非压力设备噪声水平对初怀孕妇女压力参数的影响:一项随机对照试验
Turan Ayşenur1,2, Gençtürk Nuran3, Kaya Cihan4
1Department of Midwifery, Istanbul University-Cerrahpasa, Institute of Graduate Studies, Midwifery Doctorate Program, Istanbul, Turkey.
Journal of midwifery & women's health
|January 5, 2024
概括
非压力测试 (NST) 噪音超过35dB (A) 会增加母亲的压力,由皮质醇和ACTH的升高表明. 建议将NST设备的音量保持在36dB以下,以尽量减少怀孕监测期间的压力.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 心理神经内分泌学心理学
背景情况:
- 非压力测试 (NST) 是一种常见的产前诊断工具.
- 怀孕期间母亲的压力可能会对胎儿的结果产生不利影响.
- NST设备的声环境可能会影响母亲的生理反应.
研究的目的:
- 评估非压力测试 (NST) 设备噪声水平对孕产妇初怀孕妇女的孕产妇压力参数的影响.
- 为了确定可能诱导生理应激反应的NST噪声的值.
主要方法:
- 进行了一项随机临床试验,涉及44名初怀孕妇女.
- 参与者被分配到控制 (无噪声) 或干预组,NST噪声水平为1-35dB (A),36-60dB (A) 或≥61dB (A).
- 压力参数包括血压,心率,氧和,葡萄糖,唾液皮质醇和上皮质荷尔蒙 (ACTH) 被测量为测试前,测试中和测试后.
主要成果:
- 非压力测试 (NST) 声音水平超过35dB (A) 与测试后皮质醇和上皮质激素水平 (ACTH) 的增加有关.
- NST噪音水平与测试后的皮质醇和葡萄糖水平呈正相关性.
- 与对照组相比,在暴露于噪音的组中观察到心率,葡萄糖和皮质醇的显著增加.
结论:
- 非压力测试 (NST) 噪声水平超过35dB (A) 可以引起母亲的生理压力.
- 助产士的目标应该是保持NST设备的音量低于36dB (A),以减轻在手术期间的潜在压力.
- 在NST期间控制噪音暴露对于优化母亲的体验和潜在的胎儿福祉至关重要.
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