怀孕中的阻塞性睡眠呼吸暂停:对孕产妇和胎儿影响的全面审查
Antonino Maniaci1, Luigi La Via2, Basilio Pecorino1
1Faculty of Medicine and Surgery, University of Enna "Kore", 94100 Enna, Italy.
Neurology international
|May 28, 2024
概括
在怀孕期间阻塞性睡眠呼吸暂停 (OSA) 是常见的,并与严重的孕产妇和胎儿问题有关. 早期诊断和管理,包括CPAP治疗,对于更好的结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 睡眠医学 睡眠医学
- 围产期健康 围产期健康
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 越来越被认为是怀孕期间的重大并发症.
- 怀孕期间的生理变化,包括体重增加和荷尔蒙变化,加剧了OSA的患病率.
- 怀孕期间未诊断的OSA对母亲和胎儿的健康都有风险.
研究的目的:
- 审查当前关于怀孕期间阻塞性睡眠呼吸暂停的证据.
- 探索流行病学,病理生理学,神经效应和妊娠期间OSA的管理.
- 突出需要改进识别和治疗策略的需要.
主要方法:
- 在PubMed,EMBASE和Cochrane数据库中的系统文献搜索.
- 包括到2023年发表的研究.
- 关于OSA在怀孕中的影响和管理的综合证据.
主要成果:
- 由于生理适应,OSA发生率在怀孕期间上升.
- 与怀孕相关的OSA与妊娠高血压,妊娠前和妊娠糖尿病相关.
- 不良的胎儿结果包括子宫内生长限制和早产.
- 持续正气道压力 (CPAP) 是主要的治疗方法,但坚持是个挑战.
结论:
- 在怀孕期间早期发现和管理OSA对于改善孕产妇和胎儿健康至关重要.
- 需要加强查协议和策略,以改善CPAP的遵守.
- 需要进一步的研究来优化孕妇群体的OSA护理.
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