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[早产和足月儿呼吸骤停的分布情况(作者译)]

[Distribution of respiratory arrests in preterm and term infants (author's transl)].

作者信息

Challamel M J, Ravnik I, Rodrigue M, Revol M

出版信息

Rev Electroencephalogr Neurophysiol Clin. 1977 Jul-Sep;7(3):378-9. doi: 10.1016/s0370-4475(77)80019-1.

Abstract

Incidence, distribution and periodicity of respiratory arrests larger than or equal to 2 seconds duration were studied in relation to age and sleep states by means of polygraphic recording in 61 tracing of 44 preterm and term infants free of pathologic conditions known to increase the risk of respiratory arrests. Respiratory arrests at any infant's age were found to be more frequent during active sleep. Incidence of respiratory arrests decreases with age in all sleep states. At any age the average duration of respiratory arrest is longer in quiet sleep. When restrictive definition is applied periodic breathing was found to be a rare and probably an abnormal phenomenon not in connection with any particular sleep state. Apneas of longer than 10 seconds duration were observed rather seldon, as well as cardiac slowing coinciding with respiratory arrest or apnea. Bradypnea and poor differenciation of breathing pattern according to sleep states represent a rare and presumably abnormal finding. The authors feel that the elements observed should be considered in estimating the risk of severe apnea in infants.

摘要

通过多导记录法,对44名无已知增加呼吸暂停风险病理状况的早产儿和足月儿的61份记录进行研究,探讨持续时间大于或等于2秒的呼吸暂停的发生率、分布及周期性与年龄和睡眠状态的关系。发现在任何婴儿年龄阶段,呼吸暂停在活跃睡眠期更为频繁。在所有睡眠状态下,呼吸暂停的发生率均随年龄增长而降低。在任何年龄,安静睡眠时呼吸暂停的平均持续时间更长。当采用严格定义时,周期性呼吸被发现是一种罕见且可能异常的现象,与任何特定睡眠状态无关。持续时间超过10秒的呼吸暂停以及与呼吸暂停或呼吸停止同时出现的心率减慢相当少见。呼吸过缓和根据睡眠状态呼吸模式区分不佳是一种罕见且可能异常的表现。作者认为,在评估婴儿严重呼吸暂停风险时应考虑所观察到的这些因素。

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