RELATION BETWEEN APNEA DURATION AND TYPE AND NEUROLOGICAL STATUS OF PRETERM INFANTS
RELATION BETWEEN APNEA DURATION AND TYPE AND NEUROLOGICAL STATUS OF PRETERM INFANTS
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DOI：
10.1136/adc.60.10.953
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发表时间：
1985-01-01
影响因子：
5.2
通讯作者：
EDWARDS, DA
中科院分区：
文献类型：
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作者：
BUTCHERPUECH, MC;HENDERSONSMART, DJ;EDWARDS, DA
采用腹式呼吸运动和鼻气流的多导记录仪，测定了28例妊娠27 ~ 34周出生的早产儿呼吸暂停的发生率、持续时间和类型。在1520次持续时间为10秒或以上的呼吸暂停中，1002次（66%）持续时间为10 - 14秒，311次（20%）持续时间为15 - 20秒，207次（14%）持续时间超过20秒。总体而言，69%为中央型，20%为混合型，11%为单纯梗阻型。随着呼吸暂停持续时间的增加，中枢性呼吸暂停发作的比例下降（69%至29%），而混合性呼吸暂停发作的比例增加（20%至60%）。8名婴儿的阻塞性呼吸暂停持续时间超过20秒。与10名胎龄和出生体重相似的中枢性或混合性呼吸暂停婴儿相比，他们在出生后第一年内脑室内出血、脑积水、经气管内导管正压通气和神经发育异常的发生率更高。
The incidence, duration, and type of apnoea were determined in 28 preterm infants born at 27 to 34 weeks'' gestation, using polygraphic records of abdominal breathing movements and nasal airflow. Of the 1520 episodes of apnoea of 10 or more seconds duration, 1002 (66%) lasted 10 to 14 seconds, 311 (20%) lasted 15 to 20 seconds, and 207 (14%) lasted more than 20 seconds. Overall, 69% were central in type, 20% were mixed, and 11% were purely obstructive. With increasing duration of apnoea, the proportion of episodes of central apnoea decreased (69 to 29%) while that of mixed apnoea increased (20 to 60%). Eight infants had obstructive apnoea of more than 20 seconds duration. When they were compared with the 10 infants of similar gestational age and birthweight who had central or mixed apnoea, they had a higher incidence of intraventricular haemorrhage, hydrocephalus, positive ventilation via an endotracheal tube, and abnormal neurological development during the first year of life.