Lewak N, Zebal B H, Friedman S B
Clin Pediatr (Phila). 1984 Jul;23(7):369-73. doi: 10.1177/000992288402300701.
Conflicting opinions and inadequate data have led to confusion regarding the relationship of sudden infant death syndrome (SIDS) and infantile apnea. Consensus regarding appropriate evaluation and management strategies for infants presumed at risk has not been reached. This study surveyed pediatric opinion regarding these issues. Questionnaires were mailed to 1000 randomly selected members of the American Academy of Pediatrics, and to faculty at all approved U.S. pediatric residency programs. Results indicated that respondents as a group were uncertain about the relationship between SIDS and apnea. Most respondents would (1) initially evaluate infants presenting with apnea at either a hospital or an apnea evaluation center, (2) refer subsequent siblings of SIDS infants to an apnea center, and (3) recommend no intervention, but provide reassurance, to anxious parents requesting a "test for SIDS" for a normal newborn. Respondents' comments showed diverse opinions regarding appropriate evaluation and management strategies for these three types of infants, and reflected concern regarding dilemmas posed to clinicians responsible for their care. Further research and continuing medical education efforts are needed to reduce current confusion.
相互矛盾的观点和不充分的数据导致了关于婴儿猝死综合征（SIDS）与婴儿呼吸暂停之间关系的困惑。对于疑似有风险的婴儿，尚未就适当的评估和管理策略达成共识。本研究调查了儿科医生对这些问题的看法。向随机抽取的1000名美国儿科学会成员以及美国所有获批儿科住院医师培训项目的教员邮寄了问卷。结果表明，作为一个群体，受访者对SIDS与呼吸暂停之间的关系并不确定。大多数受访者会（1）最初在医院或呼吸暂停评估中心对出现呼吸暂停的婴儿进行评估，（2）将SIDS婴儿的同胞弟妹转介至呼吸暂停中心，以及（3）对于要求为正常新生儿进行“婴儿猝死综合征检测”的焦虑父母，建议不进行干预，但给予安慰。受访者的评论显示，对于这三类婴儿的适当评估和管理策略存在不同意见，并反映出对负责照料这些婴儿的临床医生所面临困境的担忧。需要进一步的研究和持续医学教育努力来减少当前的困惑。
