摘要
【目的】探讨Epworth嗜睡量表（Epworth sleepiness scale，ESS）在妊娠晚期孕妇睡眠呼吸障碍中的应用价值。【方法】选择妊娠晚期妇女126例，按ESS≥9分为切点，大于9分孕妇70例（A组）和小于9分孕妇56例（B组）。比较两组夜间、日间睡眠时间及睡眠情况并分析这些指标与ESS评分的相关性。【结果】A组孕妇夜间睡眠时间显著短于B组孕妇，日间睡眠时间显著长于B组孕妇，其差异均有显著性（P〈0．05）；A组孕妇发生打鼾、张口呼吸及睡眠中多汗的比例高于B组（P〈0．05）。ESS评分与孕妇年龄（r=-0．059，P=0．511）和孕周（r=0．047，P=0．601）无相关性，与夜间睡眠时间（r=-0．384，P=0．000）呈负相关，与日间睡眠时间（r=0．213，P=0．016）呈正相关。【结论】Epworth嗜睡量表可作为妊娠晚期孕妇睡眠呼吸障碍的初筛诊断方法。
[Objective]To explore the value of Epworth sleepiness scale（ESS） used in the survey of sleep disordered breathing in the third trimester pregrmnt women. [Methods] Totally 126 pregnant women at the third trimester were enrolled in this study. According to ESS score, all pregnant women were divided into group A with ESS≥9（ n=70） and group B with ESS（9（ n =56）. The sleep duration at night and daytime and sleep status were compared between two groups. The correlation between these indicators and EES was analyzed. [Results] The sleep duration at night in group A was obviously shorter than that in group t3, while the sleep duration at daytime was opposite, and there was significant difference between 2 groups（ P 〈0.05）. The incidence of snoring, mouth breathing and sleep sweat in group A was higher than that in group 13（ P〈0.05）. ESS score had no correlation with the pregnant women＇s age（r=-0. 059, P=0. 511） and gestational week（r=0. 047, P =0. 601）. ESS was negatively correlated with sleep duration at night（r=-0. 384, P= 0. 000） and positively correlated with the sleep duration at daytime（r=0. 213, P =0. 016）. [Conclusion]The ESS might be a screening method of sleep disordered breathing in the third trimester pregnant women.
出处
《医学临床研究》
CAS
2012年第3期438-440,共3页
Journal of Clinical Research
关键词
睡眠呼吸暂停综合征
妊娠末期
Sleep apnea syndromes
pregnancy trimester,third
