孕产妇睡眠打鼾现状及其与妊娠高血压和先兆子痫的关系研究  

The Association Between Snoring and Pregnancy Induced Hypertension,Preeclampsia

作　　者：陈红华[1] 文艳玲[1] 李玲[1] 

机构地区：[1]湖北省新华医院,湖北武汉430015

出　　处：《中国社会医学杂志》2014年第1期64-66,共3页Chinese Journal of Social Medicine

基　　金：湖北省卫生厅科研指导项目(JX4C12)

摘　　要：目的 探讨孕产妇孕期睡眠打鼾现状及其与妊娠高血压和先兆子痫的关系.方法采用横断面研究的设计方法,对符合纳入条件并自愿参加的孕产妇在分娩后24～48 h内开展问卷调查.结果研究期间共调查1 109名产妇,习惯性打鼾者有233人,占21.01%.习惯性打鼾孕妇妊娠高血压的发病率为15.02%,远高于非习惯性打鼾者5.82%的发生率.先兆子痫在习惯性打鼾和非习惯性打鼾孕妇中的发病率分别为11.59%和3.77%,两者差异有统计学意义.多因素Logistic回归分析在调整其他因素的影响后,睡眠习惯性打鼾的孕产妇发生妊娠高血压和先兆子痫的危险性均会增加,其OR值分别为1.71（1.36,2.65）和1.33（1.09,2.26）.结论 孕产妇睡眠打鼾有较高的发生率,并且是妊娠高血压和先兆子痫的危险因素.Objectives Our purpose was to study the relationship between snoring and pregnancy induced hyper-tension and preeclampsia.Methods A cross-sectional study was adopted to investigated the maternal with in 24 to 48 hours after delivery.Results A total of 1 109 women were surveyed during the study period,21.01% of the women reported habitual snoring.Hypertension developed in 15.02% of habitual snoring women,compared with 5.28% of nonsnorers.Preeclampsia occurred in 11.59% of habitual snorers,compared with 3.77%of nonsnorers.Habitual snoring was independently predictive of hypertension [OR：1.71（1.36,2.65）]and preeclampsia [OR：1.33（1.09,2.26）]in a logistic regression analysis controlling for weight,age,smoking,andsoon.Conclusions Snoring is common in pregnancy and is a sign of pregnancy induced hypertension and preeclampsia.

关 键 词：孕产妇 打鼾 妊娠高血压 先兆子痛 

分 类 号：R173[医药卫生—妇幼卫生保健]