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怀孕妇女阻塞性睡眠呼吸暂停的查工具:扩展和更新的系统审查和元分析

Babak Amra¹, Masoud Mansouri², Forogh Soltaninejad¹

¹Bamdad Respiratory and Sleep Research Center, Pulmonary and Sleep Ward, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

International journal of preventive medicine

|September 6, 2024

概括

孕妇阻塞性睡眠呼吸暂停 (OSA) 的查问卷显示准确度差到中等. 爱普沃思睡眠度量表 (ESS) 的表现最差,表明需要在怀孕期间使用更好的OSA查方法.

科学领域:

产科和妇科产科和妇科
肺部病理学肺部病理学
睡眠医学睡眠医学

背景情况:

阻塞性睡眠呼吸暂停综合征 (OSA) 患病率在怀孕期间上升,影响母亲和胎儿的健康.
准确的查工具对于在孕妇中及时诊断和管理OSA至关重要.

研究的目的:

系统地审查和对柏林,STOP-Bang和爱普沃思睡眠度量 (ESS) 问卷对孕妇OSA的诊断有效性进行元分析.
评估这些常见查工具在特定人群中的敏感性,特异性和预测值.

主要方法:

在PubMed,Embase和Web of Science数据库中进行了系统的搜索,直到2022年3月.
来自8项符合条件的研究的数据,涉及710名怀孕妇女怀疑OSA被两个独立审查者提取.
两变随机效应模型被用于计算聚合精度指标,包括灵敏度,特异性,PPV,NPV和DOR.

主要成果:

柏林问卷显示了61%的综合敏感性和61%的特异性.
STOP-Bang问卷显示了59%的综合敏感性和80%的特异性.
爱普沃思睡眠度量表 (ESS) 的综合灵敏度为29%,特异性为80%,与其他两种相比,其整体性能特征较差.

结论:

柏林,STOP-Bang和ESS问卷显示,在怀孕妇女的OSA查中,准确度有限到中等.
在这一群体中,ESS似乎是最不有效的查工具.
需要进行进一步的研究,以确定和验证更有效的OSA在怀孕期间的查方法.

关键词:

柏林问卷问卷的使用情况爱普沃思睡眠度量表睡眠度量表停止爆炸问卷调查问卷阻塞性睡眠呼吸暂停 (SOP) 的情况.孕妇孕妇孕妇孕妇

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