摘要: 妊娠期孕婦的睡眠模式發(fā)生明顯改變，睡眠時間異常、睡眠質(zhì)量差等問題尤為突出。不健康的睡眠模式增加了不良妊娠結(jié)局的發(fā)生風(fēng)險，早產(chǎn)作為最常見的不良妊娠結(jié)局，是導(dǎo)致新生兒患病和死亡的最主要原因。筆者通過文獻(xiàn)復(fù)習(xí)，對孕婦睡眠現(xiàn)狀進(jìn)行簡述，同時從睡眠時間和睡眠質(zhì)量2個方面概述睡眠與早產(chǎn)之間的關(guān)系。在未來研究中，應(yīng)加強(qiáng)對孕婦睡眠情況的關(guān)注，制定有效的干預(yù)措施，指導(dǎo)孕婦進(jìn)行健康睡眠。

關(guān)鍵詞: 妊娠期  /  睡眠  /  早產(chǎn)  

Abstract: During pregnancy, sleep patterns of women alter significantly. The problems such as abnormal sleep duration and poor sleep quality are particularly prominent. Unhealthy sleep pattern increases the risk of adverse pregnancy outcomes. As the most common adverse pregnancy outcome, preterm birth is the leading cause of disease and death in newborns. Through literature study, we briefly described the sleep status of pregnant women, and summarized the relationship between preterm birth and sleep in terms of sleep duration and quality of sleep. Future researches should pay more attentions to sleep situation of pregnant women, and effective interventions should be developed to guide pregnant women to get healthy sleep.

[1]

Beck S, Wojdyla D, Say L, et al. The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity[J]. Bulletin of the World Health Organization, 2010, 88(1): 31 – 38.

[2]

Bhutta AT, Cleves MA, Casey PH, et al. Cognitive and behavioral outcomes of school-aged children who were born preterm: a meta-analysis[J]. Journal of the American Medical Association, 2002, 288: 728 – 737.

[3]

Morse SB, Zheng H, Tang Y, et al. Early school-age outcomes of late preterm infants[J]. Pediatrics, 2009, 123(4): :e622 – e629.

[4] 張丹丹,談迪心,王斌,等. 孕期增重與早產(chǎn)關(guān)聯(lián)的流行病學(xué)分析[J]. 中華流行病學(xué)雜志, 2016, 37(7): 1012 – 1016. [5]

Philip P, Akerstedt T. Transport and industrial safety, how are they affected by sleepiness and sleep restriction?[J]. Sleep Medicine Reviews, 2006, 10(5): 347 – 356.

[6]

Guo X, Zheng L, Wang J, et al. Epidemiological evidence for the link between sleep duration and high blood pressure: a systematic review and meta-analysis[J]. Sleep Medicine, 2013, 14(4): 324 – 332.

[7] 武海濱,楊麗,俞敏,等. 睡眠時間與2型糖尿病關(guān)系的研究進(jìn)展[J]. 中華流行病學(xué)雜志, 2017, 38(3): 411 – 416. [8] 黃小娜,蔣競雄,馬渝燕,等. 0~5歲兒童睡眠習(xí)慣及睡眠障礙的現(xiàn)狀研究[J]. 中國兒童保健雜志, 2006, 14(6): 585 – 587. [9] 劉蕓,董永海,李曉云,等. 中國60歲以上老年人睡眠障礙患病率的Meta分析[J]. 現(xiàn)代預(yù)防醫(yī)學(xué), 2014, 41(8): 1442 – 1445. [10] 田園,李立明. 老年人睡眠障礙的流行病學(xué)研究[J]. 中華流行病學(xué)雜志, 2017, 38(7): 988 – 992. [11]

Lee KA. Alterations in sleep during pregnancy and postpartum: a review of 30 years of research[J]. Sleep Med Rev, 1998, 2(4): 231 – 242.

[12]

Yan?kkerem E, Alt?parmak S, Karadeniz G. Review of the physical health problems experienced in pregnancy:family and community education[J]. Culture and Research Journal, 2006, 3: 35 – 42.

[13]

Pien GW, Schwab RJ. Sleep disorders during pregnancy[J]. Sleep, 2004, 27(7): 1405 – 1417.

[14]

Ibrahim S, Foldvary-Schaefer N. Sleep disorders in pregnancy: implications, evaluation, and treatment[J]. Neurol Clin, 2012, 30(3): 925 – 936.

[15]

Balserak BI. Sleep-disordered breathing in pregnancy[J]. Am J Respir Crit Care Med, 2014, 190(4): P1 – P2.

[16]

Sadeh A, Hauri PJ, Kripke DF, et al. The role of actigraphy in the evaluation of sleep disorders[J]. Sleep, 1995, 18(4): 288 – 302.

[17]

National Sleep Foundation." Sleep in American poll: women and sleep”[R]. Washington DC:2007.

[18]

Suzuki S, Dennerstein L, Dennerstein L, et al. Sleeping patterns during pregnancy in Japanese women[J]. Journal of Psychosomatic Obstetrics and Gynecology, 1994, 15(1): 19 – 26.

[19]

Lee KA, Zaffke ME, Mcenany G. Parity and sleep patterns during and after pregnancy[J]. Obstet Gynecol, 2000, 95(1): 14 – 18.

[20]

Lopes EA, Carvalho LB, Seguro PB, et al. Sleep disorders in pregnancy[J]. Arq Neuropsiquiatr, 2004, 62(2A): 217 – 221.

[21]

Facco FL, Kramer J, Ho KH, et al. Sleep disturbances in pregnancy[J]. Obstetrics and Gynecology, 2010, 115(1): 77 – 83.

[22] 高孟娟,黃素芹,李美蓮. 首次懷孕婦女睡眠質(zhì)量與精神心理因素的關(guān)系[J]. 中國組織工程研究, 2005, 9(28): 58 – 59. [23]

Arntzen KJ, Kj?llesdal AM, Halgunset J, et al. TNF, IL-1, IL-6, IL-8 and soluble TNF receptors in relation to chorioamnionitis and premature labor[J]. Journal of Perinatal Medicine-Official Journal of the WAPM, 1998, 26(1): 17 – 26.

[24]

Hillier SL, Witkin SS, Krohn MA, et al. The relationship of amniotic fluid cytokines and preterm delivery, amniotic fluid infection, histologic chorioamnionitis, and chorioamnion infection[J]. Obstetrics and Gynecology, 1993, 81(6): 941 – 948.

[25]

Okun ML, Hall M, Coussonsread ME. Sleep disturbances increase interleukin-6 production during pregnancy: implications for pregnancy complications[J]. Reproductive Sciences, 2007, 14(6): 560 – 567.

[26]

Palagini L, Gemignani A, Banti S, et al. Chronic sleep loss during pregnancy as a determinant of stress: impact on pregnancy outcome[J]. Sleep Medicine, 2014, 15(8): 853 – 859.

[27]

Micheli K, Komninos I, Bagkeris E, et al. Sleep patterns in late pregnancy and risk of preterm birth and fetal growth restriction[J]. Epidemiology, 2011, 22(5): 738 – 744.

[28]

Kajeepeta S, Sanchez SE, Gelaye B, et al. Sleep duration, vital exhaustion, and odds of spontaneous preterm birth: a case-control study[J]. BMC Pregnancy and Childbirth, 2014, 14(1): 1 – 10.

[29]

Samaraweera Y, Abeysena C. Maternal sleep deprivation, sedentary lifestyle and cooking smoke: risk factors for miscarriage: a case control study[J]. Australian and New Zealand Journal of Obstetrics and Gynaecology, 2010, 50(4): 352 – 357.

[30]

Qiu C, Sanchez SE, Gelaye B, et al. Maternal sleep duration and complaints of vital exhaustion during pregnancy is associated with placental abruption[J]. The Journal of Maternal-Fetal and Neonatal Medicine, 2014, 28(3): 350 – 355.

[31]

Guendelman S, Pearl M, Kosa JL, et al. Association between preterm delivery and pre-pregnancy body mass (BMI), exercise and sleep during pregnancy among working women in Southern California[J]. Maternal and Child Health Journal, 2013, 17(4): 723 – 731.

[32]

Desquilbet L, Mariotti F. Dose-response analyses using restricted cubic spline functions in public health research[J]. Statistics in Medicine, 2010, 29(9): 1037 – 1057.

[33]

Bartell S, Zallek S. Intravenous magnesium sulfate may relieve restless legs syndrome in pregnancy[J]. Journal of Clinical Sleep Medicine, 2006, 2(2): 187 – 188.

[34]

Srivanitchapoom P, Pandey S, Hallett M. Restless legs syndrome and pregnancy: a review[J]. Parkinsonism and Related Disorders, 2014, 20(7): 716 – 722.

[35]

Zahra M, Somayeh Y, Khosro S. Restless legs syndrome during pregnancy and preterm birth in women referred to health centers of Ardabil[J]. Iranian Red Crescent Medical Journal, 2015, 17(12): e24438.

[36]

Oyieng'O DO, Kirwa K, Tong I, et al. Restless legs symptoms and pregnancy and neonatal outcomes[J]. Clinical Therapeutics, 2016, 38(2): 256 – 264.

[37]

O'Brien LM, Bullough AS, Owusu JT, et al. Snoring during pregnancy and delivery outcomes: a cohort study[J]. Sleep, 2013, 36(11): 1625 – 1632.

[38]

Izci-Balserak B, Pien GW. Sleep-disordered breathing and pregnancy: potential mechanisms and evidence for maternal and fetal morbidity[J]. Current Opinion in Pulmonary Medicine, 2010, 16(16): 574 – 582.

[39]

Gozal D, Reeves SR, Row BW, et al. Respiratory effects of gestational intermittent hypoxia in the developing rat[J]. American Journal of Respiratory and Critical Care Medicine, 2003, 167(11): 1540 – 1547.

[40]

Edwards N, Middleton PG, Blyton DM, et al. Sleep disordered breathing and pregnancy[J]. Thorax, 2002, 57(6): 555 – 558.

[41]

Pamidi S, Pinto LM, Marc I, et al. Maternal sleep-disordered breathing and adverse pregnancy outcomes: a systematic review and meta-analysis[J]. American Journal of Obstetrics and Gynecology, 2014, 210(1): 51 – 52.

[42]

Xu T, Feng Y, Peng H, et al. Obstructive sleep apnea and the risk of perinatal outcomes: a meta-analysis of cohort studies[J]. Scientific Reports, 2015, 4(4): 6982.

[43]

Louis JM, Auckley D, Sokol RJ, et al. Maternal and neonatal morbidities associated with obstructive sleep apnea complicating pregnancy[J]. Am J Obstet Gynecol, 2010, 202(3): 261.

[44]

Chen YH, Kang JH, Lin CC, et al. Obstructive sleep apnea and the risk of adverse pregnancy outcomes[J]. American Journal of Obstetrics and Gynecology, 2012, 206(2): 1 – 5.

[45]

Ding XX, Wu YL, Xu SJ, et al. A systematic review and quantitative assessment of sleep-disordered breathing during pregnancy and perinatal outcomes[J]. Sleep and Breathing, 2014, 18(4): 703 – 713.

[46]

Okun ML, Schetter CD, Glynn LM. Poor sleep quality is associated with preterm birth[J]. Sleep, 2011, 34(11): 1493 – 1498.

[47]

Epstein R, Mast S, Mccubbin A, et al. First trimester sleep disturbance and the risk for preterm birth[J]. American Journal of Obstetrics and Gynecology, 2013, 208(1): S224.

[48]

Strange LB, Parker KP, Moore ML, et al. Disturbed sleep and preterm birth: a potential relationship?[J]. Clinical and Experimental Obstetrics and Gynecology, 2009, 36(3): 166 – 168.

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