持续且有症状的周期性呼吸,超出了新生儿期的婴儿:一个病例系列
Océane Cheyrou-Lagrèze1, Eglantine Hullo2, Jessica Taytard3
1Service de Pneumologie pédiatrique, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France; Service de Pédiatrie générale, CHU de la Réunion, Site Sud, Saint-Pierre, France.
概括
一个月后期婴儿的持续周期性呼吸 (PB) 通常与阻塞性和中央睡眠呼吸暂停综合征以及胃食道逆流 (GER) 相关. 大多数婴儿在第一年就会有所改善.
科学领域:
- 儿科 儿科 儿科
- 睡眠医学 睡眠医学
- 新生儿科学 新生儿科学
背景情况:
- 周期性呼吸 (PB) 在新生儿中很常见,但通常在几个月内消失.
- 新生儿期以外的持久性PB是不太了解的.
- 这项研究调查了1个月后患有持续性PB的分娩婴儿.
研究的目的:
- 描述长期婴儿经历持续周期性呼吸 (PB) 超过一个月的生活.
- 分析这些婴儿的多睡眠学 (PSG) 发现.
- 为了确定相关的条件和结果.
主要方法:
- 追溯的案例系列10个终身婴儿持久的PB症状.
- 用多睡眠图 (PSG) 来定义和量化PB.
- 评估婴儿的阻塞性和中央呼吸暂停指数,以及胃食道逆流 (GER).
主要成果:
- 在3个月前的总睡眠时间 (TST) 中,持续性PB观察到18.1%,在3-6个月之间观察到4.7%.
- 大多数婴儿 (9/10) 的阻塞性呼吸暂停-呼吸暂停指数>10/h; 5/10 的中央呼吸暂停指数>5/h.
- 胃食道逆流 (GER) 在80%的病例中被怀疑;所有婴儿在一年内症状都有所改善.
结论:
- 在产后一个月的婴儿中,持久的,有症状的PB与阻塞性和/或中央睡眠呼吸暂停综合征有关.
- 胃食道逆流 (GER) 是一种常见的并发症.
- 这些婴儿通常在生命的第一年内表现出症状改善.
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