主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (6): 889-894.doi: 10.3969/j.issn.1672-1756.2025.06.017

• 循证护理 • 上一篇    下一篇

妊娠期阻塞性睡眠呼吸暂停综合征预防与管理的证据总结

何瑾 高燕秋 刘银平 沈薛 单春剑 张莹莹 朱珠   

  1. 南京医科大学附属妇产医院(南京市妇幼保健院)产科,210004南京市(何瑾,高燕秋,刘银平,沈薛,单春剑,张莹莹);护理部(朱珠)
  • 出版日期:2025-06-15 发布日期:2025-06-15
  • 通讯作者: 朱珠,本科,主任护师,护理部主任,E-mail:zz_njfy@sina.com
  • 作者简介:何瑾,硕士,护师
  • 基金资助:
    江苏省妇幼保健协会课题(FYX202111)

Evidence summary for the prevention and management of Obstructive Sleep Apnea during pregnancy

HE Jin, GAO Yanqiu, LIU Yinping, SHEN Xue, SHAN Chunjian, ZHANG Yingying, ZHU Zhu   

  1. Department of Obstetrics, Women's Hospital of Nanjing Medical University, Nanjing, 210004, China
  • Online:2025-06-15 Published:2025-06-15
  • Contact: E-mail:zz_njfy@sina.com

摘要: 目的:检索并总结妊娠期妇女阻塞性睡眠呼吸暂停预防与管理的相关证据,为医护人员临床实践提供依据。方法:根据“6S”证据模型,检索计算机决策支持系统、国内外指南网、相关学会网站及数据库中有关文献,检索时限为建库至2024年11月1日。由经过循证护理培训的研究者对纳入文献进行方法学质量评价和资料提取后汇总证据。结果:共纳入16篇文献,包括临床决策5篇、指南1篇、系统评价6篇、专家共识2篇、最佳实践1篇和随机对照试验1篇,从筛查时机、风险识别、评估与诊断、妊娠期管理及健康教育支持5个方面总结23条证据。结论:该证据总结能为临床医护人员制定妊娠期妇女的管理方案和开展实践提供依据,可结合临床情境应用。

关键词: 妊娠;阻塞性睡眠呼吸暂停;循证护理;证据总结

Abstract: Objective: To search and summarize the relevant evidence on the prevention and management of Obstructive Sleep Apnea (OSA) in pregnant women, and to provide a scientific basis for medical staff to practice for this population. Methods: According to the "6S" evidence model, the relevant literature was systematically searched in computerized decision-making support systems, domestic and international guideline networks, websites of related academic societies and databases from the inception of databases to November 1st, 2024. Researchers trained in evidence-based nursing evaluated the methodological quality of the included literature and collected the evidence after data extraction. Results: A total of 16 literature was included, including five clinical decision-making documents, one guideline, six systematic reviews, two expert consensus statements, one best practice recommendation and one randomized controlled trial. Twenty-three pieces of evidence in five areas were summarized and extracted, including timing of screening, risk identification, assessment and diagnosis, pregnancy management and health education support. Conclusion: The evidence summarized in this study can provide a basis for clinical healthcare professionals in the development of management protocols and practice for pregnant women. However, the application of the evidence should be tailored to the specific clinical context.

Key words: pregnancy; Obstructive Sleep Apnea; evidence-based nursing; evidence summary

中图分类号:  R47;R197