Insomnia; and Other Disorders of SleepLyman, Henry M. (Henry Munson)
Science
Insomnia; and Other Disorders of Sleep
Lyman, Henry M. (Henry Munson)
Dreams; Insomnia; Sleepwalking
_Respiration._--The process of breathing is conducted with greater
deliberation during the period of sleep. This reduction is one of the most
notable of the circumstances that first attract the attention of the
spectator who observes a sleeping person. The average number of
respirations per minute, in an adult of twenty-five to thirty years of
age, is sixteen. Quetelet remarked[3] that during sleep this number was
diminished by about one-fourth. The same fact has been recorded by other
observers.[4] Mosso has also noted the fact[5] that there is a change in
the type of respiration, the movements during sleep become less
diaphragmatic and more largely costal. He furthermore observed that during
the waking period the act of inspiration consumed 8-12 of the complete
respiratory phase, but during sleep it was prolonged till it occupied
10-12 of the same cycle. The interval between the end of expiration and
the commencement of inspiration was also obliterated by sleep.
Notwithstanding this relative increase of inspiratory motion, the quantity
of air that passes through the lungs is considerably reduced by reason of
the diminished action of the diaphragm. A corresponding reduction of the
gaseous exchanges between the blood and the external air has been
determined by the experiments of Pettenkofer and Voit, Boussingault,
Lewin, and other equally competent observers.[6]
_Circulation._--During sleep the heart beats less frequently than during
the waking hours. Though a portion of this delay must be attributed to the
recumbent position, sleep does still further retard the movement of the
heart. My own observations upon children in bed exhibit a difference of
twelve to sixteen beats between the pulsations when awake and asleep.
According to Trousseau[7] the average number of pulsations observed in a
group of thirty children, varying in age from fifteen days to six months,
was 140 when awake and 121 when asleep. In another group of twenty-nine
children, between the ages of six months and twenty-one months, the
average was 128 when awake and 112 when asleep. The observations of Hohl
and Allix[8] indicate that among very young children the difference
between the pulse of sleep and the pulse of wakefulness may equal forty
beats. According to Guy (_loc. cit._) the pulse is more variable in the
morning than during the afternoon or evening.
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