推实践和治疗阻塞性睡眠呼吸暂停在怀孕期间与肥胖症
Samantha Warhurst1, Ekavi Georgousopoulou2, Farah Sethna3
1Department of Respiratory and Sleep Medicine Canberra Health Services Canberra Australian Capital Territory Australia.
Obesity science & practice
|April 22, 2024
概括
使用STOP-BANG工具对高BMI的孕妇进行阻塞性睡眠呼吸暂停 (OSA) 查,显著增加了睡眠诊所的转诊. 这有助于在高风险怀孕中更好地识别OSA.
科学领域:
- 产科和妇科 产科和妇科
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在怀孕期间对母亲和新生儿健康构成风险.
- 高风险怀孕,按体重指数 (BMI) ≥35 kg/m2定义,特别容易受到OSA并发症的影响.
研究的目的:
- 为了确定与高BMI孕妇的睡眠诊所转诊相关的特征和并发症.
- 评估正式查工具在这个群体中的有效性.
主要方法:
- 在澳大利亚一家三级医院对161名高风险孕妇 (BMI ≥35 kg/m2) 进行了回顾性队列研究.
- 使用了正式的查工具,如爱普沃思睡眠度量表和STOP-BANG.
- 多变量分析确定了与睡眠诊所转诊相关的因素.
主要成果:
- 只有38.5%的人进行了查,而13.7%的人被转介到睡眠诊所.
- 执行STOP-BANG查工具与睡眠诊所转诊有很强的关联 (OR:18.04,p < 0.001).
- 没有任何特定的临床特征预测了STOP-BANG工具的使用.
结论:
- 目前的查识别出具有OSA的可能性最高的孕妇.
- 需要进行进一步的研究,以加强现实世界在高风险怀孕中OSA识别和管理的战略.
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