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首页> 外文期刊>Seminars in neonatology: SN >Ontogeny of sleep and awake states in relation to breathing in preterm infants.
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Ontogeny of sleep and awake states in relation to breathing in preterm infants.

机译：早产儿与呼吸有关的睡眠和清醒状态的个体发育。

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摘要

This review will focus on the development of behavioural states and breathing during early developmental stages prior to term gestation. Although these behavioural states are immature during early development, their cyclicity is clearly seen. Preterm infants characteristically have a large proportion of indeterminate sleep and small amount of wakefulness. Whereas oxygenation is relatively stable during active and quiet sleep in ventilated preterm infants, indeterminate sleep and arousals are associated with hypoxaemic episodes. Arousals have also been linked to apnoea in spontaneously breathing infants. Since well-defined sleep cycles are beneficial for the oxygenation of preterm infants, we should explore ways to promote their natural sleep while they are exposed to neonatal intensive care. Care practices such as clustering procedures, kangaroo care and optimal positioning have been shown to improve the integrity of sleep. Optimizing the sleep cycling might improve the long-term outcome of preterm infants. More studies in this area are clearly needed.
机译：这篇综述将集中在足月妊娠之前早期发育阶段的行为状态和呼吸的发展。尽管这些行为状态在早期发展中还不成熟，但可以清楚地看到它们的周期性。早产婴儿的特征是不确定的睡眠比例较高，清醒程度较小。通气早产儿在活跃和安静的睡眠中充氧相对稳定，而睡眠不足和唤醒与低氧血症发作有关。自发呼吸的婴儿中，唤醒也与呼吸暂停有关。由于明确的睡眠周期有益于早产儿的充氧，因此我们应该探索在新生儿重症监护期间促进其自然睡眠的方法。护理措施（例如聚类程序，袋鼠护理和最佳定位）已被证明可以改善睡眠的完整性。优化睡眠周期可能会改善早产儿的长期结局。显然需要在这一领域进行更多研究。

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