Ayyar Lakshmy, Shaib Fidaa, Guntupalli Kalpalatha
Section of Pulmonary, Critical Care, and Sleep Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
Section of Pulmonary, Critical Care, and Sleep Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
Sleep Med Clin. 2018 Sep;13(3):349-357. doi: 10.1016/j.jsmc.2018.04.005.
Sleep-disordered breathing (SDB) in pregnancy can present as snoring and/or obstructive sleep apnea (OSA), and the prevalence is increasing due to the increase in maternal obesity. Pregnant women often present with fatigue and daytime sleepiness rather than the classic symptoms. Habitual snoring, older age, chronic hypertension, and high prepregnancy body mass index are reliable indicators of increased risk for SDB and should trigger further testing. The gold standard for diagnosis of OSA is an overnight laboratory polysomnography. Although there are no studies linking SDB to poor fetal outcomes, fetal well-being remains paramount throughout the course of pregnancy.
孕期睡眠呼吸障碍（SDB）可表现为打鼾和/或阻塞性睡眠呼吸暂停（OSA），由于孕妇肥胖率上升，其患病率也在增加。孕妇常表现为疲劳和日间嗜睡，而非典型症状。习惯性打鼾、年龄较大、慢性高血压和孕前高体重指数是SDB风险增加的可靠指标，应引发进一步检查。OSA诊断的金标准是夜间实验室多导睡眠图。虽然尚无研究将SDB与不良胎儿结局联系起来，但在整个孕期胎儿健康始终至关重要。
