Section of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA.
Section of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA.
Clin Chest Med. 2021 Sep;42(3):427-442. doi: 10.1016/j.ccm.2021.04.005.
Sleep throughout a woman's life impacts her quality of life and medical comorbidities. The prevalence of sleep symptoms and disorders varies throughout a woman's life in association with the reproductive milestones of pregnancy and menopause. Studies have failed to identify a clear sex predominance of sleep disorders in childhood and adolescence. Sleep disturbances in pregnancy are common and may be associated with increased risk for adverse maternal outcomes. Menopause is associated with sleep disruption owing to increased rates of sleep-disordered breathing, development of insomnia owing to vasomotor symptoms and hormonal changes, circadian derangements, and changes in sleep architecture.
女性一生的睡眠质量会影响其生活质量和合并症的发生。睡眠症状和障碍的发生率会随着女性一生中怀孕和绝经等生殖里程碑的变化而变化。研究未能确定儿童期和青春期睡眠障碍是否存在明显的性别优势。怀孕期间睡眠障碍很常见,可能会增加不良母婴结局的风险。由于睡眠呼吸障碍的发生率增加、血管舒缩症状和激素变化导致失眠的发生、昼夜节律紊乱以及睡眠结构改变,绝经期与睡眠中断有关。