阻塞性睡眠呼吸暂停低通气综合征与妊娠期糖尿病的关系  

Relationship between obstructive sleep apnea hypopnea syndrome and gestational diabetes mellitus

作　　者：刘娟[1] 周芳 李玲[2] 厉平[2] Liu Juan;Zhou Fang;Li Ling;Li Ping(Department of Respiratory and Critical Care Medicine,the Second Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710004,China;Department of Endocrinology,Shengjing Hospital of China Medical University,Shenyang 110000,China)

机构地区：[1]西安交通大学第二附属医院呼吸与危重症医学科,西安710004 [2]中国医科大学附属盛京医院内分泌科,沈阳110000

出　　处：《中国医师杂志》2022年第12期1917-1920,共4页Journal of Chinese Physician

摘　　要：妊娠期糖尿病(GDM)能够导致母婴不良结局,随着育龄妇女超重和肥胖的高患病率,妊娠期糖尿病的发生率正在增加。近年来我国妊娠期糖尿病患病率不断上升。阻塞性睡眠呼吸暂停低通气综合征(OSAHS)能够增加2型糖尿病的发生风险,改善睡眠呼吸暂停,可有效改善糖代谢状态。多数研究表明OSAHS与妊娠期糖尿病风险增加有关,但是仍有部分研究结果与此不同,对OSAHS妊娠女性的持续正压通气治疗(CPAP)能否改善糖代谢尚无定论。本文系统回顾OSAHS与妊娠期糖尿病关系的研究进展,同时就CPAP能否改善妊娠期糖尿病患者糖代谢状态进行综述。Gestational diabetes mellitus(GDM)can lead to adverse maternal and infant outcomes,and the incidence of GDM is increasing with the high prevalence of overweight and obesity in women of reproductive age.In recent years,the prevalence of GDM in my country has been increasing.Obstructive sleep apnea hypopnea syndrome(OSAHS)can increase the risk of type 2 diabetes,that′s why improve sleep apnea can effectively improve the state of glucose metabolism.Most studies have shown that OSAHS is associated with an increased risk of GDM,but there are still some studies that have different results,and whether continuous positive airway pressure(CPAP)in pregnant women with OSAHS can improve glucose metabolism is still inconclusive.This article systematically reviewed the research progress of the relationship between OSAHS and GDM,and also reviewed whether CPAP can improve the glucose metabolism status of patients with GDM.

关 键 词：睡眠呼吸暂停 阻塞性 糖尿病 妊娠 胰岛素抵抗 连续气道正压通气 

分 类 号：R766[医药卫生—耳鼻咽喉科] R714.256[医药卫生—临床医学]