怀孕期间阻塞性睡眠呼吸暂停:对孕产妇和胎儿后果的新兴见解
Sohaib Ansari1, Vesna Buntak1, Ghada Bourjeily1,2,3
1Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Rhode Island Hospital, Warren Alpert Medical School of Brown University.
Current opinion in pulmonary medicine
|September 8, 2025
概括
怀孕期间睡眠呼吸障碍 (SDB) 是常见的,并与严重的孕产妇和胎儿健康问题有关. 早期发现和治疗对于改善结果至关重要.
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:
- 由于生理变化,睡眠呼吸障碍 (SDB) 在怀孕期间很普遍.
- SDB的范围从打到完全的呼吸道崩,导致氧气不和睡眠碎片化.
研究的目的:
- 在怀孕期间审查SDB.
- 介绍有关母亲和胎儿/新生儿结局的最新数据.
- 讨论治疗指南及其对怀孕健康的影响.
主要方法:
- 对最近关于怀孕期间SDB的数据的文献综述.
- 分析与SDB相关的孕产妇和胎儿/新生儿结局.
- 检查当前的治疗方式和指导方针.
主要成果:
- 怀孕期间的SDB与妊娠期高血压,妊娠前,葡萄糖代谢受损和心血管疾病相关.
- 胎儿和新生儿不良后果包括早产,生长变化,先天性异常和表观遗传变化.
- 有证据支持SDB对母亲心理健康和长期发病率的影响.
结论:
- SDB在怀孕期间显著影响母亲和胎儿的健康.
- 为了有效管理,需要进一步的研究和更新的指导方针.
- 及时诊断和治疗SDB对于优化妊娠结果至关重要.
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