妊娠期阻塞性睡眠呼吸暂停低通气综合征临床诊治专家共识（草案）_Chinese Journal of Respiratory and Critical Care Medicine

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 妊娠期阻塞性睡眠呼吸暂停低通气综合征临床诊治专家共识写作组

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妊娠期阻塞性睡眠呼吸暂停低通气综合征临床诊治专家共识写作组, Email: hxk313@126.com;guoleeliu@163.com

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10.7507/1671-6205.201809006

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Citation： 妊娠期阻塞性睡眠呼吸暂停低通气综合征临床诊治专家共识写作组. 妊娠期阻塞性睡眠呼吸暂停低通气综合征临床诊治专家共识（草案）. Chinese Journal of Respiratory and Critical Care Medicine, 2018, 17(5): 439-444. doi: 10.7507/1671-6205.201809006 Copy

1.	Young T, Palta M, Dempsey J, et al. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med, 1993, 328(17): 1230-1235.
2.	Bixler EO, Vgontzas AN, Lin HM, et al. Prevalence of sleep-disordered breathing in women: effects of gender. Am J Respir Crit Care Med, 2001, 163(3 Pt 1): 608-613.
3.	Peppard PE, Young T, Barnet JH, et al. Increased prevalence of sleep disordered breathing in adults. Am J Epidemiol, 2013, 177(9): 1006-1014.
4.	Heinzer R, Vat S, Marques-Vidal P, et al. Prevalence of sleep disordered breathing in the general population: the HypnoLaus study. Lancet Respir Med, 2015, 3(4): 310-318.
5.	中华医学会呼吸病分会睡眠呼吸障碍学组. 阻塞性睡眠呼吸暂停低通气综合征诊治指南(2011 年修订版). 中华结核和呼吸杂志, 2012, 35(1): 9-12.
6.	Facco FL, Parker CB, Reddy UM, et al. Association between sleep-disordered breathing and hypertensive disorders of pregnancy and gestational diabetes mellitus. Obstet Gynecol, 2017, 129(1): 31-41.
7.	Bourjeily G, Danilack VA, Bublitz MH, et al. Obstructive sleep apnea in pregnancy is associated with adverse maternal outcomes: a national cohort. Sleep Med, 2017, 38: 50-57.
8.	Li L, Zhao K, Hua J, et al. Association between Sleep-disordered breathing during pregnancy and maternal and fetal outcomes: an updated systematic review and meta-analysis. Front Neurol, 2018, 9: 91.
9.	Tapia IE, Shults J, Doyle LW, et al. Perinatal risk factors associated with the obstructive sleep apnea syndrome in school-aged children born preterm. Sleep, 2016, 39(4): 737-742.
10.	Pien GW, Pack AI, Jackson N, et al. Risk factors for sleep-disordered breathing in pregnancy. Thorax, 2014, 69(4): 371-377.
11.	Tantrakul V, Sirijanchune P, Panburana P, et al. Screening of obstructive sleep apnea during pregnancy: differences in predictive values of questionnaires across trimesters. J Clin Sleep Med, 2015, 11(2): 157-163.
12.	Youssef HF, Dombrovskiy VY, Santiago TV, et al. Sleep apnea is associated with gestational diabetes mellitus and pregnancy-induced hypertension. San Francisco, CA, USA: American Thoracic Society International Conference, 2007: 18-23.
13.	O'Brien LM, Bullough AS, Chames MC, et al. Hypertension, snoring, and obstructive sleep apnoea during pregnancy: a cohort study. BJOG, 2014, 121(13): 1685-1693.
14.	Luque-Fernandez MA, Bain PA, Gelaye B, et al. Sleep-disordered breathing and gestational diabetes mellitus: a meta-analysis of 9,795 participants enrolled in epidemiological observational studies. Diabetes Care, 2013, 36(10): 3353-3360.
15.	Facco FL, Ouyang DW, Zee PC, et al. Implications of sleep-disordered breathing in pregnancy. Am J Obstet Gynecol, 2014, 210(6): 559. e1-e6.
16.	Franklin KA, Holmgren PA, Jönsson F, et al. Snoring, pregnancy-induced hypertension, and growth retardation of the fetus. Chest, 2000, 117(1): 137-141.
17.	Poyares D, Guilleminault C, Hachul H, et al. Pre-eclampsia and nasal CPAP: Part 2. Hypertension during pregnancy, chronic snoring, and early nasal CPAP intervention. Sleep Med, 2007, 9(1): 15-21.
18.	Ding XX, Wu YL, Xu SJ, et al. A systematic review and quantitative assessment of sleep-disordered breathing during pregnancy and perinatal outcomes. Sleep Breath, 2014, 18(4): 703-713.
19.	Edwards N, Blyton DM, Kirjavainen T, et al. Nasal continuous positive airway pressure reduces sleep-induced blood pressure increments in preeclampsia. Am J Respire Crit Care Med, 2000, 162(1): 252-257.
20.	Blyton DM, Sullivan CE, Edwards N. Reduced nocturnal cardiac output associated with preeclampsia is minimized with the use of nocturnal nasal CPAP. Sleep, 2004, 27(1): 79-84.
21.	Guilleminault C, Palombini L, Poyares D et al. Pre-eclampsia and nasal CPAP: part 1. Early intervention with nasal CPAP in pregnant women with risk-factors for pre-eclampsia: preliminary findings. Sleep Med, 2007, 9(1): 9-14.
22.	Reid J, Glew RA, Skomro R, et al. Sleep disordered breathing and gestational hypertension: postpartum follow-up study. Sleep, 2013, 36(5): 717-721.
23.	刘国莉, 韩芳, 王雁, 等. 妊娠期阻塞性睡眠呼吸暂停低通气综合征诊治的初步研究. 中国妇产科临床杂志, 2012, 13(4): 243-247.
24.	Chung F, Memtsoudis SG, Ramachandran SK, et al. Society of Anesthesia and Sleep Medicine Guidelines on Preoperative Screening and Assessment of Adult Patients with Obstructive Sleep Apnea. Anesth Analg, 2016, 123(2): 452-473.
25.	Qaseem A, Dallas P, Owens D K, et al. Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med, 2014, 161(3): 210-220.
26.	Berry RB, Brooks R, Gamaldo CE, et al. The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications. Version2.2. Darien, Illinois: American Academy of Sleep Medicine, 2015.
27.	阻塞性睡眠呼吸暂停低通气综合征诊治指南(基层版)写作组. 阻塞性睡眠呼吸暂停低通气综合征诊治指南(基层版). 中华全科医师杂志, 2015, 14(7): 509-515.
28.	中华医学会妇产科学分会产科学组. 妊娠合并糖尿病诊治指南(2014). 中华妇产科杂志, 2014, 49(8): 561-569.
29.	Pien GW, Schwab RJ. Sleep disorders during pregnancy. Sleep, 2004, 27(7): 1405-1417.
30.	Guilleminault C, Kreutzer M, Chang JL. Pregnancy, sleep disordered breathing and treatment with nasal continuous positive airway pressure. Sleep Med, 2004, 5(1): 43-51.
31.	Louis J, Auckley D, Miladinovic B, et al. Perinatal outcomes associated with obstructive sleep apnea in obese pregnant women. Obstet Gynecol, 2012, 120(5): 1085-1092.
32.	中华医学会麻醉学分会. 阻塞性睡眠呼吸暂停低通气综合征患者围术期管理的专家共识(2015). 2014 版中国麻醉学指南与专家共识/中华医学会麻醉学分会编. 北京: 人民卫生出版社, 2014, 142-149.
33.	Booth JM, Tonidandel AM. Peripartum management of obstructive sleep apnea. Clin Obstet Gynecol, 2017, 60(2): 405-417.

1. Young T, Palta M, Dempsey J, et al. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med, 1993, 328(17): 1230-1235.
2. Bixler EO, Vgontzas AN, Lin HM, et al. Prevalence of sleep-disordered breathing in women: effects of gender. Am J Respir Crit Care Med, 2001, 163(3 Pt 1): 608-613.
3. Peppard PE, Young T, Barnet JH, et al. Increased prevalence of sleep disordered breathing in adults. Am J Epidemiol, 2013, 177(9): 1006-1014.
4. Heinzer R, Vat S, Marques-Vidal P, et al. Prevalence of sleep disordered breathing in the general population: the HypnoLaus study. Lancet Respir Med, 2015, 3(4): 310-318.
5. 中华医学会呼吸病分会睡眠呼吸障碍学组. 阻塞性睡眠呼吸暂停低通气综合征诊治指南(2011 年修订版). 中华结核和呼吸杂志, 2012, 35(1): 9-12.
6. Facco FL, Parker CB, Reddy UM, et al. Association between sleep-disordered breathing and hypertensive disorders of pregnancy and gestational diabetes mellitus. Obstet Gynecol, 2017, 129(1): 31-41.
7. Bourjeily G, Danilack VA, Bublitz MH, et al. Obstructive sleep apnea in pregnancy is associated with adverse maternal outcomes: a national cohort. Sleep Med, 2017, 38: 50-57.
8. Li L, Zhao K, Hua J, et al. Association between Sleep-disordered breathing during pregnancy and maternal and fetal outcomes: an updated systematic review and meta-analysis. Front Neurol, 2018, 9: 91.
9. Tapia IE, Shults J, Doyle LW, et al. Perinatal risk factors associated with the obstructive sleep apnea syndrome in school-aged children born preterm. Sleep, 2016, 39(4): 737-742.
10. Pien GW, Pack AI, Jackson N, et al. Risk factors for sleep-disordered breathing in pregnancy. Thorax, 2014, 69(4): 371-377.
11. Tantrakul V, Sirijanchune P, Panburana P, et al. Screening of obstructive sleep apnea during pregnancy: differences in predictive values of questionnaires across trimesters. J Clin Sleep Med, 2015, 11(2): 157-163.
12. Youssef HF, Dombrovskiy VY, Santiago TV, et al. Sleep apnea is associated with gestational diabetes mellitus and pregnancy-induced hypertension. San Francisco, CA, USA: American Thoracic Society International Conference, 2007: 18-23.
13. O'Brien LM, Bullough AS, Chames MC, et al. Hypertension, snoring, and obstructive sleep apnoea during pregnancy: a cohort study. BJOG, 2014, 121(13): 1685-1693.
14. Luque-Fernandez MA, Bain PA, Gelaye B, et al. Sleep-disordered breathing and gestational diabetes mellitus: a meta-analysis of 9,795 participants enrolled in epidemiological observational studies. Diabetes Care, 2013, 36(10): 3353-3360.
15. Facco FL, Ouyang DW, Zee PC, et al. Implications of sleep-disordered breathing in pregnancy. Am J Obstet Gynecol, 2014, 210(6): 559. e1-e6.
16. Franklin KA, Holmgren PA, Jönsson F, et al. Snoring, pregnancy-induced hypertension, and growth retardation of the fetus. Chest, 2000, 117(1): 137-141.
17. Poyares D, Guilleminault C, Hachul H, et al. Pre-eclampsia and nasal CPAP: Part 2. Hypertension during pregnancy, chronic snoring, and early nasal CPAP intervention. Sleep Med, 2007, 9(1): 15-21.
18. Ding XX, Wu YL, Xu SJ, et al. A systematic review and quantitative assessment of sleep-disordered breathing during pregnancy and perinatal outcomes. Sleep Breath, 2014, 18(4): 703-713.
19. Edwards N, Blyton DM, Kirjavainen T, et al. Nasal continuous positive airway pressure reduces sleep-induced blood pressure increments in preeclampsia. Am J Respire Crit Care Med, 2000, 162(1): 252-257.
20. Blyton DM, Sullivan CE, Edwards N. Reduced nocturnal cardiac output associated with preeclampsia is minimized with the use of nocturnal nasal CPAP. Sleep, 2004, 27(1): 79-84.
21. Guilleminault C, Palombini L, Poyares D et al. Pre-eclampsia and nasal CPAP: part 1. Early intervention with nasal CPAP in pregnant women with risk-factors for pre-eclampsia: preliminary findings. Sleep Med, 2007, 9(1): 9-14.
22. Reid J, Glew RA, Skomro R, et al. Sleep disordered breathing and gestational hypertension: postpartum follow-up study. Sleep, 2013, 36(5): 717-721.
23. 刘国莉, 韩芳, 王雁, 等. 妊娠期阻塞性睡眠呼吸暂停低通气综合征诊治的初步研究. 中国妇产科临床杂志, 2012, 13(4): 243-247.
24. Chung F, Memtsoudis SG, Ramachandran SK, et al. Society of Anesthesia and Sleep Medicine Guidelines on Preoperative Screening and Assessment of Adult Patients with Obstructive Sleep Apnea. Anesth Analg, 2016, 123(2): 452-473.
25. Qaseem A, Dallas P, Owens D K, et al. Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med, 2014, 161(3): 210-220.
26. Berry RB, Brooks R, Gamaldo CE, et al. The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications. Version2.2. Darien, Illinois: American Academy of Sleep Medicine, 2015.
27. 阻塞性睡眠呼吸暂停低通气综合征诊治指南(基层版)写作组. 阻塞性睡眠呼吸暂停低通气综合征诊治指南(基层版). 中华全科医师杂志, 2015, 14(7): 509-515.
28. 中华医学会妇产科学分会产科学组. 妊娠合并糖尿病诊治指南(2014). 中华妇产科杂志, 2014, 49(8): 561-569.
29. Pien GW, Schwab RJ. Sleep disorders during pregnancy. Sleep, 2004, 27(7): 1405-1417.
30. Guilleminault C, Kreutzer M, Chang JL. Pregnancy, sleep disordered breathing and treatment with nasal continuous positive airway pressure. Sleep Med, 2004, 5(1): 43-51.
31. Louis J, Auckley D, Miladinovic B, et al. Perinatal outcomes associated with obstructive sleep apnea in obese pregnant women. Obstet Gynecol, 2012, 120(5): 1085-1092.
32. 中华医学会麻醉学分会. 阻塞性睡眠呼吸暂停低通气综合征患者围术期管理的专家共识(2015). 2014 版中国麻醉学指南与专家共识/中华医学会麻醉学分会编. 北京: 人民卫生出版社, 2014, 142-149.
33. Booth JM, Tonidandel AM. Peripartum management of obstructive sleep apnea. Clin Obstet Gynecol, 2017, 60(2): 405-417.

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妊娠期阻塞性睡眠呼吸暂停低通气综合征临床诊治专家共识（草案）

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