同床睡眠与婴儿猝死综合征风险：我们能否解决争议？

Bed sharing and the risk of sudden infant death syndrome: can we resolve the debate?

机构信息

Institute of Legal Medicine, University of Münster, Münster, Germany.

出版信息

J Pediatr. 2012 Jan;160(1):44-8.e2. doi: 10.1016/j.jpeds.2011.06.052. Epub 2011 Aug 24.

DOI:10.1016/j.jpeds.2011.06.052

PMID:21868032

Abstract

OBJECTIVE

To conduct a meta-analysis on the relationship between bed sharing and sudden infant death syndrome (SIDS) risk.

STUDY DESIGN

Data from PubMed and Medline were searched for studies published after Jan 1, 1970. The search strategy included articles with the terms "sudden infant death syndrome," "sudden unexpected death," and "cot death" with "bed sharing" or "co-sleeping." To further specify the potential risk of bed sharing and SIDS, subgroup analyses were performed.

RESULTS

Eleven studies met inclusion criteria and were included in the final meta-analysis. The combined OR for SIDS in all bed sharing versus non-bed sharing infants was 2.89 (95% CI, 1.99-4.18). The risk was highest for infants of smoking mothers (OR, 6.27; 95% CI, 3.94-9.99), and infants <12 weeks old (OR, 10.37; 95% CI, 4.44-24.21).

CONCLUSIONS

Bed sharing is a risk factor for SIDS and is especially enhanced in smoking parents and in very young infants.

摘要

目的

对与婴儿猝死综合征（SIDS）风险相关的同床共睡进行荟萃分析。

研究设计

检索 1970 年 1 月 1 日以后发表的文献，检索词包括“sudden infant death syndrome”、“sudden unexpected death”和“cot death”，以及“bed sharing”或“co-sleeping”。为了进一步明确同床共睡与 SIDS 的潜在风险，进行了亚组分析。

结果

11 项研究符合纳入标准，并纳入最终的荟萃分析。所有与非同床共睡婴儿相比，同床共睡婴儿的 SIDS 合并比值比（OR）为 2.89（95%可信区间，1.99-4.18）。母亲吸烟的婴儿风险最高（OR，6.27；95%可信区间，3.94-9.99），小于 12 周龄的婴儿风险也较高（OR，10.37；95%可信区间，4.44-24.21）。