Fleming P J
Institute of Child Health, University of Bristol, St. Michael's Hospital, UK.
Curr Opin Pediatr. 1994 Apr;6(2):158-62. doi: 10.1097/00008480-199404000-00006.
Over the past few years a number of factors related to child care practices and environment (eg, sleeping position, thermal environment, and parental smoking) have been recognized as potentially important in the risk of sudden infant death syndrome (SIDS). Detailed studies of these factors have led to a greater understanding of normal development and of ways of possibly reducing the risk of SIDS. Campaigns to reduce the risk of SIDS have now been undertaken in several countries; in the United Kingdom, New Zealand, and Holland there have been marked falls in SIDS rates after such interventions. Recent physiologic studies of thermal balance, the role of infection, and the possibility of carbon dioxide rebreathing have shed considerable light on possible mechanisms by which these factors may exert their effects.
在过去几年中，一些与儿童护理习惯和环境相关的因素（如睡眠姿势、热环境和父母吸烟）已被认为在婴儿猝死综合征（SIDS）风险中可能具有重要意义。对这些因素的详细研究使人们对正常发育以及可能降低SIDS风险的方法有了更深入的了解。现在，几个国家已开展了降低SIDS风险的运动；在英国、新西兰和荷兰，此类干预措施实施后，SIDS发生率显著下降。最近关于热平衡、感染作用以及二氧化碳重复呼吸可能性的生理学研究，为这些因素可能发挥作用的潜在机制提供了相当多的线索。
