睡眠障碍与妊娠前之间的关联:系统性审查和元分析
Mina Abbasi1, Dara Rasoal2, Roghieh Kharaghani1
1School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
概括
睡眠障碍,如失眠和睡眠呼吸暂停,显著增加孕妇产前的风险. 早期诊断和治疗睡眠障碍对于改善母亲和胎儿的结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 睡眠障碍在怀孕期间很常见.
- 这些睡眠问题与不良妊娠结果有关.
- 孕前是一种严重的妊娠并发症.
研究的目的:
- 评估睡眠障碍与孕前之间的关联.
- 综合观察性研究对睡眠障碍和孕前风险的证据.
主要方法:
- 在多个数据库 (PubMed,Scopus等) 的系统文献搜索. 在2024年9月之前.
- 包括对孕妇患有先兆子和睡眠障碍的观察性研究 (队列,病例控制,横截面).
- 使用纽卡斯尔-太华尺度进行质量评估和使用I2统计数据进行异质性分析;使用RevMan 5分析数据.
主要成果:
- 分析了25篇与3,992名参与者的文章.
- 睡眠障碍显著增加了孕前风险 (OR=6.79对于定性指标,SMD=3.91对于定量指标).
- 孕前症组的血压,BMI和母亲的年龄都较高.
结论:
- 睡眠障碍,包括睡眠呼吸障碍,阻塞性睡眠呼吸暂停和失眠,都会增加孕前的风险.
- 睡眠障碍的有效诊断和管理对于改善妊娠结果至关重要.
- 进一步的研究可能会探索特定的睡眠障碍亚型及其对孕前的影响.
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