足月儿和早产儿睡眠与觉醒状态的评分系统。

A scoring system for states of sleep and wakefulness in term and preterm infants.

作者信息

Stefanski M, Schulze K, Bateman D, Kairam R, Pedley T A, Masterson J, James L S

出版信息

Pediatr Res. 1984 Jan;18(1):58-62.

Abstract

We designed and validated a system for determining the state of sleep or wakefulness in both term and preterm infants. The system is based on independent assessments of behavioral and electroencephalographic (EEG) patterns. Overall agreement between observers in coding individual behavioral patterns was 77.6%. Agreement between observers in coding EEG patterns was 87.4%. Designation of an infant's state is made by combining concurrent behavioral and EEG scores into a single two-number code. The distribution of sleep state for eight infants greater than 36 wk postconceptional age (PCA) was the following: quiet sleep (QS), 30.4%; active sleep (AS), 50.0%; indeterminate sleep (IS), 11.4%, and wakefulness (W), 7.5%. The distribution of sleep state for 15 infants less than 36 wk PCA was as follows: QS, 18.9%; AS, 52.9%; IS, 16.4%; and W, 10.5%. Our experience with the system suggests that it is useful for relating sleep state to physiologic variables during neonatal experimental studies.

摘要

我们设计并验证了一种用于确定足月儿和早产儿睡眠或清醒状态的系统。该系统基于对行为和脑电图（EEG）模式的独立评估。观察者对个体行为模式编码的总体一致性为77.6%。观察者对EEG模式编码的一致性为87.4%。通过将同时出现的行为和EEG分数组合成一个单一的两位数代码来确定婴儿的状态。8名孕龄大于36周（PCA）婴儿的睡眠状态分布如下：安静睡眠（QS），30.4%；主动睡眠（AS），50.0%；不确定睡眠（IS），11.4%，清醒（W），7.5%。15名PCA小于36周婴儿的睡眠状态分布如下：QS，18.9%；AS，52.9%；IS，16.4%；W，10.5%。我们使用该系统的经验表明，在新生儿实验研究中，它有助于将睡眠状态与生理变量相关联。