Epidemiology of Sudden Infant Death Syndrome

嬰兒猝死症之流行病學

Marilyn Farber ； 張森和(Shen-Ho Chang)

《中華民國公共衛生學會雜誌》 2期 (1983/09) Pp. 42-62

https://doi.org/10.6288/JNPHARC1983-02-01-06

摘要

美國全年每一千新生嬰兒約有兩位死於猝死症，或稱「搖籃死」，該症狀之死亡原因仍然未知。雖然我國每年出生嬰兒中死於該症狀之新生兒，尚無確實統計資料，但此症狀之發生率無地域之分，任何嬰兒對該症狀也無免疫作用，而且嬰兒死亡之前，無顯著的致命病徵或異常，因此，嬰兒往往在母親懷抱中、搖籃裡，或前往醫院途中意外地死亡。最重要的是此症狀多發生在一歲以下的新生嬰兒，其發生亦甚爲意外突然，根本無法事先預防。
如果照美國千分之二的發生率推算，民國七十年我國四十萬新生幼兒中，估計約有800人死於嬰兒猝死症。因此，本篇報告就流行病學方法對此症狀之定義、發生率、其在嬰兒死亡率中所佔之份量，以及導致嬰兒死亡之危險因素加以分析探討，並就其他國家現有資料予以分析比較，希望藉本篇論文揭發之事實，喚起民衆與衛生人員的認識及警惕，進而減少此不幸事件之發生。

並列摘要

Although about' 2 per 1,000 live births die of the sudden infant death syndrome (SIDS) or ”cost death” in the United States, its etiology remains unknown. No data show the number of such deaths which occur anually among the newborns in Taiwan, but SIDS takes place everywhere in the world. No baby is immune from SIDS. Nevertheless, no fatal symptoms or disorders are detected before its .death. There fore, unexpected death occurs occasionally while the baby is held in the arms of its mother, in cribs, or on the way to hospitals. First of all, death occurs under one year of age and ' is hardly prevented because of its unexpected and inexplicable nature.
If an incidence rate of SIDS, 2 per 1,000 live births in the United States, is applied to the 1981 newborns of about 400,000, it is estimated thaat nearly 800 deaths from SIDS occur annually in Taiwan. Therefore, this paper will be used to describe epidemiologically the definition, incidence, the significance of the problem, and the risk factors related to SIDS. Moreover, a comparison is made among SIDS data from various countries. The purpose of this ' paper is to inform the public and health workers of SIDS and possibly prevent the occurrence of the tragic event.