Positioning and SIDS
Positioning and SIDS
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定位和 SIDS
DOI：
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发表时间：
1992
期刊：
影响因子：
8
通讯作者：
Aap Task Force on Infant Positioning and Sids
中科院分区：
文献类型：
--
作者：
Aap Task Force on Infant Positioning and Sids
简要说明
根据对现有数据的仔细评估，这些数据表明婴儿猝死综合征（SIDS）与婴儿俯卧位之间存在关联，该学院建议健康婴儿在躺下睡觉时，应侧卧或仰卧。目前在美国使用的最常见的姿势是俯卧。
这一建议是在充分认识到现有研究存在方法学局限性的情况下提出的，这些研究是在婴儿护理实践和其他SIDS风险因素与美国不同的国家进行的（例如，母亲吸烟、床上用品类型、中央供暖等）。然而，作为一个群体，这些研究是令人信服的。没有报告表明俯卧位对婴儿猝死综合征的发病率有好处，也没有数据证明，甚至强烈表明侧卧位或仰卧位睡觉对健康婴儿有害。因此，对此类婴儿的俯卧位与非俯卧位的风险/获益平衡进行评估时，倾向于后者。应该强调的是，婴儿俯卧的实际风险仍然非常低。
仍然有充分的理由让某些婴儿俯卧。对于有呼吸窘迫的早产儿、有胃食管反流症状或某些上呼吸道异常的婴儿，以及其他一些婴儿，俯卧位可能是最好的选择。不俯卧的睡姿只推荐给健康的婴儿。
报告
卫生保健专业人员经常被问及如何最好地将婴儿放在床上睡觉，俯卧或仰卧。
SUMMARY STATEMENT
Based on careful evaluation of existing data indicating an association between Sudden Infant Death Syndrome (SIDS) and prone sleeping position for infants, the Academy recommends that healthy infants, when being put down for sleep, be positioned on their side or back. The most common position currently used in the United States is prone.
This recommendation is made with the full recognition that the existing studies have methodologic limitations and were conducted in countries with infant care practices and other SIDS risk factors that differ from those in the United States (eg, maternal smoking, types of bedding, central heating, etc). However, taken as a group the studies are convincing. No reports show an advantage to the prone position with regard to SIDS incidence and there are no data proving, or even strongly suggesting, that sleeping in the lateral or supine position is harmful to healthy infants. Thus, assessment of the risk/benefit balance for prone vs nonprone positioning for such infants favors the latter. It should be stressed that, the actual risk of SIDS for an infant placed prone is still extremely low.
There are still good reasons for placing certain infants prone. For premature infants with respiratory distress, for infants with symptoms of gastroesophageal reflux or with certain upper airway anomalies, and perhaps for some others, prone may well be the position of choice. A nonprone sleeping position is recommended for healthy infants only.
REPORT
Health care professionals frequently are asked how it is best to place an infant down for sleep, prone or supine.