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妊娠期妇女睡眠呼吸特点 被引量:3

The characteristics of breathing during sleep of pregnant woman
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摘要 目的探讨妊娠各期人体测量、睡眠呼吸变化的特征,为其诊治提供依据。方法选择我院产科门诊建卡登记并分娩的孕妇30例,在孕早、中、晚期观查各孕期孕妇一般生理指标及并进行同期多导睡眠图(PSG)监测。结果随着妊期的进展,孕妇体重、体质指数、颈围均显著升高(P值均<0.05);妊娠期妇女呼吸暂停低通气指数(AHI)、氧减指数(ODI)、血氧饱和度<0.9时间占睡眠时间百分比(SLT90%)、最长呼吸暂停时间(LAT)随着孕期进展均呈进行性升高(P均<0.05),夜间最低血氧饱和度(SaO_2min)随着孕期进行性降低(P<0.05),妊娠中期与早期比较,微觉醒指数(MAI)显著降低(P<0.05),妊娠晚期与早期、中期比较,MAI显著升高(P<0.05)。结论随着孕期的进展,孕妇发生SDB的可能性增大。 Objective To study the general indicators, sleep characteristics of early, middle and late pregnancy combined the polysomnography results. Methods We prospectively enrolled 30 pregnant women, who were registrated and had delivery in Department of gynecology and obstetrics in Mentougou district hospital during June 2012 to August 2013 and observed the physiological measures and results of PSG. Results Body weight, BMI and neck circumference were increased progressively during pregnancy(all P 〈 0.05). The parameters, including AHI,ODI, SLT90%, and LAT, were progressively increased during pregnancy(all P 〈 0.05), SaO2min were progressively declined during pregnancy(P 〈 0.05), MAI was significantly lower in the middle pregnancy than that in the early pregnancy(P 〈 0.05), and it was significantly higher than that in the early, middle pregnancy(P 〈 0.05). Conclusion Pregnant women have increased possibility of SDB as the progress of pregnancy.
出处 《北京医学》 CAS 2015年第7期674-676,共3页 Beijing Medical Journal
关键词 妊娠 阻塞性睡眠呼吸暂停综合征 多导睡眠图 Pregnancy Obstructive sleep apnea-hypopnea syndrome Polysomnography
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