呼吸道问题和怀孕和分娩期间Mallampati分数的变化:系统性审查
Maria Giovanna Vastarella1, Dario Gaetano1, Rossella Molitierno1
1Department of Woman Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
怀孕显著改变了呼吸道解剖学,增加了分娩期间的Mallampati分类等级. 这些呼吸道变化在分娩后部分消失,但对于高风险的产科患者,警至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 临界护理医学 临界护理医学
背景情况:
- 怀孕,分娩和产后期间的生理变化会导致呼吸道胀和软组织胀.
- 这些变化影响了评估气道困难的工具Mallampati分类.
- 马拉拉帕蒂分数升高表明产科人群的风险更高.
研究的目的:
- 系统地审查和探索整个怀孕,分娩和产后的气道修改和Mallampati分类变化.
- 了解安全的孕产妇护理和临床实践的关键气道变化.
主要方法:
- 进行了对五个数据库 (Medline,Embase,Scopus,Cochrane,ClinicalTrials.gov) 的系统审查.
- 搜索词包括"Mallampati"",气道变化"",怀孕"",产妇麻醉".
- 如果报告了怀孕,分娩或产后的Mallampati分类变化,则将研究纳入其中;使用修改的纽卡斯尔-太华尺度评估质量.
主要成果:
- 十篇文章符合纳入标准,显示了马拉拉帕蒂分类在周边期期间发生的重大变化.
- 马兰帕蒂III和IV等级从怀孕前的10.3%增加到分娩时的51.7%.
- 在患有高血压和孕前的妇女中观察到更高的Mallampati等级;在82%的妇女中,产后Mallampati等级在36-48小时内恢复到基线.
结论:
- 与怀孕相关的呼吸道变化是动态和显著的,特别是在分娩期间.
- 需要密切警,特别是在高风险的产科人群中,以管理呼吸道风险.
- 这些发现支持需要更新临床实践指南,用于孕妇患者的呼吸道管理.
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