Abdullah Hairil Rizal, Nagappa Mahesh, Siddiqui Naveed, Chung Frances
aDepartment of Anesthesiology, Singapore General Hospital bDuke-NUS Medical School, Singapore cDepartment of Anesthesiology, Toronto Western Hospital, University Health Network, University of Toronto dDepartment of Anesthesia and Pain Management Mount Sinai Hospital, Toronto, Ontario, Canada.
Curr Opin Anaesthesiol. 2016 Jun;29(3):317-24. doi: 10.1097/ACO.0000000000000317.
This review aims to provide an update on recent advances in the diagnosis and treatment of obstructive sleep apnea (OSA) during pregnancy and its effect on maternal and fetal outcomes.
Current OSA screening tools may not perform well in this population. There are some pieces of evidence linking poorer maternal and neonatal outcome with pregnant patients having OSA. At present, there are inadequate data on which to base fetal or maternal parameters for treatment of OSA, and no evidence that treatment in the short-term impacts maternal or neonatal outcomes.
Further research is needed to help in the detection and treatment of OSA in pregnancy.
本综述旨在提供有关妊娠期阻塞性睡眠呼吸暂停(OSA)诊断和治疗的最新进展及其对母婴结局影响的最新信息。
目前的OSA筛查工具在该人群中可能效果不佳。有一些证据表明,患有OSA的孕妇母婴结局较差。目前,缺乏用于指导OSA治疗的胎儿或母体参数的数据,也没有证据表明短期治疗会影响母婴结局。
需要进一步研究以帮助检测和治疗妊娠期OSA。