Pulmonary and Critical Care Medicine, Department of Medicine, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, 100 Dudley Street, Suite 1100, Providence, RI 02905, USA.
Department of Medicine, Women and Infants Hospital of Rhode Island, 100 Dudley Street, Suite 1100, Providence, RI 02905, USA.
Clin Chest Med. 2011 Mar;32(1):175-189. doi: 10.1016/j.ccm.2010.11.003. Epub 2010 Dec 18.
Symptoms of sleep-disordered breathing are more common in pregnant women compared with nonpregnant women. It is likely that physiology of pregnancy predisposes to the development or worsening of sleep-disordered breathing, but some physiologic changes may also be protective against the development of this disease. Clinical presentation may be less predictive of sleep disordered breathing in pregnancy than in the non-pregnant population; nonetheless, snoring is associated with adverse pregnancy outcomes. Treatment strategies are similar to the nonpregnant population, however, pregnancy-specific scenarios may arise and these subtleties are addressed in this review.
与非孕妇相比,睡眠呼吸障碍的症状在孕妇中更为常见。可能是妊娠的生理机能使睡眠呼吸障碍恶化或发展,但一些生理变化也可能对这种疾病的发展具有保护作用。在妊娠人群中,与非妊娠人群相比,临床表现对睡眠呼吸障碍的预测性可能较低;然而,打鼾与不良妊娠结局有关。治疗策略与非妊娠人群相似,但可能会出现特定于妊娠的情况,本综述将讨论这些细微差别。