在怀孕期间和产后期控制喘
Vanessa E Murphy1, Peter G Gibson2, Michael Schatz3
1School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia; Asthma and Breathing Program, Hunter Medical Research Institute, Newcastle, New South Wales, Australia.
怀孕期间的喘可能会恶化,增加母亲和婴儿的风险. 虽然常见的喘药物是安全的,但替代管理策略和产后护理需要进一步研究.
科学领域:
- 产科和妇科 产科和妇科
- 肺部病理学 肺部病理学
- 围产儿医学 围产儿医学
背景情况:
- 喘是怀孕期间常见的慢性疾病,影响母亲和婴儿的健康.
- 大约40%的孕妇经历了喘症状的恶化,20%需要医疗干预.
- 喘恶化的危险因素包括多亲症,肥胖,黑人种族,先前的恶化和喘控制不良.
研究的目的:
- 审查喘对围产期结局的影响.
- 讨论当前的喘管理指南,并探索孕妇的替代方法.
- 突出产后喘管理方面的知识差距.
主要方法:
- 在怀孕期间对喘管理的文献综述.
- 分析导致喘恶化的因素.
- 讨论当前和新的喘治疗策略.
主要成果:
- 喘恶化增加了低出生体重,早产,怀孕年龄小 (SGA) 婴儿和儿童喘的风险.
- 标准的喘药物,如吸入性皮质类固醇和短效β-激动剂在怀孕期间是安全的.
- 替代治疗策略,如单吸入器治疗,FeNO导向治疗,个性化医疗和远程医疗显示出潜力,但需要更多的研究.
结论:
- 怀孕期间的喘管理需要仔细考虑,因为潜在的不良周产期结果.
- 目前的指导方针建议传统的步骤治疗,但创新的方法可能会带来好处.
- 进一步的研究对于了解产后喘变化,药物坚持和产后抑郁症的影响至关重要.
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