便携式睡眠监测设备在孕期的应用:综合评述。

IF 2.3 4区 医学 Q3 BIOPHYSICS
Nürfet Balkan, Mustafa Cavusoglu, René Hornung
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引用次数: 0

摘要

怀孕期间的生理、荷尔蒙和生物力学变化可能会引发孕妇呼吸睡眠障碍。与妊娠相关的睡眠障碍可能会对胎儿和孕产妇造成不良后果,包括妊娠糖尿病、子痫前期、早产和妊娠高血压。大多数探讨孕期睡眠呼吸紊乱的筛查和诊断研究都是基于问卷调查,而问卷调查在提供明确结论方面存在固有的局限性。目前诊断的黄金标准是对睡眠期间生理变化进行全面测量的夜间多导睡眠图。然而,由于患者不便、睡眠动态不自然以及训练有素的人员和技术所带来的费用等诸多挑战,对孕妇进行通宵实验室 PSG 并不现实。随着可穿戴传感器和便携式电子设备的发展,家庭睡眠监测设备成为了在孕妇自身睡眠环境中记录其睡眠信号的不可或缺的工具。本文回顾了便携式睡眠监测设备在孕期的应用,特别强调了对围产期结果的估计。文章评估了家用睡眠监测系统与主观睡眠调查问卷和孕妇夜间多导睡眠监测仪相比的优缺点。针对特定的胎儿和孕产妇结局,从准确性和特异性的角度概述了家庭睡眠监测的应用效率。根据我们的综述,需要进行更多的同质化和可比性研究,以便利用基于家庭的睡眠监测系统得出结论性结果,从而研究妊娠期 SDB 的流行病学及其对孕产妇和新生儿健康的影响。.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application of portable sleep monitoring devices in pregnancy: a comprehensive review.
The physiological, hormonal and biomechanical changes during pregnancy may trigger sleep disorders breathing in pregnant women. Pregnancy-related sleep disorders may associate with adverse fetal and maternal outcomes including gestational diabetes, preeclampsia, preterm birth and gestational hypertension. Most of the screening and diagnostic studies that explore sleep disordered breathing during pregnancy were based on questionnaires which are inherently limited in providing definitive conclusions. The current gold standard for in diagnostics is overnight polysomnography involving the comprehensive measurements of physiological changes during sleep. However, applying the overnight laboratory PSG on pregnant women is not practical due to a number of challenges such patient inconvenience, unnatural sleep dynamics, and expenses due to highly trained personnel and technology. Parallel to the progress in wearable sensors and portable electronics, home sleep monitoring devices became indispensable tools to record the sleep signals of pregnant women at her own sleep environment. This article reviews the application of portable sleep monitoring devices in pregnancy with particular emphasis on estimating the perinatal outcomes. The advantages and disadvantages of home based sleep monitoring systems compared to subjective sleep questionnaires and overnight polysomnography for pregnant women were evaluated. An overview on the efficiency of the application of home sleep monitoring in terms of accuracy and specificity were presented for particular fetal and maternal outcomes. Based on our review, more homogenous and comparable research is needed to produce conclusive results with home based sleep monitoring systems to study the epidemiology of SDB in pregnancy and its impact on maternal and neonatal health. .
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来源期刊
Physiological measurement
Physiological measurement 生物-工程:生物医学
CiteScore
5.50
自引率
9.40%
发文量
124
审稿时长
3 months
期刊介绍: Physiological Measurement publishes papers about the quantitative assessment and visualization of physiological function in clinical research and practice, with an emphasis on the development of new methods of measurement and their validation. Papers are published on topics including: applied physiology in illness and health electrical bioimpedance, optical and acoustic measurement techniques advanced methods of time series and other data analysis biomedical and clinical engineering in-patient and ambulatory monitoring point-of-care technologies novel clinical measurements of cardiovascular, neurological, and musculoskeletal systems. measurements in molecular, cellular and organ physiology and electrophysiology physiological modeling and simulation novel biomedical sensors, instruments, devices and systems measurement standards and guidelines.
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