怀孕期间阻塞性睡眠呼吸暂停的查问卷的诊断准确性:一个元分析和更新的系统审查
Marco La Verde1, Esposito Renata2, Maria Maddalena Marrapodi3,4
1Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Journal of sleep research
|September 25, 2025
概括
像柏林问卷和ESS这样的标准阻塞性睡眠呼吸暂停 (OSA) 查工具显示,孕妇的诊断准确性很差. 需要新的,针对怀孕的查方法,以便在妊娠期间更好地检测OSA.
科学领域:
- 产科和妇科 产科和妇科
- 睡眠医学 睡眠医学
- 诊断准确性研究 诊断准确性研究
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 越来越多地被认为是怀孕期间的一个重大问题.
- 目前存在的OSA查工具尚未在孕妇群体中得到充分验证.
- 准确的查对于及时干预和管理孕妇OSA至关重要.
研究的目的:
- 为了评估常见阻塞性睡眠呼吸暂停 (OSA) 查工具在孕妇的诊断性能.
- 评估广泛使用的睡眠问卷对OSA查在这个人口群体中的有效性.
- 确定需要特定于怀孕的OSA查仪器的需求.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在MEDLINE,Scopus,Cochrane CENTRAL和谷歌学者 (直到2024年3月) 的综合文献搜索.
- 包括研究比较OSA查问卷与孕妇的夜间多睡眠学 (PSG);敏感性,特异性,DOR和LR的计算.
主要成果:
- 分析了8项涉及10,043名孕妇的研究,OSA患病率从12%到72.3%不等.
- 柏林调查问卷在敏感性和特异性方面表现出显著的异质性,敏感性和假阳性率之间存在强烈的正相关性.
- 爱普沃思睡眠度量表 (ESS) 也显示了相当大的变化和敏感性和错误阳性之间的正相关性.
结论:
- 传统的OSA查工具,包括柏林问卷和ESS,在孕妇人群中显示出诊断准确度较差.
- 显然需要开发和验证专门针对OSA在怀孕期间量身定制的新型查仪器.
- 需要进一步的研究,以了解孕妇独特的OSA风险因素.
相关概念视频
01:21Sleep Apnea
481
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
481
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
3.1K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
3.1K