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El patrón de sueño y las necesidades de oxígeno suplementario en bebés con enfermedad pulmonar neonatal crónica
1National SIDS Council, David Read Paediatric Sleep Disorders Centre, Royal Alexandra Hospital for Children, Sydney, Australia.
Lancet (London, England)
|April 1, 1995
Resumen
El oxígeno suplementario mejoró la calidad del sueño en bebés con enfermedad pulmonar crónica. El aumento del oxígeno revirtió la fragmentación del sueño y aumentó el sueño REM, lo que indica una mejor regulación del sueño.
Área de la Ciencia:
- Neonatología Neonatología.
- Medicina del sueño Medicina del sueño.
- Medicina de las vías respiratorias.
Sus antecedentes:
- La enfermedad pulmonar neonatal crónica (CNLD) a menudo conduce a trastornos del sueño en los bebés.
- La desaturación de oxígeno es una preocupación común en estos bebés, lo que podría afectar la arquitectura del sueño.
- La relación entre los niveles de oxigenación y la calidad del sueño en la CNLD requiere una mayor aclaración.
Objetivo del estudio:
- Para investigar el efecto del oxígeno suplementario en los patrones de sueño en los bebés con CNLD.
- Para determinar si el aumento de la oxigenación puede aliviar la fragmentación del sueño y mejorar el sueño de movimiento rápido de los ojos (REM).
Principales métodos:
- La polisomnografía nocturna se realizó en siete bebés con CNLD y SpO2 basal > 90%.
- Los bebés fueron estudiados en su ambiente de oxígeno prescrito y con un oxígeno adicional de 0.25 L/min.
- Se analizaron los parámetros del sueño, incluida la duración, el porcentaje de sueño REM, la duración del período de sueño REM y las excitaciones.
Principales resultados:
- Todos los bebés experimentaron fragmentación del sueño y reducción del sueño REM con oxígeno prescrito.
- El oxígeno suplementario aumentó significativamente la duración del sueño (p < 0,003) y el porcentaje de sueño REM (p < 0,001).
- La mejora de la oxigenación condujo a períodos medios de sueño REM más largos (p < 0.001) y a una disminución de los despertares del sueño REM (p < 0.05).
Conclusiones:
- En los bebés con CNLD, los mecanismos de excitación pueden minimizar la desaturación de oxígeno a costa de la interrupción del sueño.
- El oxígeno suplementario puede revertir la fragmentación del sueño y mejorar el sueño REM en esta población.
- La optimización de la oxigenación es crucial para mejorar la calidad del sueño en los bebés con enfermedad pulmonar neonatal crónica.
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