评估非控制性喘女性与轻度喘女性的不良妊娠结果:一个回顾性比较分析
Ali Taner Anuk1, Atakan Tanacan2, Özgür Kara2
1Division of Perinatology, Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Türkiye. alitaneranuk@yahoo.com.
Archives of gynecology and obstetrics
|January 26, 2024
概括
与轻度喘相比,在孕妇中不受控制的喘显著增加了对母胎和新生儿不良后果的风险. 这强调了在怀孕期间控制喘的重要性,以改善围产期健康.
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:
- 喘是一种常见的慢性呼吸道疾病,可以影响孕妇.
- 怀孕期间控制不良的喘对母亲和胎儿都有风险.
- 了解喘严重程度对围产期结局的影响对于临床管理至关重要.
研究的目的:
- 为了比较患有非控制性喘的孕妇和患有轻度喘的孕妇之间的周产期结果.
- 调查喘严重程度与孕产妇和胎儿不良结果之间的关系.
主要方法:
- 一项对180名患有喘的孕妇进行的回顾性队列研究.
- 轻度喘 (n=160) 和不受控制的喘 (n=20) 组之间的结果比较.
- 收集的数据包括母亲的特征,产科并发症和新生儿结局.
主要成果:
- 不受控制的喘组住院率较高,吸入短效β-激动剂 (SABA) 使用率较高,系统性皮质类固醇使用率较高.
- 不良的母胎并发症,如喘恶化,贫血,早产和子宫内胎儿死亡 (IUFD) 在不受控制的组中更为频繁.
- 未控制组的新生儿结局显示,新生儿重症监护室 (NICU) 的入院率增加,呼吸困扰综合征 (RDS) 和心室内出血 (IVH) 增加.
结论:
- 怀孕期间不受控制的喘与明显更糟糕的母胎和新生儿结局有关.
- 有效的喘管理和控制对于改善孕妇周产期健康至关重要.
- 疾病的严重程度是影响喘妇女不良怀孕和分娩结果的关键因素.
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