孕期睡眠障碍

Sleep disorders in pregnancy.

作者信息

Lopes Eliane Aversa, Carvalho Luciane Bizari Coin de, Seguro Priscila Bernal da Costa, Mattar Rosiane, Silva Ademir Baptista, Prado Lucila B Fernandes do, Prado Gilmar Fernandes do

机构信息

Sleep Disorders Center, Department of Neurology, Federal University of Sao Paulo, Sao Paulo, SP, Brazil.

出版信息

Arq Neuropsiquiatr. 2004 Jun;62(2A):217-21. doi: 10.1590/s0004-282x2004000200005. Epub 2004 Jun 23.

DOI:10.1590/s0004-282x2004000200005

PMID:15235720

Abstract

CONTEXT

The precise function of sleep in animals and human beings is still unknown, and any sort of physical, social or psychological variation may change the normal sleep-wake cycle.

PURPOSE

This research aims is to determine the sleep disorders (SD) for each of the three trimesters of the pregnancy comparing them to the pre-pregnancy state (PG).

METHOD

SD were investigated in three hundred pregnant women 11- to 40-years-old through with a brief clinical interview based on directed questions. One hundred pregnant women were considered for each trimester.

RESULTS

The rate of pregnant women with insomnia increased by 23% in the 2nd trimester (p< 0.005); the rate for excessive daytime sleepiness (EDS) by 15% in the 1st trimester (p<0.003), 55% in the 2nd trimester (p<0.001) and by 14% in the 3rd trimester (p<0.002); the rate for mild sleepiness increased by 33% in the 2nd trimester (p<0.002) and by 48% in the 3rd trimester (p<0.001); the rate for specific awakenings increased by 63% in the 1st trimester, by 80% in the 2nd trimester and by 84% in the 3rd trimester (p<0.001).

CONCLUSION

SD were more frequent during pregnancy comparatively to PG state, mostly at the expenses of EDS and specific awakenings.

摘要

背景

睡眠在动物和人类中的精确功能仍然未知，任何身体、社会或心理变化都可能改变正常的睡眠-觉醒周期。

目的

本研究旨在确定妊娠三个阶段中每个阶段的睡眠障碍（SD），并将其与妊娠前状态（PG）进行比较。

方法

通过基于定向问题的简短临床访谈，对300名11至40岁的孕妇进行了睡眠障碍调查。每个孕期考虑100名孕妇。

结果

妊娠中期失眠孕妇的比例增加了23%（p<0.005）；妊娠早期白天过度嗜睡（EDS）的比例增加了15%（p<0.003），妊娠中期增加了55%（p<0.001），妊娠晚期增加了14%（p<0.002）；妊娠中期轻度嗜睡的比例增加了33%（p<0.002），妊娠晚期增加了48%（p<0.001）；特定觉醒的比例在妊娠早期增加了63%，妊娠中期增加了80%，妊娠晚期增加了84%（p<0.001）。