Evaluation of obstructive sleep apnea symptoms in pregnant women with chronic disease
Evaluation of obstructive sleep apnea symptoms in pregnant women with chronic disease
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DOI：
10.3109/14767058.2015.1127346
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发表时间：
2016-10-01
影响因子：
1.8
通讯作者：
Keskin, Ugur
中科院分区：
文献类型：
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作者：
Karaduman, Mevlut;Sari, Oktay;Keskin, Ugur
目的：阻塞性睡眠呼吸暂停综合征（OSAS）是一种估计在很大程度上未被诊断的疾病。因此，OSAS在孕妇中的患病率尚不清楚。我们旨在评估慢性疾病孕妇的阻塞性睡眠呼吸暂停症状。方法：选取97例慢性疾病孕妇和160例健康孕妇为研究对象。采用社会人口学特征和妊娠特征问卷、Epworth量表和Berlin问卷评估OSAS风险。结果：确定10-12.5%的健康孕妇、34-45.4%的慢性疾病孕妇和20.6-23.3%的全部孕妇发生OSAS的高危，慢性疾病孕妇发生OSAS的风险比健康孕妇高，有统计学意义。发现OSAS的风险明显更高，特别是在高血压和糖尿病的孕妇中。结论：OSAS可导致妊娠不良后果，应引起所有孕妇特别是慢性疾病孕妇的质疑。有OSAS的孕妇在产前护理中应更仔细地监测糖尿病和高血压。
Objective: Obstructive sleep apnea syndrome (OSAS) is a disease which is estimated to be undiagnosed to a large extent. Hence, the prevalence of OSAS in pregnant women is unknown. We aimed to evaluate the symptoms of obstructive sleep apnea in pregnant women with chronic diseases.Methods: In the study, 97 pregnant women with chronic diseases and 160 healthy pregnant women were included. A form questioning socio-demographic characteristics and pregnancy characteristics, Epworth scale and the Berlin questionnaire to evaluate the risk of OSAS were applied to participants.Results: It has been determined that 10-12.5% of healthy pregnant women, 34-45.4% of pregnants with chronic diseases and 20.6-23.3% of all pregnant women had a high risk of OSAS, the pregnants with chronic disease compared to healthy pregnant women had statistically significant higher risk of OSAS. The risk of OSAS was found to be significantly higher especially in pregnant women with hypertension and diabetes.Conclusions: OSAS can lead to the adverse consequences in pregnancy, should be questioned for all pregnants especially those with chronic diseases. Pregnant women with OSAS should be monitored more carefully in terms of diabetes and hypertension in antenatal care.