Schlüter B, Buschatz D, Trowitzsch E
Schlaflabor der Vestischen Kinderklinik Dattein, Universităt Witten-Herdecke, Deutschland.
Wien Med Wochenschr. 1996;146(13-14):321-3.
Apnea characteristics of infants, who were destined to die, were compared with control infants, matched for gestational age, sex, birth weight and age at sleep study. From 1989 to 1994 polygraphic recordings were performed in 4268 infants. In this population 7 cases of sudden infant death (SID) and 13 deaths from other causes (non-SID) occurred. Concerning all forms of apneas a higher frequency and maximal duration was found in the SID group. The number of infants with obstructive apneas and the number of obstructive apneas per infant were higher in future SID victims, as was the frequency, mean and maximal duration of central apneas of 3 to 10 s. The recordings of non-SID-infants were not different from their controls. As a group, future SID victims showed apnea characteristics different from control infants. Together with epidemiologic risk factors these polygraphic factors contribute to an identification of infants at risk for SID.
将注定死亡的婴儿的呼吸暂停特征与对照婴儿进行比较,这些对照婴儿在胎龄、性别、出生体重和睡眠研究时的年龄方面相匹配。1989年至1994年期间,对4268名婴儿进行了多导睡眠图记录。在这个群体中,发生了7例婴儿猝死(SID)和13例其他原因导致的死亡(非SID)。关于所有形式的呼吸暂停,在SID组中发现频率和最长持续时间更高。未来SID受害者中阻塞性呼吸暂停婴儿的数量和每个婴儿的阻塞性呼吸暂停次数更高,3至10秒的中枢性呼吸暂停的频率、平均持续时间和最长持续时间也是如此。非SID婴儿的记录与他们的对照组没有差异。作为一个群体,未来的SID受害者表现出与对照婴儿不同的呼吸暂停特征。这些多导睡眠图因素与流行病学风险因素一起有助于识别有SID风险的婴儿。