妊娠期阻塞性睡眠呼吸暂停与胎儿结局
Obstructive sleep apnea in pregnancy and fetal outcome.
作者信息
Sahin Figen Kir, Koken Gulengul, Cosar Emine, Saylan Filiz, Fidan Fatma, Yilmazer Mehmet, Unlu Mehmet
机构信息
Department of Obstetrics and Gynecology, Faculty of Medicine, Afyonkarahisar Kocatepe University, Afyonkarahisar, Turkey.
出版信息
Int J Gynaecol Obstet. 2008 Feb;100(2):141-6. doi: 10.1016/j.ijgo.2007.08.012. Epub 2007 Oct 31.
OBJECTIVE
To simultaneously investigate the polysomnography (PSG) and nonstress test (NST) records of pregnant women with obstructive sleep apnea (OSA) to observe NST changes during maternal desaturation and determine maternal and fetal outcomes.
METHODS
A prospective observational study of pregnant women assessed by questionnaire for symptoms of OSA. Women with self-reported frequent snoring or apnea were offered PSG and NST.
RESULT
OSA was diagnosed in 4 (11.4%) of the 35 pregnant women who underwent PSG. Three (75%) had fetal heart decelerations accompanying maternal desaturation. The neonates of women diagnosed with OSA had lower mean Apgar scores and birth weights compared with neonates of women without OSA. Three neonates from the women diagnosed with OSA were admitted to the newborn healthcare unit.
CONCLUSION
OSA in pregnancy has important maternal and fetal outcomes. Pregnant women should be assessed for symptoms of OSA and suspected cases should be offered PSG.
目的
同时调查阻塞性睡眠呼吸暂停（OSA）孕妇的多导睡眠图（PSG）和无应激试验（NST）记录，观察母体血氧饱和度降低期间NST的变化，并确定母婴结局。
方法
一项对孕妇进行的前瞻性观察性研究，通过问卷评估OSA症状。对自我报告经常打鼾或呼吸暂停的女性进行PSG和NST检查。
结果
接受PSG检查的35名孕妇中有4名（11.4%）被诊断为OSA。其中3名（75%）在母体血氧饱和度降低时出现胎儿心率减速。与未患OSA的女性的新生儿相比，被诊断为OSA的女性的新生儿平均阿氏评分和出生体重较低。3名被诊断为OSA的女性的新生儿被送入新生儿保健病房。
结论
孕期OSA对母婴结局有重要影响。应对孕妇进行OSA症状评估，疑似病例应进行PSG检查。
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