怀孕和早产期间母亲睡眠质量轨迹的关联:一项前性队列研究
1Division of Birth Cohort Study, Fujian Maternity and Child Health Hospital, Fuzhou, China.
Journal of sleep research
|October 24, 2025
概括
怀孕期间睡眠质量恶化会增加早产风险. 识别越来越睡眠不足的妇女对于有针对性的干预措施来改善怀孕结果至关重要.
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:
- 孕产妇的睡眠质量轨迹与早产之间的关系仍未得到充分研究.
- 了解这些动态对于识别风险妊娠至关重要.
研究的目的:
- 为了纵向评估孕妇的睡眠质量在整个怀孕三季度.
- 检查不同睡眠质量轨迹与早产风险之间的关联.
主要方法:
- 中国的一项前性出生队列研究包括了15042名女性.
- 在整个妊娠期内,使用匹兹堡睡眠质量指数 (PSQI) 测量睡眠质量.
- 隐性类轨迹和后勤回归模型确定了睡眠模式及其与早产相关性.
主要成果:
- 确定了三个睡眠质量轨迹:稳定的好,稳定的差,和越来越差.
- 睡眠质量越来越差的轨迹与早产的几率增加1.32倍 (95% CI: 1.051.66).
- 这种关联在30岁以下的女性,BMI正常的女性或女婴的母亲中是显著的.
结论:
- 怀孕期间睡眠质量差的日益增长的轨迹是早产的重要危险因素.
- 识别睡眠质量恶化的妇女对于早期干预至关重要.
- 针对高风险群体的有针对性的策略可能有助于降低早产率.
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