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新生儿呼吸和心率的周期性变化。

Periodicities in respiration and heart rate in newborns.

作者信息

Finley J P, Nugent S T

出版信息

Can J Physiol Pharmacol. 1983 Apr;61(4):329-35. doi: 10.1139/y83-050.

DOI:10.1139/y83-050
PMID:6860997
Abstract

Periodic breathing is common in normal infants, but may be associated with prolonged apnea leading to crib death. The mechanisms of periodic breathing and its relation to normal breathing patterns are unclear. We recorded respiratory and heart rate (HR) patterns of 11 healthy newborn infants during quiet sleep, in both normal and periodic breathing. Spectral analysis of the respiratory pattern revealed a low-frequency (LF) periodicity in normal breathing approximately equal to the frequency of periodic breathing when this occurs. Periodic breathing thus appears to be an exaggeration of an underlying slow amplitude variation which is present in regular breathing. LF periodicity also appeared in the HR pattern in both normal and periodic breathing, suggesting an LF modulation of cardiovascular control as well. The lack of a definite phase relation between HR and ventilation at LF may indicate dominant peripheral, rather than central, interactions between HR and respiration at these frequencies.

摘要

周期性呼吸在正常婴儿中很常见,但可能与导致婴儿猝死的呼吸暂停延长有关。周期性呼吸的机制及其与正常呼吸模式的关系尚不清楚。我们记录了11名健康新生儿在安静睡眠时正常呼吸和周期性呼吸状态下的呼吸和心率(HR)模式。对呼吸模式的频谱分析显示,正常呼吸中存在低频(LF)周期性,其频率与周期性呼吸发生时的频率大致相等。因此,周期性呼吸似乎是正常呼吸中存在的潜在缓慢幅度变化的一种夸张表现。低频周期性在正常呼吸和周期性呼吸的心率模式中也有出现,这表明心血管控制也存在低频调制。低频时心率与通气之间缺乏明确的相位关系,这可能表明在这些频率下,心率与呼吸之间的相互作用主要是外周性的,而非中枢性的。

相似文献

1
Periodicities in respiration and heart rate in newborns.新生儿呼吸和心率的周期性变化。
Can J Physiol Pharmacol. 1983 Apr;61(4):329-35. doi: 10.1139/y83-050.
2
Respiratory modulation of heart rate in newborn infants.新生儿心率的呼吸调节
Early Hum Dev. 1989 Nov;20(2):81-99. doi: 10.1016/0378-3782(89)90050-9.
3
Mechanisms of ventilatory periodicities.通气周期性的机制。
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Influence of sleep state and respiratory pattern on cyclical fluctuations of cerebral blood flow velocity in healthy preterm infants.睡眠状态和呼吸模式对健康早产儿脑血流速度周期性波动的影响。
Biol Neonate. 1996;69(6):357-67. doi: 10.1159/000244331.
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A comparison of swallowing during apnea and periodic breathing in premature infants.早产儿呼吸暂停和周期性呼吸时吞咽情况的比较。
Pediatr Res. 1995 Jun;37(6):796-9. doi: 10.1203/00006450-199506000-00020.
6
Skin blood flow oscillations respond more effectively to rhythmic thermal stimulation than to continuous or periodic breathing in newborn infants.与持续或周期性呼吸相比,新生儿的皮肤血流振荡对节律性热刺激的反应更有效。
Early Hum Dev. 1995 Aug 18;42(3):195-207. doi: 10.1016/0378-3782(95)01650-r.
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Entrainment of blood pressure and heart rate oscillations by periodic breathing.周期性呼吸对血压和心率振荡的夹带作用。
Am J Respir Crit Care Med. 1999 Apr;159(4 Pt 1):1147-54. doi: 10.1164/ajrccm.159.4.9806081.
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The rate and depth of breathing in new-born infants in different sleep states.不同睡眠状态下新生儿的呼吸频率和深度。
J Physiol. 1974 Nov;243(1):101-13. doi: 10.1113/jphysiol.1974.sp010744.
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Periodic breathing in infants with near-miss sudden infant death syndrome.接近猝死综合征婴儿的周期性呼吸
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10
Polygraphic studies of normal infants during the first six months of life: III. Incidence of apnea and periodic breathing.
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