俯卧位对早产儿睡眠及各器官功能的影响研究现状

Research status of the influence of prone position on sleep and organ functions in premature infants

早产儿睡眠发育是一个高度动态的过程,与心肺脑功能及生长发育的联系紧密。俯卧位在影响早产儿肺氧合及心肺稳定性、脑血流灌注及脑功能、消化方面的研究越来越受到关注,这与俯卧位时体位变化及对睡眠状态的影响密切相关。尽管目前对于俯卧位对早产儿睡眠的发育及各器官功能的影响有了大量的研究进展,但仍存在一些尚需进一步研究的争议性问题,本文将从早产儿的睡眠及各器官发育特点入手,围绕俯卧位对早产儿的睡眠、心肺脑及消化的影响相关研究,着重从俯卧位对早产儿睡眠的影响、俯卧位在早产儿睡眠状态与各器官功能关系中起到的作用两个方面进行综述。

The sleep development of premature infants is a highly dynamic process,which is closely related to the function of heart,lung and brain as well as growth and development.Researches on prone position(PP)has attracted increasing attention in terms of its effects on pulmonary oxygenation,cardiopulmonary stability,cerebral blood perfusion,brain function,and digestion in preterm infants,which are highly relevant to changes in body position during PP and its effects on sleep.Although much research progress has been made in the effects of PP on sleep development and organ function of premature infants,there are still some controversial issues that need further research.This paper will start from the sleep and organ development characteristics of premature infants,and focus on the effects of PP on sleep,heart,lung,brain and digestion of premature infants.This paper mainly reviews the effects of PP on sleep of premature infants and the effects of PP on the relationship between sleep state and organ function of premature infants.