打鼾对孕妇和胎儿的影响:一项横断面研究。

IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Sleep and Breathing Pub Date : 2024-12-01 Epub Date: 2024-08-28 DOI:10.1007/s11325-024-03098-x
Biying Wang, Jianming Zhao, Lifang Fu, Caiyun Wang, Meixin Nian, Xuefen Cai, Jiefeng Huang
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引用次数: 0

摘要

目的:孕妇经常打鼾,尤其是在妊娠后期。打鼾通常是阻塞性睡眠呼吸暂停(OSA)的信号,有可能对妊娠结局产生负面影响。因此,我们的研究旨在调查打鼾如何影响孕妇妊娠并发症和胎儿预后:我们招募了怀孕第二和第三个月的孕妇,让她们填写一份有关睡眠相关症状的调查问卷,如打鼾、白天过度嗜睡、夜间觉醒频率以及人体测量数据。随后,参与者被分为打鼾者和不打鼾者,并对妊娠并发症的发生率和胎儿结局进行了监测:研究共招募了 212 名孕妇,其中 35 人被确定为鼾症患者,177 人被确定为非鼾症患者。这表明在我们的样本中,打鼾的发生率为 16.5%。两组孕妇在少胎畸形(11.43% 对 2.82%,P = 0.044)和胎儿窘迫(28.57% 对 8.47%,P = 0.003)的发生率上存在显著差异。逻辑回归分析表明,打鼾与胎儿窘迫独立相关(几率比 [OR] = 4.99,95% 置信区间 [CI] 1.88-13.23,P = 0.001):我们的研究结果表明,在对潜在的混杂因素进行调整后,习惯性打鼾是导致胎儿窘迫的独立风险因素,这表明习惯性打鼾可能会对中晚期妊娠产生不利影响。
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Effect of snoring on pregnant women and fetal outcomes: a cross sectional study.

Purpose: Snoring frequently occurs among pregnant women, particularly in the later stages of pregnancy. It often signals obstructive sleep apnea (OSA), which could potentially affect pregnancy outcomes negatively. Hence, our study aimed to investigate how snoring influences the likelihood of pregnancy complications and fetal outcomes in a cohort of expectant mothers.

Methods: We enrolled pregnant women in their second and third trimesters and had them fill out a questionnaire concerning sleep-related symptoms such as snoring, excessive daytime sleepiness, and frequency of nighttime awakenings, along with anthropometric measurements. Subsequently, the participants were divided into snorers and non-snorers, and the occurrence of pregnancy complications and fetal outcomes was monitored.

Results: The study enrolled a total of 212 pregnant women, among whom 35 were identified as snorers and 177 as non-snorers during mid to late pregnancy. This indicated a snoring prevalence of 16.5% in our sample. Significant differences were noted between the two groups regarding the occurrence of oligohydramnios (11.43% vs. 2.82%, p = 0.044) and fetal distress (28.57% vs. 8.47%, p = 0.003). Logistic regression analyses revealed that snoring was independently associated with fetal distress (odds ratio [OR] = 4.99, 95% confidence interval [CI] 1.88-13.23, p = 0.001).

Conclusions: Our findings suggest that habitual snoring was the independent risk factor fetal distress after adjusting for potential confounders, indicating that habitual snoring may have a detrimental effect during mid to late pregnancy.

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来源期刊
Sleep and Breathing
Sleep and Breathing 医学-呼吸系统
CiteScore
5.20
自引率
4.00%
发文量
222
审稿时长
3-8 weeks
期刊介绍: The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.
期刊最新文献
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