[논문]영아의 수면 특성

이선경

doi:10.14401/kasmed.2020.27.2.33

영아의 수면 특성
Sleep Characteristics in Infants 원문보기

수면·정신생리 = Sleep medicine and psychophysiology, v.27 no.2, 2020년, pp.33 - 40

이선경 (차의과학대학교 분당차병원 소아청소년과)

Abstract ▼ AI-Helper

An infant's sleep varies considerably from that of adults in terms of structure, amount, and breathing pattern. After birth, sleep becomes evenly distributed throughout the day and night. Nighttime sleep gradually increases with the maturation of circadian rhythm, and sleep is gradually consolidated. Electroencephalography characteristics change with age, from early and dominant active (REM) sleep in newborns to increasing NREM sleep. Similar to other elements of growth, the upper respiratory tract and ribcage gradually increase in size with age, and respiratory control also improves. With these changes, sleep patterns also change. At this time that various sleep disorders may appear. Improved understanding of age-dependent changes in infant sleep can help determine the etiology and facilitate diagnosis of infant sleep diseases.

주제어

AI 본문요약
AI-Helper

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가설 설정

0 시간으로 급격히 증가한 이후 이러한 증가가 더뎌지기 시작하여 생후 3~12개월 사이에는 5~6시간으로 비교적 일정한 수준을 유지한다. 통잠(수면의 공고화, sleep through the night)은 일반적으로 세 가지 측면에서 확인하는데, 1) 야간동안 일정 시간 이상 유지되는 수면, 2) 수면 중 깨더라도 스스로 잠이 드는 능력(self-soothing), 3) 다른 가족들이 자는 동안 이러한 수면을 유지하는 능력이다. 통잠을 자는 능력은 생후 1개월 무렵부터 시작하여, 생후 5~6개월까지 급속하게 발달한다.

성능/효과

36시간 동안 수면을 이루는 것으로 보이고, 전체 4개월 영아의 58%가 야간 동안 8시간 이상 수면을 이룬다. 마지막으로 다른 가족이 수면 중 지속적인 수면을 유지하는 통잠을 이루는 영아의 비율은 생후 6개월까지 급격히 증가하고, 이후돌 무렵까지 서서히 증가하여 생후 5개월에는 53%의 아기들이 밤 10시부터 아침 6시까지 쭉 자며, 돌 무렵에는 72% 의 아기들이 쭉 잔다.
이러한 특징적인 신생아의 뇌파에 비해 생후 2개월 이상의 영아에서는 성인과 비슷한 배경파가 관찰되는 편이나 성인보다 매우 느리다. 후두부의 우세 리듬(posterior dominant rhythm)이 3~5개월에 명확하게 관찰되기 시작하며, 성인보다 비교적 불규칙하며, 진폭은 약 50~100 μV로 관찰된다. 성인 9~11.

후속연구

이렇게 다양한 방면의 발달로 수면의 양상은 점차 변화하며, 이때 시기에 따른 다양한 수면 장애가 나타날 수 있다. 영아의 수면에 대한 나이에 따른 이해는 병인론을 이해하는데 도움을 줄 뿐 아니라, 병의 진단에도 큰 도움을 줄 수 있을 것이다.

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표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

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