平行关系。提出了一个关于这些现象背后神经机制的假设。

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