孕妇分娩前后鼻眼部症状变化规律分析  

Analysis of patterns of variation in nasal and ocular symptoms before and after delivery in pregnant women

作　　者：杨娟娟[1] 郎永耀 周文成[3] YANG Juanjuan;LANG Yongyao;ZHOU Wencheng(Department of Obstetrics,Suzhou Ninth People's Hospital/Suzhou Ninth Hospital affiliated to Soochow University,Suzhou 215200,Jiangsu,China;Department of Otorhinolaryngology,The Affiliated Jiangsu Shengze Hospital,Nanjing Medical University,Suzhou 215228,Jiangsu,China;Department of Otorhinolaryngology,The First Affiliated Hospital,Nanjing Medical University,Nanjing 210029,Jiangsu,China)

机构地区：[1]苏州大学附属苏州九院/苏州市第九人民医院妇产科,江苏苏州215200 [2]江苏省人民医院盛泽分院/南京医科大学附属江苏盛泽医院耳鼻咽喉科,江苏苏州215228 [3]南京医科大学第一附属医院/江苏省人民医院耳鼻咽喉科,江苏南京210029

出　　处：《山东大学耳鼻喉眼学报》2025年第2期59-64,共6页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：吴阶平医学基金临床科研基金(320.6750.18273)。

摘　　要：目的 探讨有鼻炎症状的孕妇在分娩前后短期内鼻眼部症状的变化规律。方法 针对妊娠晚期待产孕妇,使用问卷调查的方式收集她们的妊娠基线数据、既往病史、围产期内的鼻眼部症状,通过对孕妇分娩前后鼻眼部症状评分的比较,推测妊娠期鼻炎的发病率及其可能的危险因素。结果 共有144例孕妇纳入研究,其中17例既往有鼻炎病史;在127例无鼻炎病史的孕妇中,42例(33.1%)出现妊娠期鼻炎的相关症状。妊娠期鼻炎孕妇与对照组孕妇在妊娠年龄、孕周及婴儿性别分布上差异无统计学意义(P=0.842;P=0.971;P=0.399)。有鼻炎症状的孕妇,在分娩后短期内鼻部症状评分即较分娩前显著下降,差异有统计学意义(P<0.01)。结论 妊娠期鼻炎相关的鼻部症状于分娩后短期内可自行缓解。Objective To investigate the short-term changes in nasal and ocular symptoms among pregnant women with rhinitis symptoms before and after delivery.Methods Pregnant women in late pregnancy who were due to deliver were interviewed using questionnaires to collect baseline pregnancy data,medical history,and information on nasal and ocular symptoms during the perinatal period.By comparing the scores for nasal and ocular symptoms before and after delivery,the prevalence of pregnancy rhinitis and its potential risk factors were assessed.Results A total of 144 pregnant women were included in the study,17 of whom had a history of rhinitis.of the 127 pregnant women without a history of rhinitis,42(33.1%)developed symptoms related to pregnancy rhinitis.No significant differences were observed in maternal age,gestational weeks,and infant sex distribution between pregnant women with pregnancy rhinitis and the control group(P=0.842,P=0.971,P=0.399).Pregnant women with rhinitis symptoms experienced a statistically significant reduction in nasal symptom scores shortly after delivery compared to before delivery(P<0.01).Conclusion The nasal symptoms associated with pregnancy rhinitis may resolve spontaneously within a short time after delivery.

关 键 词：妊娠诱发鼻炎 妊娠期鼻炎 鼻部症状 眼部症状 分娩 症状评分 

分 类 号：R714.7[医药卫生—妇产科学] R765.21[医药卫生—临床医学]