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阻塞性睡眠呼吸暂停在妊娠期高血压和子痫前期发生中的作用。

The Role of Obstructive Sleep Apnea in Developing Gestational Hypertension and Preeclampsia.

作者信息

Lungeanu-Juravle Laura, Patrascu Natalia, Deleanu Oana Claudia, Cinteza Mircea

机构信息

Department of Cardiology, University Emergency Hospital, Bucharest, Romania.

"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

出版信息

Maedica (Bucur). 2016 Dec;11(4):330-333.

Abstract

Gestational hypertension and preeclampsia are the most frequent medical complications in pregnancy and major causes of maternal and fetal morbidity and mortality. It is also known that these conditions are associated with a long term increased cardiovascular global risk for these young women. Obstructive sleep apnea (OSA) seems to be not only a frequent pathology associated with pregnancy but also an independent factor for developing gestational hypertension. It is well known the relationship between gestational hypertension, preeclampsia and intrauterine growth restriction of the foetus so the outcomes of this pathologies are important for both mother and child. Increasing awareness of OSA among pregnant women with gestational hypertension and preeclampsia is important given the potential benefits of the treatment with continuous positive airway pressure (CPAP) on these patients.

摘要

妊娠期高血压和子痫前期是妊娠期间最常见的医学并发症,也是孕产妇和胎儿发病及死亡的主要原因。众所周知,这些情况会使这些年轻女性的心血管整体长期风险增加。阻塞性睡眠呼吸暂停(OSA)似乎不仅是一种与妊娠相关的常见病症,也是发生妊娠期高血压的一个独立因素。妊娠期高血压、子痫前期与胎儿宫内生长受限之间的关系已为人熟知,因此这些病症的后果对母亲和孩子都很重要。鉴于持续气道正压通气(CPAP)治疗对这些患者可能有益,提高妊娠期高血压和子痫前期孕妇对OSA的认识很重要。

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本文引用的文献

1
Recognition of obstructive sleep apnea in pregnancy survey.孕期阻塞性睡眠呼吸暂停的识别调查
Int J Obstet Anesth. 2016 May;26:85-7. doi: 10.1016/j.ijoa.2016.01.003. Epub 2016 Jan 14.
5
Sleep-disordered breathing and pregnancy.睡眠呼吸紊乱与妊娠。
Semin Perinatol. 2011 Dec;35(6):335-9. doi: 10.1053/j.semperi.2011.05.018.
8
Lobular capillary haemangioma of the nasal cavity during pregnancy.妊娠期鼻腔小叶状毛细血管瘤
J Laryngol Otol. 2011 Sep;125(9):973-7. doi: 10.1017/S0022215111001654. Epub 2011 Jul 12.
9
Respiratory physiology in pregnancy.妊娠时的呼吸生理学。
Clin Chest Med. 2011 Mar;32(1):1-13. doi: 10.1016/j.ccm.2010.11.001.
10
Pulmonary physiology in pregnancy.妊娠期间的肺生理学
Clin Obstet Gynecol. 2010 Jun;53(2):285-300. doi: 10.1097/GRF.0b013e3181e04776.

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