中枢性呼吸暂停的家庭监测。
Home monitoring for central apnoea.
作者信息
MacKay M, Abreu e Silva F A, MacFadyen U M, Williams A, Simpson H
出版信息
Arch Dis Child. 1984 Feb;59(2):136-42. doi: 10.1136/adc.59.2.136.
Between July 1978 and December 1981, 64 infants thought to be at increased risk from sudden infant death syndrome (SIDS) were monitored at home for central apnoea. Twenty four of the infants had had a 'near miss' episode at age, median (range), 6 (1 to 33) weeks, and of these infants 22 had had 335 alarms for apnoea by age 6 months. Stimulation by shaking was carried out on 38 occasions and bag and mask resuscitation on one. The remaining 40 infants were siblings of SIDS victims and of these, 35 were monitored from age 1 week (usually after discharge home). Thirty four of the SIDS siblings had had 573 alarms for apnoea by age 6 months: stimulation by shaking was carried out on 32 occasions and bag and mask resuscitation on one. The duration of home monitoring was, median (range), 34 (8 to 87) weeks for 'near miss' infants and 45 (12 to 70) weeks for SIDS siblings. All infants survived. As part of an over all support system monitors were accepted and greatly appreciated by most parents, especially those with previous experience of SIDS. Home monitoring was practicable but the commitment in time and expertise was great and objective benefits to the infant remain unproved.
1978年7月至1981年12月期间，对64名被认为因婴儿猝死综合征（SIDS）而风险增加的婴儿进行了家庭中枢性呼吸暂停监测。其中24名婴儿在年龄中位数（范围）为6（1至33）周时曾有过“濒死”发作，在这些婴儿中，有22名在6个月大时因呼吸暂停发出了335次警报。进行了38次摇晃刺激，1次进行了面罩气囊复苏。其余40名婴儿是SIDS受害者的兄弟姐妹，其中35名从1周龄（通常是出院回家后）开始监测。34名SIDS受害者的兄弟姐妹在6个月大时因呼吸暂停发出了573次警报：进行了32次摇晃刺激，1次进行了面罩气囊复苏。“濒死”婴儿的家庭监测持续时间中位数（范围）为34（8至87）周，SIDS受害者兄弟姐妹的家庭监测持续时间为45（12至70）周。所有婴儿均存活。作为整体支持系统的一部分，监测仪被大多数家长接受并非常感激，尤其是那些有过SIDS经历的家长。家庭监测是可行的，但所需的时间和专业知识投入很大，对婴儿的客观益处仍未得到证实。
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