Olivera Olmedo J E, Sánchez Valverde F, Zabalza Pérez-Nievas A, Berrade Zubiri S, Olivera Urdiroz A, Viguria Campistegui D, Guillén Grimá G
Servicio de Pediatría, Hospital Virgen del Camino, Pamplona.
An Esp Pediatr. 1996 Aug;45(2):161-6.
The prone position during sleep has been described as the most important risk factor in relationship to sudden infant death syndrome (SIDS). The prevalence of infants that sleep in the prone position and its relationship with SIDS has not been studied in our country. A survey was performed in a population of children born in Navarra between February 1, 1992 and February 1, 1993. We found that 86.5% of these children sleep in the prone position, 5.6% in the supine position and 3.5% on their side. In March 1993 a campaign was begun that recommended that the prone position not be used for infants from the time of birth until 6 months of age. After this campaign, in a sample of 441 children, born between May 1, 1993 and May 1, 1994, only 38.3% of the infants continued to sleep in the prone position, while 46% did so supine and 9% slept on their side. The number of deaths in Navarra as a result of SIDS during the period of 1985 through 1993 was 1.3% of live births with a mean of 6.3 deaths/year. The number of infant deaths after the change of sleeping position, in 1994, was 0.42% of live births, with 2 deaths as a result of SIDS during this year. In Navarra, the decrease in the number of infants sleeping in the prone position has been accompanied by a significant decline in the number of deaths due to SIDS.
睡眠时俯卧姿势被认为是与婴儿猝死综合征（SIDS）相关的最重要风险因素。我国尚未对俯卧睡眠婴儿的患病率及其与SIDS的关系进行研究。我们对1992年2月1日至1993年2月1日在纳瓦拉出生的儿童群体进行了一项调查。我们发现，这些儿童中有86.5%睡眠时采取俯卧姿势，5.6%采取仰卧姿势，3.5%采取侧卧姿势。1993年3月开展了一项运动，建议从出生到6个月大的婴儿不要采用俯卧姿势。在这项运动之后，在1993年5月1日至1994年5月1日出生的441名儿童样本中，只有38.3%的婴儿继续俯卧睡眠，而46%采取仰卧姿势，9%采取侧卧姿势。1985年至1993年期间，纳瓦拉因SIDS死亡的人数占活产数的1.3%，平均每年死亡6.3人。1994年睡眠姿势改变后，婴儿死亡人数占活产数的0.42%，当年有2例死于SIDS。在纳瓦拉，俯卧睡眠婴儿数量的减少伴随着SIDS死亡人数的显著下降。
