Schmidt Fernanda, Kalil Neto Felipe, Radaelli Graciane, Nunes Magda Lahorgue
Universidade Luterana do Brasil, Department of Neonatology - Canoas - RS - Brazil.
Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Department of Neurology - Porto Alegre - RS - Brazil.
Sleep Sci. 2021 Jan-Mar;14(1):72-76. doi: 10.5935/1984-0063.20200035.
Few studies have evaluated sleep in preterm infants under non-invasive ventilatory support in neonatal intensive care units (NICU). The main objective of this study was to evaluate the influence of continuous positive airway pressure (CPAP) in the sleep of premature babies.
Crossover study in a NICU. We selected preterm infants with gestational age between 28 and 37 weeks using nasal CPAP. Eighteen preterm were included. Patients were monitored with actigraphy and with the Neonatal Behavioral Assessment Scale (NBAS).
Results showed a reduction in sleep effciency, total sleep time and total sleep period during the CPAP period when compared to the non-CPAP. NBAS demonstrated significantly greater time of deep sleep and light sleep in the period without CPAP.
Our data suggests that the use of CPAP, during the first week of life, in preterm neonates, is associated with transitory alterations of sleep organization.
很少有研究评估新生儿重症监护病房（NICU）中接受无创通气支持的早产儿的睡眠情况。本研究的主要目的是评估持续气道正压通气（CPAP）对早产儿睡眠的影响。
在一家NICU进行交叉研究。我们选择了使用鼻CPAP、胎龄在28至37周之间的早产儿。共纳入18名早产儿。通过活动记录仪和新生儿行为评估量表（NBAS）对患者进行监测。
结果显示，与非CPAP期间相比，CPAP期间的睡眠效率、总睡眠时间和总睡眠时长均有所降低。NBAS显示，在无CPAP期间，深度睡眠和浅睡眠的时间明显更长。
我们的数据表明，出生后第一周对早产儿使用CPAP与睡眠结构的短暂改变有关。
